Mechanism analysis on integration of health care services at county and township level:From the perspective of stakeholder theory
10.3969/j.issn.1674-2982.2015.04.009
- VernacularTitle:基于利益相关者理论的农村县乡两级医疗服务整合作用机制分析
- Author:
Tian XIE
;
Jian YANG
;
Da FENG
;
Liang ZHANG
- Publication Type:Journal Article
- Keywords:
Stakeholders;
Demand benefit;
Rural area;
Healthcare service;
Vertical integration
- From:
Chinese Journal of Health Policy
2015;(4):53-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the mechanism on integration of health care services at the county and town-ship level from the perspective of stakeholder theory. Methods: The stakeholder interest demand was determined by word frequency analysis of interview data from stakeholders in the three regions of Qianjiang, Huangpi, and Zhen-jiang;the degree of attention and gains and losses of stakeholders towards various demands was investigated from the three regions through interest demand questionnaires;the impact of demand benefits on behavioral responses has been evaluated through comprehensive evaluation theory and game theory. Results:Regional integration policies reflect the interest demands of stakeholders in varying degrees; the higher were the scores of demand benefits in interest de-mands questionnaires, the stronger was the willingness of stakeholders to coordinate integration policies. Conclusion:The policies of integration of health care services in rural China should consider all stakeholder interest demands;the better the interest demands of the stakeholders are satisfied, the stronger their motivation for integration reform will be, which may affect the implementation effects of local integration reforms to some extent.