Integrating path of county level medical consortium from the perspective of actor-centered institutionalism

Corresponding author: Hu Dan, hudan@bjmu.edu.cn

DOI: 10.12201/bmr.202101.00016

•  

  Abstract: In May 2019, the National Health Commission issued the Notice on Promoting the Construction of a Close county level medical consortium , marking that the medical consortium has become a powerful starting point for county medical and health reform. Judging from the existing medical resource allocation mechanism, in the process of policy implementation, only by promoting effective interaction and coordinated actions among the actors of the county-level medical community can the policy goals be successfully achieved, and the allocation of medical resources can be effectively optimized. This paper takes the actor-centered institutionalism as the theoretical framework, and highlights the relationship between the system and the actors. From this, it is found that there are multiple game relationships implicit in the county medical consortium model, and different actors have different interests and motivation choices. Based on this, the article explores the construction path of loose to tight medical consortium, how to promote interest compatibility and linkage between actors, and maximize the satisfaction of the people’s demand for high-quality and efficient integrated medical services.

  Key words: tight medical consortium；loose medical consortium；actor-centered institutionalism；county level medical reform；multiple games

  Submit time: 29 March 2021

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
• html

• 图表

• Sha Xiaoping, Li chenqian. Probe into the Path of Promoting the Construction of County Medical Community by Internet Medical Care. 2021. doi: 10.12201/bmr.202110.00018

  Wei Jingming, Gao Qilong, Huang Minzhuo, Dong Hengjin. Study on the Operation Efficiency of County Medical Community in Zhejiang Province Based on DEA Model. 2021. doi: 10.12201/bmr.202005.00252

  sunhuajun, zhangmeng, liuzhao, shendou, zhaokun, douyong, fengshiqiang, Liuyuehua. Reform Development Analyses and Policy Recommendations of County Medical Community --Based on Survey of 200 County Hospitals in 2019. 2020. doi: 10.12201/bmr.202007.00021

  WANG Zhe, FAN Xian-wei, GUAN Bo, GU Yan. Medical and healthcare resources in county: Resources assessment, function orientation and optimization path. 2021. doi: 10.12201/bmr.202108.00022

  ZHENG Ying. Analysis on the governance logic and implementation path of regional integrated health care system in China：The perspective of polycentric governance. 2022. doi: 10.12201/bmr.202111.00020

  WANG Yan-zhong, ZHAO Dong-hui. Analysis on the Influencing Factors of the Reimbursement Effects of Critical Illness Insurance for Urban and Rural Residents from the Perspective of New Institutionalism. 2021. doi: 10.12201/bmr.202110.00038

  Hao Jinwei, Jiang Dongdogn, Wang Quan, Mao Zongfu. Construction of wuhans grass-roots medical and health service System after the epidemic: From the perspective of stakeholders. 2020. doi: 10.12201/bmr.202007.00019

  YU YaHang, KONG Chen, YUAN Beibei. A systematic review of the influence of the integrated reform of medical and health service system on the working motivation and behavior of medical workers. 2021. doi: 10.12201/bmr.202011.00017

  DAI Tao. Analysis of the key elements on people-centered integrated health care system. 2022. doi: 10.12201/bmr.202111.00019

• ID	Submit time	Number	Download
  1	2021-01-01	bmr.202101.00016V1	Download

• Public  Anonymous  To author only Submit Comments