A Study On The Operation Status Of Regional Medical Alliance Of Jiangbei In Ningbo

An important reason to “hard to have medical care and high medical costs” in our country is uneven distribution of medical resources that is directly related to the people's livelihood.Because of the aging population,change of disease spectrum,increasing medical demands,rising medical costs,insufficient government investment,inefficient medical services,imperfect and incomprehensive coverage of medical insurance system,rapid development of private capital investments,in order to improve the management and service of medical institutions,make effective and fluently reasonable use of limited medical resources,the Minister of Health in China declared in the National Health Working Conference in 2013 that we need to speed up the exploration of the establishment of regional medical Alliance.Regional Medical Alliance(RMA)is an important trend of public hospital reform,the regional health care systems have made bold exploration on this and got the preliminary achievements with the operation of RMA during the past years.This study is aiming to understand the operation status of RMA between Jiangbei General hospital and Community Health Service Center in Ningbo,provide further suggestions and solutions to promote the collaboration of RMA in the two levels urban medical institutions.The following research methods including literature analysis,brainstorming,panel discussion,interview and field investigation,with integration of theory and practice,combination of logic reasoning and inductive summary,combination of qualitative and quantitative analysis,were applied in this study to discuss the current situation and solutions of Jiangbei RMA in Ningbo.The thesis was divided into five parts: Part Iintroduce the background and significance of the topic,get to know the domestic and international research status,establish the research framework and clarify the methods for research;Part II-clarify the conception,classification and characteristics of RMA,introduce the theories applied in this study;Part III-comprehensively analyze the development characteristics and experience of domestic and foreign medical health service system;Part IV-discuss the operation status and existing problems of RMA by analyzing Jiangbei RMA in Ningbo;Part V,provide suggestions and countermeasures for improvement of RMA by adopting experiences at home and abroad.Based on the analysis of current operation status of Jiangbei RMA in Ningbo and its cognition by the doctors and the patients,we consider that the following problems exist in current RMA operation including cross-over of the old and new frameworks,difficulties in referral,low utilization of physician resources,low mutual recognition of imaging,insufficient breadth and depth of information construction,incapable of primary medical team and lack of assessment system,etc,and put forward the following countermeasures and solutions:the first is to clarify the role and management responsibilities of the government in RMA;the second is to improve the relevant policies and regulations for the operation of RMA;the third is to improve the professional ability of primary medical team;the fourth is to improve the internal assessment system of the organization and promote a relatively balanced distribution of resources;the fifth is to build multi-social forces to participate in the operation system of RMA;the sixth is to build a diversified,multi-level,comprehensive information sharing platform.