| 引用本文：严晶晶.整合医疗的联盟类型和组织机理——基于组织理论的联盟识别和治理重审[J].中国卫生政策研究,2019,12(6):15-21 |
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| 整合医疗的联盟类型和组织机理——基于组织理论的联盟识别和治理重审 |
| 投稿时间：2018-07-25 修订日期：2019-03-25 PDF全文浏览 HTML全文浏览 |
| 严晶晶 |
| 南京工业大学法学院 江苏南京 211816 |
| 摘要:整合医疗体现了在正式制度安排下，医疗成员单位之间的相互合作和交换的组织关系，再现了医疗联盟的组织行使权力和配置资源的各种安排。从组织理论的逻辑出发，根据联盟组织面临的任务环境、组织结构和运行机制，把整合医疗分为医共体、紧密医联体、松散医联体和远程医疗协作网等不同类型。依据组织理论的分类策略，识别不同类型联盟组织的机制和运行成效，认为组织学分类逻辑是判定联盟特征，从而识别治理基础的关键。结合不同类别的联盟案例梳理治理要点。 |
| 关键词:整合医疗 医疗联盟 远程医疗协作 |
| 基金项目:教育部哲学社会科学研究重大课题攻关项目（18JZD047） |
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| Typology and organizational mechanism of integrated healthcare: A study of alliance recognition and governance review based on Organizational Theories |
| YAN Jing-jing |
| Law School, Nanjing Tech University, Nanjing Jiangsu 211816, China |
| Abstract:Integrated healthcare reflects the mutual cooperation and exchange relationships between member organizations under formal institutional arrangements and regulations, and reproduces the arrangements of how to exercise organizational power and medical resources allocation. According to logic of organizational theory and based on the working environment and task appointed, organizational structure, operational mechanism, and decision-making processes faced by the alliance organizations or associations, the integrated medical organizations are divided into three types of medical community, close type and dispersed type medical associations integration, and telemedicine collaboration network. According to the classification strategy of organizational theory, the mechanism and operational effectiveness of these types of alliance organizations and/or associations are identified. It is considered that the organizational classification logic is the key to determine characteristic of the alliance and thus identify governance. Therefore, a combined body of these types of alliance cases will help to test the typology basis and to sort out the key points to govern integrated heathcare. |
| Key words:Integrated healthcare Medical alliance Telemedicine Network |
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