Analysis On The Operation Of The MCH Medical Association In Typical Area

ObjectiveThrough empirical research,the study aims to understand,analyze and evaluate the development status and specific measures of the MCH Medical Association in Jiangsu and Zhejiang province,and Evaluate the effect of the implementation.On this basis,comparing and analyzing the similarities and differences between the two regions,summarizing the experience and insufficiencies and proposing the policy suggestions for improvement and reference.MethodsThrough literature research,this study clarifies the definition of the MCH Medical Association.By field investigation,we collect qualitative and quantitative data and summarize the specific practices,the implementation progress,and the results of the policy.Through stakeholder analysis to reflect the stakeholder game process,analyze the role and impact of policy implementation process.Using the descriptive statistics method to analyze the effect of the MCH Medical Association policy.Results1.A series of measures have been adopted for the construction of the MCH Medical Association,for example,printing the policy documents,building the relationship between government departments,confirming the executive agent,providing the support of resource and technique,establishment of the MCH Medical Association working Council,taking management and technology as a link for cooperation,the assistance for disciplinary construction,the development for the professionals,sharing the resource of medical teaching and scientific research and so on.At the same time,both the Yangzhou and the Ninghai form the mechanism of the staff mobilization,incentive,compensation,working evaluation,homogeneity management and so on.2.The stakeholders of the MCH Medical Association mainly include the government,the lead unit,the member unit,the medical staff in the lead unit,the medical personnel of the member unit and the patient.All stakeholders are basically supportive of the MCH Medical Association,which can generally reach a state of balance of interests,and the establishment of the MCH Medical Association has a positive impact on the stakeholders.However,different stakeholders have different resource levels,and there is a certain degree of conflict of demands for the interests.3.As a result,they come into being positive effects.The distribution of resources of the member units has been improved,the expected pattern of diagnosis and treatment has come true,and the serviceability and the institutional benefit has improved.4.The time node of the two regions is similar.Both of them belong to the pilot provinces of comprehensive health care reform,located in the economically developed areas of eastern China.The foundation and prerequisites of policy are similar in terms of generosity.There are obvious differences in the specific process of implementation of the policy in the two regions.The interests’balanced state in Ninghai is better than Yangzhou.The MCH Medical Association in two regions have achieved remarkable results,the difference lies in the pattern of diagnosis and treatment.Besides,the service volume and the institutional benefit of the member unit which belongs to maternal and child care cent in Yangzhou MCH Medical Association improved not well.ConclusionThe two regions are similar in policy nature and policy background,but there are differences in policy support,financing sources and policy resources;Core policy measures are similar,but there are differences in depth;The certain policy effect has been achieved.The MCH Medical Association has the advantage in the maternal and child health service system.The consensus and cooperation of the government decide the intensity and degree of reform.The mechanisms of the compensation and incentive have played a key role.The next step to be solved consist of further cooperation between government and multiple departments,the reasonable cooperative plan,the willingness of cooperation,the deepening reform of the grassroots maternal and child health service institutions,the initiative of medical staff at the grass-roots level.RecommendationsThe following suggestions are made in this study:Strengthening the top-level design with policy objectives as the guide,and building the MCH Medical Association should be fit for the local conditions;Combined with national and local policies,striving for multilevel and multi sectoral cooperation;Based on the advantages of maternal and child health service system,we should improve the supervision and assessment methods;Improving the balance of interests and sharing mechanism to ensure long-term stability of cooperative relations;Integrating the regional maternal and child health resources to promote the sharing of high-quality resources.