De Pourcq Kaat, De Regge Melissa, Van den Heede Koen, Van de Voorde Carine, Gemmel Paul, Eeckloo Kristof
a Department of Innovation, Entrepreneurship and Service Management , Ghent University , Ghent , Belgium.
b Strategic Policy Cell , Ghent University Hospital , Ghent , Belgium.
Acta Clin Belg. 2018 Oct;73(5):333-340. doi: 10.1080/17843286.2018.1457196. Epub 2018 Mar 29.
Objectives This study aims to identify the facilitators and barriers to governance models of hospital collaborations. The country-specific characteristics of the Belgian healthcare system and legislation are taken into account. Methods A case study was carried out in six Belgian hospital collaborations. Different types of governance models were selected: two health systems, two participant-governed networks, and two lead-organization-governed networks. Within these collaborations, 43 people were interviewed. Results All structures have both advantages and disadvantages. It is important that the governance model fits the network. However, structural, procedural, and especially contextual factors also affect the collaborations, such as alignment of hospitals' and professionals' goals, competition, distance, level of integrated care, time needed for decision-making, and legal and financial incentives. Conclusion The fit between the governance model and the collaboration can facilitate the functioning of a collaboration. The main barriers we identified are contextual factors. The Belgian government needs to play a major role in facilitating collaboration.
目标 本研究旨在确定医院合作治理模式的促进因素和障碍。研究考虑了比利时医疗保健系统和立法的国别特点。方法 在比利时的六个医院合作项目中开展了一项案例研究。选择了不同类型的治理模式：两个卫生系统、两个参与者主导的网络和两个牵头组织主导的网络。在这些合作项目中，对43人进行了访谈。结果 所有结构都有优缺点。治理模式与网络相匹配很重要。然而，结构、程序，尤其是背景因素也会影响合作，如医院与专业人员目标的一致性、竞争、距离、综合护理水平、决策所需时间以及法律和财务激励措施。结论 治理模式与合作之间的匹配可以促进合作的运作。我们确定的主要障碍是背景因素。比利时政府需要在促进合作方面发挥主要作用。
