| Objective:This topic is based on the integration of Beijing,Tianjin and Hebei,This paper summarizes the overall situation of cooperation between Beijing and Hebei hospitals from the perspective of regional medical synergistic development,Specifically to show the overall situation of the Beijing C Hospital and Hebei Y Hospital,to summarize the advantages,disadvantages,opportunities and challenges of cross-regional medical cooperation in Beijing-Tianjin-Hebei Hospital.And on the basis of causality analysis and logical induction,proposed a reasonable and feasible strategy of Beijing-Tianjin-Hebei hospital cooperation,provide guidance and reference for the type of problem.To find policy and institutional barriers to cross-regional cooperation,to put forward relevant opinions and suggestions,and to provide ideas for promoting cross-regional cooperation in hospitals.This topic is an applied study,focusing on how to promote the cooperation of medical institutions cross-regional between Hebei and Beijing area,On the one hand,giving a scientific explanationv for the internal problems and external challenges of hospital cross-regional medical cooperation,from the perspective of management theory.On the other hand,to promote the experience of hospital cooperation,the proposed recommendations of cross-regional cooperation in hospital,promote the cross regional cooperation network of medical institutions in Hebei and Beijing,from the perspective of empirical research.significance:Analysising the cross regional medical cooperation,from the theory of public product theory,equity and efficiency,synergy theory.Based on the analysis of the current situation of cross regional medical cooperation at home and abroad,looking for the advantages,disadvantages,opportunities and challenges in the cross regional medical cooperation between Beijing,Tianjin and hebei.Put forward the Countermeasures of medical cooperation,to give full play to the public welfare of Beijing Hospital,and guide the construction and development of Hebei hospital.Promote more hospitals to participate in cross regional cooperation and promote the rational allocation of medical resources in Beijing,Tianjin and Hebei.To ease Beijing non-capital function,Accelerate the development of medical cooperation between Beijing and Tianjin,to ease the people "difficult to see a doctor,expensive" problem.Methods:In the early stage of the study,we mainly discussed the development of medical cooperation between C hospital and Y hospital by means of literature research and the person in charge of Hebei Y Hospital and the person in charge of medical cooperation.We later carried out field research,questionnaire survey and discussion,Focusing on the collection of medical cooperation information,to explore cross-regional cooperation research of Beijing-Tianjin-Hebei medical institutions.Research:based on social background and medical resources coordinated development of Beijing,Tianjin and health,In this study,through literature and network data,Combing the progress of cross regional medical cooperation between Beijing,Tianjin and Hebei,analysising the medical cooperative manner of foreign;Based on the integration of Beijing,Tianjin,medical resource allocation,collaborative development and the concept of cross regional cooperation,bsed on public goods theory,Pareto optimality theory and Synergetics,Analysising the factors influencing medical cooperation in Beijing Tianjin Hebei hospital,developing specific research framework.First of all,starting from the root causes,analysising the Beijing Tianjin Hebei hospital cross regional cooperation background and motivation in-depth;After that,discussesing the current situation and effect from the organizational level of medical cooperation in Hebei Y hospital,the medical staff in the cooperation department and the individual level.Summed up the experience of cooperation highlights through the above analysis.To explore the policy and institutional obstacles restricting the cross regional cooperation of Beijing,Tianjin and Hebei Medical institutions,discussingthe internal disadvantages and external challenges of cooperation;Finally,according to the Beijing-Tianjin Ji actual situation,putting forward relevant policy recommendations,exploring the methods and approaches of cross regional medical cooperation,from the urgent need to address the difficulties and challenges,provide reference for the development of Beijing,Tianjin and medical cooperationConclusion:With the development of the integration of Beijing,Tianjin and Hebei,the demand for Beijing’s non-capital function is becoming increasingly urgent.The cooperate of Beijing Hospital and Hebei hospital adaptted to the allocation of Beijing,Tianjin and medical cooperation optimize,to ease Beijing’s high-quality medical resources and improve the level of Hebei medical development.The space pressure is alleviated to some extent of Beijing C Hospital,through Y hospital and C hospital to cooperate.Some common diseases,frequently occurring diseases and chronic diseases in Yanjiao can be shunted,the level of Hebei Y hospital medical technology has improved,business volume has increased,teaching and research capacity and management level have been improved,promoted the influence of Y hospital.However,there are still some disadvantages in the process of inter regional cooperation,Such as:Hebei Y hospital talent team highlights the impact of cross regional cooperation in depth;there have a big strength disparity between the two sides of the medical Cooperation,the cross regional cooperation develop slow;Beijing C Hospital cross-regional cooperation workload,reduce management efficiency;patients with medical treatment and personnel training is poor continuity of Cross regional cooperation;public and private hospital business philosophy is different from the friction in the process of cooperation;there are many docking problems cross-regional cooperation projects,patients have concerns;Hebei Y Hospital is too dependent on Beijing C Hospital,impact the sustainable development of Hebei Y Hospital,and so on.There are some inherent challenges in cross-regional cooperation,such as:Beijing-Tianjin-Hebei cross-regional coordination and linkage mechanism is not perfect;Beijing and Tianjin on the role of talent siphon strong,to cross-regional cooperation threat;Hebei Y Hospital as a non-profit and private hospitals,the financial pressure affect the ongoing and in-depth development cross-regional cooperation.In this regard,the author recommend separately from the government level,Y hospital level,C hospital level:First,the government level,strengthen the cross-regional medical cooperation in the top design,do a good job cooperation policy docking;Establishing a scientific decision-making mechanism for cross regional medical cooperation,Overall planning and cooperation layout;Improve the legal construction of cross regional cooperation,escort for cooperation;pilot "cross-regional assessment and evaluation" to focus on the overall medical strength of the Beijing-Tianjin-Hebei region;Establish cross regional information exchange platform to solve the problem of cross regional cooperation;Implement the cross regional medical information sharing system to improve the efficiency of cross regional service;effectively implement the doctor inter-provincial vocational qualification certification,get rid of the obstacles to the flow of doctors;Accelerate insurance docking cross regional medical,providing convenience for patients;further explore the experience,continue to build new model for Beijing-Regional medical cooperation.Secondly,Hebei Y hospital level,attention to the construction of medical personnel to protect the regional endogenous and out of medical resources balance;to promote the construction of hospital information,provide convenience for patients with cross regional visits;Finally,Beijing C Hospital Level,Establish smooth communication channels of cooperation between the two sides to deepen cooperation. |