Objective This study aims to investigate the effectiveness of hospital-institute integration and collaborative governance between Zhejiang Cancer Hospital and Hangzhou Institute of Medicine,Chinese Academy of Sciences,analyze the specific factors influencing the integration and provide recommendations.Methods Based on the operational status of hospital-institute integration and collaborative governance between Zhejiang Cancer Hospital and Hangzhou Institute of Medicine,Chinese Academy of Sciences,a questionnaire survey was designed.There are a total of 305 participants,who are employees of Zhejiang Cancer Hospital and Hangzhou Institute of Medicine,Chinese Academy of Sciences.Results There is a correlation between"primary factors affecting effectiveness of hospital-institute integration"and"current main problems in the hospital-institute inte-gration",of which determination and understanding of"primary factors affecting effectiveness of hospital-institute integration"are affected by sex,title and education,and that of"current main problems in the hospital-institute integration"by age,position,working years and working years in the hospital;in addition,position also affects the determination and understanding of"actual result and effect of hospital-institute integration on hospital and medicine","evaluation of current advancement of hospital-institu-te integration","role of Hangzhou Institute of Medicine Chinese Academy of Sciences in the hospital-institute integration","un-derstanding related systems and mechanisms of hospital-institute integration".Conclusion Whether they are middle-level cadres or not has an impact on many aspects of the integration of institutions,resulting in difficulties in obtaining information,the need to strengthen incentive measures for some employees,and the need to improve the integration governance system and mechanism.In order to improve the effectiveness of institutional integration and coordinated governance,we propose countermeasures in this paper,such as improving information flows,enhancing employee incentives and strengthening system and mechanism.

In April 2022,an epidemic occurred in Gongshu District,Hangzhou,where Zhejiang Cancer Hospital is loca-ted.And the hospital was confronted with the most extensive,the most unusual and the most urgent public health emergency crisis since its establishment.Taking patients as the core and proceeding from the public perspective,an authoritative voice of a hospital was conveyed in a timely and accurate manner,which demonstrated the hospital's resolution and executive power in the crisis.Based on Malcolm Gladwell's"tipping point"theory,the paper reveals the situation of online public opinion caused by the sudden epidemic and its response,discusses the hospital's communication practices in handling public health emergencies and provides hospitals with practical reference for brand promotion and operation.