›› 2010, Vol. 30 ›› Issue (8): 919-.doi: 10.3969/j.issn.1674-8115.2010.08.012

• Original article (Public health administration) • Previous Articles     Next Articles

United medical group: positive exploration of Chinese managed health care model

HUANG Qi-min1, HUANG Deng-xiao2, GUO Ying-ying1, LI Ya-fang3   

  1. 1.Department of Health Management, 2.Department of Medical Administration, The Third People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 201900, China；3.Zhujiajiao People's Hospital of Qingpu District, Shanghai 201713, China
  • Online:2010-08-25 Published:2010-08-27
  • Supported by:

    Shanghai Education Committee Humanities and Social Sciences Foundation, 07ZS45

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Abstract:

Objective To explore the applicable experience of managed health care model as well as the prospect of united medical group model in China, and put forward suggestions for promoting the healthy development of united medical group. Methods Interviews and small-scale group meetings were conducted to seek the opinions on medical reform from 15 experts of relevant governmental departments and medical institutions in Shanghai. District A undergoing united medical group model and District B and District C with similar model of operation in Shanghai were chosen, and 560 patients (360 in District A, 100 in District B and 100 in District C) and 358 medical staff (258 in District A and 100 in District B) were randomly selected for questionnaire interviews, which were concerned with the operation, results and prospect of united medical group model as well as the feasibility and prospect of managed health care model. Results Favourable prospect of united medical group model was concluded by experts with suspected way of operation. A total of 348 and 556 questionnaires were recovered from medical staff and patients, respectively, with 315 and 544 effective questionnaires, respectively. 72.38% of the respondents held the opinion that managed health care model could be partially applied to united medical group model, and 53.33% believed it was necessary to try the united medical group model. The awareness of models was not ideal among the respondents, unfavourable operation was considered by 66.94%, and there were significant differences in the management of primary care physician system between District A and District B (P=0.000). There were significant differences in the acceptance level of managed health care model between medical staff and patients (P<0.01). Conclusion It is feasible for China to learn from managed health care model under national conditions. Though lack of publicity with poor operation now, united medical group model is a positive exploration of Chinese managed health care model, and may have a sound future.

Key words: united medical group, learning, managed health care, Chinese model