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  

A Study on the Relationship between Governance Structure Type Selection and Performance of Medical Alliances Based on Transaction Cost Theory

作　　者：林锦慧 姚芳 王冬 Lin Jinhui;Yao Fang;Wang Dong(School of Health Management,Southern Medical University/Key Laboratory of Philosophy and Social Sciences for Research and Evaluation of Public Health Policy in Universities of Guangdong Province,Guangzhou,Guangdong,510515,China;不详)

机构地区：[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 [2]广州市第一人民医院,广东广州510180

出　　处：《中国医院管理》2024年第11期25-29,共5页Chinese Hospital Management

基　　金：中共广东省委全面深化改革委员会办公室广东省重点改革任务第三方评估项目。

摘　　要：目的筛选影响医疗联合体治理结构选择的主要因素,探讨医疗联合体治理结构类型与绩效的匹配关系,为深入推进医疗联合体建设提供参考。方法运用扎根理论对54家医疗机构医院管理者的访谈资料进行文本编码分析,并采用方便抽样的方法抽取150家医疗联合体医院进行问卷调查,使用描述性统计、非参数检验、因子分析及多元线性回归分析医疗联合体绩效及与治理结构类型选择的关系。结果资产专用性、交易频率和不确定性为医疗联合体治理结构选择的影响因素;无论何种医疗联合体治理结构类型,资产专用性和不确定性均正向影响医疗联合体绩效。在产权型联盟治理结构下,交易频率对医疗联合体绩效的影响差异无统计学意义。结论加强资产专用性对医疗联合体绩效的正向影响,强化不确定性对医疗联合体绩效的正向影响。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.

关 键 词：交易成本理论 医疗联合体 治理结构类型 绩效 

分 类 号：R197.1[医药卫生—卫生事业管理]