Introduction Medical alliance refers to a group of medical institutions or joint organizations formed by the integration of horizontal or vertical medical resources in different regions and types of medical institutions within a certain region, the medical institutions are mutually beneficial and responsible communities [1]. According to the closeness of the contact, the medical alliance can be divided into three types: compact, semicompact and loose [1]. A compact medical alliance is an operational management mode that forms a community of responsibilities and interests among various health service organizations within a medical alliance, and all people and property implement unified operational management; The semi-compact medical alliance refers to an operational management mode formed by the contract or agreement from the core hospital to the primary health center on the basis that the nature of the assets of various medical service institutions does not change in the medical alliance; Loose medical alliance means that all kinds of health service organizations in the medical alliance only cooperate in medical technology, personnel training, equipment and other aspects. However, various medical and health institutions within the medical alliance are not affiliated. The medical alliance is an important carrier of hierarchical medical system. Its establishment is an effective exploration and practice mode to optimize the allocation of medical resources, improve the service level of primary medical institutions, control the cost of medical and pharmaceutical services, improve the patient experience, and comprehensively improve the health management level and chronic disease management level [2, 3]. The structure, process, and outcome of medical services involve multiple subjects such as patients, doctors, hospitals, government, and society. This places high demands on the allocation of medical resources. This is a comprehensive governance process. However, as the medical service environment becomes more and more complex, the traditional medical service organization mode can no longer meet the requirements of modern medical services for efficiency and social responsibility [4]. Due to the increase in medical risks and the pressure on the medical service market, integrated delivery networks INTEGRATED CARE CASE