通讯作者: 刘智勇, zhiyongliu@hust.edu.cn

DOI：10.12201/bmr.202306.00004

Study on the paths of medical alliance performance in cities and their influencing factors: A qualitative comparative analysis of 25 medical alliance in cities

• 摘要：目的：探索城市医联体绩效实现高水平的影响因素和路径，为我国城市医联体绩效管理提供参考依据。方法：基于共生理论的基本要素构建城市医联体影响因素框架，利用25个城市医联体典型案例，通过清晰集定性比较方法，分析影响城市医联体绩效的关键因素和路径。结果：协作制度、机构间资源互补度、业务关联度、经济关联度、考核激励、政府支持和信息平台均是影响城市医联体绩效的前因条件，并形成了业务融合型、管理融合型、组织合并型3种高水平绩效的城市医联体类型。结论：城市医联体应坚持医保医疗改革协同发展，以学科和健康服务为触点，以资源协同治理为核心，加强信息化建设，完善政府正向考核激励，提高城市医联体建设水平，促进城市医联体成为四个共同体。

  关键词： 医疗联合体; 绩效管理; 定性比较分析; 共生理论; 分级诊疗

   

  Abstract: Objective: This study aims to identify the high-level factors and paths that influence the performance of medical alliances in cities, and provide recommendations for their performance management in the country. Methods: We analyzed data from 25 medical alliances in cities using clear set of concentration comparative methods (csQCA) to identify key factors and paths that affect their performance, based on the basic elements of symbiotic theory. Results: The performance of medical alliances in cities is influenced by factors such as the collaborative system, complementary resources between organizations, business associations, economic connections, assessment incentives, government support, and information platform. We identified three types of paths for high-level medical alliances in cities: operational integration, management integration, and organizational integration. Conclusion: To improve the level of medical alliance construction in cities and promote them to become four communities, we recommend that medical alliances should focus on cooperative development of medical insurance and reform, take disciplines and health services as contacts, prioritize resource coordinated governance, improve informatization construction, and promote government assessment incentives.

  Key words: Medical alliance; Performance management; csQCA; Symbiotic theory; Hierarchic healthcare

  提交时间：2023-06-05

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2023-02-02	bmr.202306.00004V1	下载

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