| 引用本文：范生根, 魏来, 李妍君, 鲁晓慧, 余昌胤, 刘岚.县域医联体伙伴关系、整合能力与稳定性的关系研究[J].中国卫生政策研究,2019,12(10):42-50 |
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| 县域医联体伙伴关系、整合能力与稳定性的关系研究 |
| 投稿时间：2019-05-12 修订日期：2019-09-20 PDF全文浏览 HTML全文浏览 |
| 范生根1, 魏来1, 李妍君1, 鲁晓慧1, 余昌胤1, 刘岚3 |
1. 遵义医科大学管理学院 贵州遵义 563000;
2. 西南医科大学学生工作部 四川泸州 646000;
3. 贵州省铜仁市人民政府 贵州铜仁 554300 |
| 摘要:以贵州省遵义市等5个市（自治州）48个县（区）的乡镇（社区）卫生院管理人员为调查对象，利用多重线性回归分析了县域医联体伙伴关系、整合能力和合作稳定性之间的影响关系。研究结果表明，伙伴关系对整合能力有显著的正向影响。其中，信任度和友善度对整合能力及其两个维度均有显著的正向影响，而可靠性对整合能力及其两个维度均无显著的正向影响。伙伴关系对合作稳定性有显著的正向影响。其中，信任度、友善度对合作稳定性及其三个维度均有显著的正向影响；可靠性仅对合作稳定性的结构维度有显著的正向影响，对合作稳定性及其关系和运行两个维度均无显著的正向影响。整合能力对合作稳定性有显著的正向影响。其中，外部整合能力和内部整合能力对合作稳定性及其三个维度均有显著的正向影响。最后提出了增进互信，推动医联体向医共体发展、共建共享，促进资源优化与整合、理顺机制，保障医联体长期稳定发展等政策建议。 |
| 关键词:县域医联体 伙伴关系 信任 整合 稳定 |
| 基金项目:国家社会科学基金一般项目（17BGL188） |
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| An empirical study on partnership, integration ability and stability of county medical alliance |
| FAN Sheng-gen1, WEI Lai1, LI Yan-jun1, LU Xiao-hui1, YU Chang-yin1, LIU Lan3 |
1. School of management, Zunyi Medical University, Zunyi Guizhou 563000 China;
2. Student Affairs Department, Southwest Medical University, Luzhou Sicuan 646000 China;
3. People's Government of Tongren Municipality, Tongren Guizhou 554300, China |
| Abstract:Taking administrators of township (community) health centers from 48 counties (districts) chosen from five cities including Zunyi City of Guizhou Province as research objects, a multiple linear regression analysis was carried out to analyze the interaction relationship built around partnership, integration capacity and cooperative stability of county medical alliance. The results showed that partnership had a significant positive impact on integration capability on which, aligned with its two dimensions, both credibility and friendliness also had significant positive impacts. However, reliability showed no significant positive impacts on integration capability and its two dimensions. Besides, partnership had a significant positive impact on cooperative stability on which, together with its three dimensions, credibility and friendliness exerted great positive impacts. Nonetheless, reliability merely had a significant positive impact on the structure dimensions of cooperative stability, and showed no impact on relationship and operation dimensions thereof. Integration capacity has greatly positively affected cooperative stability. Moreover, both external and internal integration capacities proved to have significantly affected cooperative stability and its three dimensions in a positive way. Therefore, policy suggestions on enhancing mutual trust were proposed to promote the transformation from medical alliances to medical communities, and co-construction and sharing, resource optimization and integration enhancement, mechanisms perfection and ensuring sustainable development of medical alliances. |
| Key words:County medical alliance Partnership Trust Integration Stability |
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