Public Medical Group Management Research From The Perspective Of Collaborative Public Management

The rapid pace of the times development has led to the accumulation of social wealth.However the nature of wealth flowing,which is profit-oriented,added to the factor that is the country’s macro-control and distribution system can not fully balance the fairness and efficiency,which resulted in the different levels of development of various industries as well as the barriers to resource flow in one industry.That era’s features were reflected in the medical industry,which are manifested in the lack of overall medical resources in domestic,the uneven distribution of medical resources and the contradiction between the growing health care needs of the people and the old medical security and insurance system.Based on the discussion above,the national health authorities began a new round of health care reform to establish and improve the current medical health system which is in line with national conditions.Meanwhile,the system can enable the public to get benefit from the system improving.Moreover,the process of reforming can improve the conditions of people’s medical treatment and health care.The new round of health care reform involved several aspects and its focus is on reforming public medical institutions,re-allocating the medical and health resources.As a result,accompanied the procedure of reform,the wave of setting up public health group by the domestic public hospitals and the medical institutions became ascendant and popular.According to the guide of collaborative public management theory,this thesis explained the definition,classification and cooperation ability of public medical groups in our country;With the method of literature review and case study,the paper took Yunnan Traditional Chinese Medicine Group(TCM Group)as the analyzing object and made a summary about the establishment of the medical group,the development process,the current situation of the operation and management;focused on the problems and difficulties during the group operation and management and figured out the reasons;in the same time,briefly reviewed medical group manipulation of establishing and operating in Singapore,the United States,Shanghai and Beijing and summarized these public medical groups experiences,which were worth learning and promotion.At the end of this paper,the author putted forward the measures to improve the management of public medical group from the perspective of cooperative public management.Firstly,it is necessary to complete the vertical cooperation from the government to the group via the external breakthrough for constraint of the mechanism and system.Secondly,it is sensible to achieve the horizontal cooperation through improving the Group’s own internal management mechanism,clear the relationship and positioning among the members as well as formulating the appropriate human resources management regulation and establishing the performance management system to narrow down the disparity among members.Thus the dissertation has obtained the conclusions: First,the cooperative public management theory has played a significant guiding role in the management of public medical groups and the synergy development is the effective method for the public medical groups.Second,in order to achieve coordinated development,the government should establish a legal system and policy protection for the public medical group.Meanwhile,it has to provide instructions and guides in terms of the government classification management,multi-point practice,two-way transfer treatment,medical security and other aspects for the groups.There is difference between the loose type of public medical group and the close type of public medical groups in the degree of coordination,but the establishment of coordination and cooperation,clarifying the responsibility,position,strengthening the group’s internal personnel,performance system,these methods will be conducive to narrow down the differences among members of group.Third,synergy is the effective means to make the group from loose to close,from the split to the integration.By cooperation the initial stage of the loose public medical groups gradually developed towards the advanced stage of the close public medical groups.