Background: With the increasing complexity of global health challenges, the construction of an efficient, equitable and sustainable medical and health-care service system is a major issue facing the countries of the South. Through years of medical and health system reform, China has successfully built an integrated medical and health service system centred on people's health and covering both urban and rural areas. By applying the theory of Common Pool Resources (CPRs), streamlining the mechanisms between horizontal and vertical sectors, and vertically constructing a more integrated healthcare service system, China has demonstrated significant advantages in resolving vertical conflicts at the provincial, county and township levels, as well as in integrating horizontal resources for prevention, screening, diagnosis and treatment.
Results: The research took 3 years to visit the Health and Health Bureau of Xiaoshan District, Lin'an District and Yuhang District of Hangzhou City, Zhejiang Province, and comprehensively understood the face-to-face advancement of 5 MEDCs in Xiaoshan District, 4 MEDCs in Yuhang District, and 4 MEDCs in Lin'an District, and interviewed 5 cadres of the District Health and Health Bureau in the organs of 12 medical institutions of the second level or higher and 8 community health service centres, 3 main leaders of the lead hospitals, and 10 basic-level medical institutions, 10 heads of relevant business departments, 10 patients and their families for on-site follow-up, and exchanges by reviewing policy documents, observing business operation platforms, and communicating by phone. It was found that the government was able to effectively promote the reverse flow of resources in its decision-making through public resource governance behaviours at the three levels of section level, horizontal collaboration and bottom-up interaction.
Conclusions: Three ‘parallel’ mechanisms for filling the global health governance gap from a global South perspective, namely, ‘vulnerability’, ‘localisation’ and ‘quasi-market’, can play an important role in addressing the unequal distribution of public resources. ‘can play an important role in addressing the unequal distribution of public resources. By breaking down the barriers between the government, government-market and government-establishment, the administration can unclog the platform for the flow of public resources. In practice, the sinking of medical service resources to narrow the inequality of medical resources, the stimulation of medical insurance and medicine linkage to enhance the efficiency
