Practice and exploration of high-quality medical resources sinking under tight trusteeship mode
Objective To study the characteristics and advantages of the tight trusteeship mode,and to provide expe-rience and suggestions for promoting the sinking of high-quality medical resources.Methods By literature analysis,the process and characteristics of hospital trusteeship reforms in China were summarized.Based on the"structure-process-results"theory,the tight,semi-tight,and loose trusteeship modes were compared using comparative research methods to summarize the main charac-teristics and advantages of the tight trusteeship mode.Through analyzing a case of tight trusteeship of a large provincial tertiary public hospital in Shandong Province,the specific practical measures,effectiveness,and existing problems of the tight trusteeship mode were discussed.Results The tight trusteeship mode is usually a comprehensive government trusteeship,where the trustee hospital provides a unified leadership to manage the entrusted hospital as a campus,integrating and homogenizing personnel ma-nagement,financial management,business management,informationization,and other aspects,achieving more stable collabora-tion and better performance.Conclusion The tight trusteeship mode is more conducive to channeling large public hospitals'high-quality medical resources including brand,workforce,technology,and information towards primary medical institutions,which is an effective way to promote the expansion and sinking and regional balance of high-quality medical resources in the new era.
Health care reformHospital administrationTrustHealth resourcesHospitals,public