Practice and exploration of high-quality medical resources sinking under tight trusteeship mode

Objective To study the characteristics and advantages of the tight trusteeship mode, and to provide expe-rience and suggestions for promoting the sinking of high-quality medical resources. Methods By literature analysis, the process and characteristics of hospital trusteeship reforms in China were summarized. Based on the “structure-process-results” theory, the tight, semi-tight, and loose trusteeship modes were compared using comparative research methods to summarize the main characteristics and advantages of the tight trusteeship mode. Through analyzing a case of tight trusteeship of a large provincial tertiary public hospital in Shandong Province, the specific practical measures, effectiveness, and existing problems of the tight trusteeship mode were discussed. Results The tight trusteeship mode is usually a comprehensive government trusteeship, where the trustee hospital provides a unified leadership to manage the entrusted hospital as a campus, integrating and homogenizing personnel ma-nagement, financia