Practice of and Reflection on Medical Consortium by County-Level Hospitals Trusted to Provincial-Level Leading Hospitals

Building new regional medical consortium in the model of trusting county-level hospitals to provincial-level large-scale public third-level grade-A hospitals can optimize the allocation of medical resources, promote two-way referral system and rational shunting of patients, and drive multi-sited practice of physicians. Furthermore, it can constantly improve regional medical service level, and achieve the goal of medical reform—comprehensive reform of county-level public hospitals. By introducing general situation where two county-level hospitals are trusted to Hubei Provincial People’s Hospital, this study analyses its operation performance and existing problems, and then puts forwards developmental countermeasures and recommendations for provincial-level hospitals to hold county-level hospitals in trust to build a medical consortium, including driving reorganization of medical resources, making clear roles of all the parties concerned, clarifying internal governance structure of hospitals under trust, reinforcing policy guidance, enhancing internal developmental force of trusteeship, intensifying supporting, and improving functions of medical consortium incrementally.