Evaluation and Analysis for Chinese Medical Alliance's Governance Structure Modes Based on Preker-Harding Model

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.

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.

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.

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.