医疗联合体利益相关者的界定及分类研究

Identification and classification of stakeholders of regional medical union

目的通过对医疗联合体(简称医联体)利益相关者进行界定、分类,提出管理策略,为促进医联体的发展提供参考依据。方法采用德尔菲法界定医联体利益相关者,结合米切尔法从权力性、合法性和紧迫性三个维度进行分类。结果医联体利益相关者分为:核心利益相关者、潜在利益相关者、边缘利益相关者三类,其中核心利益相关者包括核心医院职工、成员医院职工、居民、基本医疗保险机构和卫生行政部门。结论对医联体利益相关者进行分类并提出管理策略,有利于建立长效的利益平衡机制,促进医联体的有效运行。

Objective To identify and classify the stakeholders of Regional medical union（ RMU） and to put forward management strat-egies so as to provide reference for operations of RMU. Methods The stakeholders of RMU were identified by Delphi method and clas-sified by the combination of mitchell score-based approach from three dimensions of power,legitimacy and urgency. Results The stake-holders of RMU were classified into three types,which involved core stakeholders,potential stakeholders and marginal stakeholders. The core stakeholders included staff of core and member hospital, residents, basic medical insurance institution and hygienic administrative department. Conclusions To carry out classified management among stakeholders and put forward management strategies are condu-cive to establish a long-term mechanism for interest demand expression and effective operation of RMU.