Practice and exploration of high-quality medical resources sinking under tight trusteeship mode

Abstract

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 characteristics 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 collaboration 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.

Keywords

• health care reform|hospital administration|trust|health resources|hospitals, public