Optimization Review of Online-Offline Cooperative Medical Alliances under China's Tiered Diagnosis and Treatment Policy

Authors

  • Jun Qin

DOI:

https://doi.org/10.54691/tmpsn157

Keywords:

Tiered Diagnosis and Treatment; Medical Alliance; Digital Transformation; Online-Offline Collaboration; Literature Review.

Abstract

Tiered diagnosis and treatment (TDT) is a key lever for balancing medical resources, improving the efficiency of medical alliances, and mitigating China’s “difficult and expensive access to care” problem. With rapid advances in digital technologies, the research focus on TDT has broadened to include remote medical services and online-offline collaboration. This review synthesizes domestic and international literature on two fronts: (1) how remote medical services facilitate TDT and (2) how digital transformation drives cooperative medical alliances. Although many studies investigate internet-enabled TDT, few address system-level collaboration among multi-tier hospitals to ensure the downstream flow of high-quality resources, and most digital applications remain limited to basic information sharing. There is a lack of research on digital system optimization and integrated online-offline strategies. After assessing the gaps, this paper proposes future research directions to guide the optimization of digitally supported cooperative alliances.

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References

[1] LUO L, KONG R. Capacity Allocation Under Hierarchical Healthcare in China[C]//. 2017 International Conference on Service Systems and Service Management: IEEE, 2017: 1-4. DOI: https://doi.org/10.1109/ICSSSM.2017.7996256

[2] XIAO L P, LI J L, SHAO X Y, et al. Optimization of Medical Alliance System Based on Queuing Network under Tiered Diagnosis and Treatment[J]. China Management Science, 2023, 31(09): 186-195.

[3] BLAIR E L, LAWRENCE C E. A Queueing Network Approach to Health Care Planning with an Application to Burn Care in New York State[J]. Socio-Economic Planning Sciences, 1981, 15(5): 207-216. DOI: https://doi.org/10.1016/0038-0121(81)90041-0

[4] YUAN C F: Research on Referral Mechanism of Medical Alliance (Master's degree, University of Science and Technology of China, China, 2023). p.9.

[5] KOWALSKA K. Introduction to US Health Policy: The Organization, Financing and Delivery of Health Care in America[J]. Journal of Health Care for the Poor and Underserved, 2010, 21(2): 757-759. DOI: https://doi.org/10.1353/hpu.0.0288

[6] WANG N, LI Y F, WANG H F. Cloud Medical Resource Allocation Problem Based on Robust Optimization[J]. Control and Decision, 2021, 36(02): 469-474.

[7] LIU C Y, ZHANG R D, ZHANG L Q. A Review of Driving Forces for Urban Tiered Diagnosis and Treatment Development at Home and Abroad[J]. Labor Security World, 2019(09): 42.

[8] ZHOU X M, YANG C S, LIN Y Z. Systematic Review of Current Status of Tiered Diagnosis and Treatment in China[J]. China Pharmacy, 2017, 28(34): 4763-4766.

[9] SHEN S G, ZHANG B. Tiered Diagnosis and Treatment, Primary Care and Primary Healthcare Institution Construction[J]. Xuehai, 2016(02): 48-57.

[10] LV L T, DENG S L. Current Status, Problems and Development Suggestions of Chronic Disease Management in China[J]. Chinese Health Policy Research, 2016, 9(07): 1-7.

[11] SHEN S Y, WU B H, DU Y D. Practice of Digital Online Two-Way Referral Platform Based on Hospital Data Bus[J]. Information & Communications, 2020(07): 104-105.

[12] DUAN J N. Application of Health Medical Big Data in "Internet+" Medical Environment[J]. Chinese Journal of Medical Library and Information Science, 2018, 27(06): 49-53.

[13] WANG F M. Exploration of Medical Resource Optimization under Tiered Diagnosis and Treatment System: Based on Big Data Medical Information Sharing Mechanism[J]. Chinese Health Economics, 2019, 38(08): 45-47.

[14] HU Q H, ZI H, KANG X Q, et al. Design and Implementation of Tiered Diagnosis and Treatment Information System Based on Internet of Things[J]. Modern Information Technology, 2020, 4(20): 155-158.

[15] SONG J L, CHEN H, ZHANG B H. Analysis of Implementation Strategy of Tiered Diagnosis and Treatment in Chongqing Based on Current Status of Resource Allocation[J]. Chongqing Medicine, 2017, 46(14): 2002-2005.

[16] CUI Z B. Design and Implementation of Tiered Diagnosis and Treatment Information Service Platform Based on Health Management[J]. China Digital Medicine, 2017, 12(11): 14-17.

[17] SUN X D, DU L J. Exploration and Reflection on Cloud Hospital Platform Based on Tiered Diagnosis and Treatment in Ningbo City[J]. Chinese Rural Health Service Administration, 2018, 38(10): 1297-1300.

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Published

2025-12-20

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Section

Articles

How to Cite

Qin, J. (2025). Optimization Review of Online-Offline Cooperative Medical Alliances under China’s Tiered Diagnosis and Treatment Policy. Scientific Journal of Technology, 7(12), 1-5. https://doi.org/10.54691/tmpsn157