Halverson P K, Mays G P, Kaluzny A D
Public Health Practice Program Office, Centers for Disease Control and Prevention, Atlanta, Ga., USA.
Am J Public Health. 2000 Dec;90(12):1913-6. doi: 10.2105/ajph.90.12.1913.
This study examines organizational characteristics and market conditions likely to influence collaborative relationships between public health agencies and community medical care providers.
Public health directors in 60 US counties were surveyed by telephone concerning their relationships with area community hospitals (n = 263) and community health centers (n = 85). Multivariate models were used to estimate the effects of organizational and market characteristics on collaboration.
Collaboration was reported among 55% of the hospitals and 64% of the health centers. Certain forms of collaboration were more likely in markets characterized by higher HMO penetration and lower HMO competition.
Targeted efforts to facilitate collaboration may be required in settings where institutional and market incentives are lacking.
本研究探讨可能影响公共卫生机构与社区医疗服务提供者之间合作关系的组织特征和市场状况。
通过电话对美国60个县的公共卫生主任进行调查，了解他们与当地社区医院（n = 263）和社区卫生中心（n = 85）的关系。使用多变量模型估计组织和市场特征对合作的影响。
55%的医院和64%的卫生中心报告存在合作。在健康维护组织（HMO）渗透率较高且HMO竞争较低的市场中，某些形式的合作更有可能出现。
在缺乏机构和市场激励措施的情况下，可能需要有针对性地努力促进合作。
