Analysis on the governance logic and implementation path of regional integrated health care system in China：The perspective of polycentric governance

Corresponding author: ZHENG Ying, zheng.ying@imicams.ac.cn

DOI: 10.12201/bmr.202111.00020

•  

  Abstract: Governance is the core mechanism of building a regional integrated health care system. The transformation from monocentric governance to polycentric governance is an important way to promote the modernization of health governance system and capacity. Based on polycentric governance theory, this article built a framework of the polycentric synergetic governance of regional integrated health care system, and proposed the governance structure and core mechanisms to promote the institution to be embedded in the local field. For the realistic dilemma in China’s practice, it is proposed that in the process of building a regional integrated health care system, it is necessary to promote a networked, polycentric and synergetic governance structure from the following aspects: clarifying the boundary of integrated care based on health-centered and demand-oriented concept, and developing appropriate integration strategies; making multiple subjects work at full capacity such as government, market, health care providers, patients and their families, social organizations, etc; improving governance mechanism and making rational use of governance tools.

  Key words: Polycentric governance；Integrated health care system；Governance logic；Implementation path; ; ; 

  Submit time: 17 February 2022

  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

• ZHU yan, ZHENG Jie, Li Xiaoying, Yang Xiaolin, HE Yongqun. Introduction to Basic Formal Ontology and its Chinese Translation. 2020. doi: 10.12201/bmr.202007.00009

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

  LI Wenmin, Cheng Mengzhen, LIU Siyu. Rethinking the path to an integrated healthcare service system in China. 2022. doi: 10.12201/bmr.202207.00024

  HU Jia, WANG Qing-bo, ZHENG Ying, LI Li. Core elements and developmental characteristics of the conceptual framework of integrated health care system：A systematic review. 2022. doi: 10.12201/bmr.202111.00021

  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

  zhang shengjie, Cui Zhisheng, Lei Chao, Hu Dan. Integrating path of county level medical consortium from the perspective of actor-centered institutionalism. 2021. doi: 10.12201/bmr.202101.00016

  ZHANG Jingning, HAN Lu, TU Shu, WANG Zongbin, ZHENG Zhijie, YIN Hui. Thailands Leadership and Experience in Global and Regional Health Security Governance. 2021. doi: 10.12201/bmr.202108.00023

  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

  Wang Anqi, Tang Changhai, wang Wanchen, Fan Chengxin, Yin Wenqiang. Study on community grid-based governance of public health emergency from the perspective of collaborative advantage. 2021. doi: 10.12201/bmr.202105.00012

  Zhao Jun, Yuan Shasha, Li Ying, Ru Xiaomei, Hu Ting, Wang Fang. Analysis of the current situation of community-dwelling integrated medical and elderly care in China. 2022. doi: 10.12201/bmr.202209.00012

• ID	Submit time	Number	Download
  1	2021-11-26	bmr.202111.00020V1	Download

• Public  Anonymous  To author only Submit Comments