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| Research on the integration strategy of medical service system under the background of urban public hospital reform |
| ZHONG Xiaohong1 GEN Renwen2 |
1.Department of Business Development, Nanfang Hospital, Southern Medical University, Guangdong Province, Guangzhou 510515, China;
2.Department of Service, Nanfang Hospital, Southern Medical University, Guangdong Province, Guangzhou 510515, China |
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Abstract Objective To construct medical service integration strategy group under the background of urban public hospital reform. Methods According to the framework of dual-core theory, the preliminary scheme of integration strategy was determined by literature analysis. From September to December 2017, the strategy was screened and revised through two rounds of Delphi expert consultation. Results Twenty-seven experts from research institutions, hospitals and governments participated in two rounds of consultations based on the target sampling method. The expert authority coefficient was 0.87, the positive coefficient was 84% and 93%, the average importance of integration strategy was 3.96-4.67 and 4.04-4.88, and the coordination coefficient was 0.07 and 0.10 respectively (P ＜ 0.05). After two rounds of expert consultation and research group discussion, 34 integration strategies were finally constructed in six categories, including system, organization, specialty, specification, function and clinical integration. Conclusion The strategy group of medical service system integration under the background of urban public hospital reform is systematic and scientific. To provide a more systematic strategic guideline for the construction and reform of medical alliance for urban public hospital managers and other stakeholders.
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