A Study on the Relationship between Governance Structure Type Selection and Performance of Medical Alliances Based on Transaction Cost Theory
- VernacularTitle:基于交易成本理论的医疗联合体治理结构类型选择与绩效关系研究
- Author:
Jinhui LIN
1
;
Fang YAO
;
Dong WANG
Author Information
1. 南方医科大学卫生管理学院·广东省高校公共卫生政策研究与评价哲学社科重点实验室 广东 广州 510515
- Keywords:
transaction cost theory;
medical alliances;
types of governance structures;
performance
- From:
Chinese Hospital Management
2024;44(11):25-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective It screens the main factors influencing the choice of the governance structure of the medical alliances,and discusses the matching relationship between the type of governance structure and the performance of the medical alliances,which provides a reference for further promoting the medical alliances.Methods The text coding analysis of interview data from hospital administrators of 54 medical institutions was analyzed using the rooting theory,and 150 medical alliances were selected for questionnaire surveys using convenience sampling to analyze the performance of the medical alliances and the relationship with the choice of the type of governance structure using descriptive statistics,nonparametric tests,factor analysis,and multivariate linear regression.Results The results show that the following factors affect the selection of the governance structure of medical alliances:asset specificity,transaction frequency and uncertainty;regardless of the type of governance structure of the medical alliances,asset specificity and uncertainty both significantly and positively influence the performance of medical alliances.Under the governance structure of the property-type alliance,transaction frequency has no statistically significant effect on the performance of the medical alliances.Conclusion Enhancing the positive impact of asset exclusivity and uncertainty on the performance of medical alliances.
