Lin B Y, Wan T T
Department of Health Administration, Chang Long University, Taiwan.
J Med Syst. 1999 Dec;23(6):467-85. doi: 10.1023/a:1020521015597.
Few empirical analyses have been done in the organizational researches of integrated healthcare networks (IHNs) or integrated healthcare delivery systems. Using a contingency derived contact-process-performance model, this study attempts to explore the relationships among an IHN's strategic direction, structural design, and performance. A cross-sectional analysis of 100 IHNs suggests that certain contextual factors such as market competition and network age and tax status have statistically significant effects on the implementation of an IHN's service differentiation strategy, which addresses coordination and control in the market. An IHN's service differentiation strategy is positively related to its integrated structural design, which is characterized as integration of administration, patient care, and information system across different settings. However, no evidence supports that the development of integrated structural design may benefit an IHN's performance in terms of clinical efficiency and financial viability.
在综合医疗网络（IHN）或综合医疗服务体系的组织研究中，很少有实证分析。本研究使用一个基于权变的联系 - 过程 - 绩效模型，试图探索IHN的战略方向、结构设计和绩效之间的关系。对100个IHN的横断面分析表明，某些情境因素，如市场竞争、网络年龄和税收状况，对IHN服务差异化战略的实施具有统计学上的显著影响，该战略涉及市场中的协调和控制。IHN的服务差异化战略与其综合结构设计呈正相关，其综合结构设计的特点是在不同环境中整合管理、患者护理和信息系统。然而，没有证据支持综合结构设计的发展会在临床效率和财务可行性方面使IHN的绩效受益。
