Motives and tactics for township health centers to take part in countywide medical communities of Shandong province
10.3760/cma.j.issn.1000-6672.2019.02.004
- VernacularTitle:医疗共同体建设中乡镇卫生院的参与动因与策略研究:以山东省为例
- Author:
Wenqiang YIN
1
;
Dongmei HUANG
;
Zhongming CHEN
;
Hongwei GUO
;
Qianqian YU
;
Kui SUN
;
Jinwei HU
;
Dongping MA
Author Information
1. 潍坊医学院公共卫生与管理学院 "健康山东" 重大社会风险预测与治理协同创新中心
- Keywords:
Rural health services;
Medical community;
Participating motives;
Institutional environment;
Technical environment
- From:
Chinese Journal of Hospital Administration
2019;35(2):105-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the motives and tactics of township health centers ( THC) to participate in the countywide medical communities of Shandong province. Methods Such tools as the new institutionalism, rational choice and social network theories, as well as the constituent ratios and Pearson correlation coefficient of data were used in a survey in August 2018 with managers of 264 THCs in Shandong. It aimed to learn from the respondents their motives, tactics, and behaviors to participate in such communities. Results Theoretical analysis of the results found that their participation was bound by both institutional environment and technical environment. For example, compliance tactics, accompanied by efficiency, was adopted to cope with stress from institutional environment. Exploratory tactics, accompanied by legitimacy, was adopted to cope with stress from technical environment. The figures showed 87. 5％ of 264 THCs investigated participated in such communities, and their main motives were in turn to follow government requests (86. 1％ ) and to seek development opportunities (69. 7％ ). The critical criteria of partner selection were in turn technological level (83. 5％ ) and matching of resources (77. 9％ ). Of 231 THCs which participated in the communities, 95. 2％ joined in countywide medical communities, and 28. 6％ participated in other forms of medical alliances. Conclusions THCs showed high organizational convergence in their participation, and adopted diversified strategies of participation in medical alliance.
