Evaluation and analysis for Chinese medical alliance’s governance structure modes based on preker-harding model

Abstract

Objective: Analyze and evaluate the typical four medical alliance’s governance modes in China, and construct a set of medical alliance’s governance mode that adapt to the current status of medical resource allocation in China. Theory and Methods: We used interview-based case studies to investigate the four most representative medical alliance modes in China, and conducted in-depth analysis and discussion of key incentives affecting medical alliances under the guidance of the Preker-Harding model framework. Results: The results show that the essence of the relationship between the government as the owner and the medical alliance is the entrustment and adjustment of power and responsibility; the government as a regulator has a normative and universal regulation of the medical alliance; the reform of the medical alliance requires the government to clarify the functional positioning of the medical alliance and determine a reasonable compensation system. Conclusion: China should establish the “Positive Triangle” model of medical alliance’s governance, this medical security model provides patients with various types of medical services in a horizontal dimension, covering a variety of difficult disease treatments in a vertical dimension.