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[1]吴丹麦张晓丽侯旭敏.利益相关者视角下区域横向专科联盟运行机制研究[J].中国卫生质量管理,2025,32(10):104-108.[doi:10.13912/j.cnki.chqm.2025.32.10.21]
　WU Danmai,ZHANG Xiaoli,HOU Xumin.Research on the Operational Mechanism of Regional Horizontal Specialty Alliances from the Perspective of Stakeholders[J].Chinese Health Quality Management,2025,32(10):104-108.[doi:10.13912/j.cnki.chqm.2025.32.10.21]

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利益相关者视角下区域横向专科联盟运行机制研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年10期页码: 104-108 栏目: 问题与探索出版日期: 2025-10-15

Title:: Research on the Operational Mechanism of Regional Horizontal Specialty Alliances from the Perspective of Stakeholders

作者:: 吴丹麦张晓丽侯旭敏; 上海市胸科医院

Author(s):: WU Danmai; ZHANG Xiaoli; HOU Xumin; Shanghai Chest Hospital

关键词:: 区域横向专科联盟; 医联体; 利益相关者; 米切尔评分法

Keywords:: Regional Horizontal Specialty Alliance; Medical Consortium; Stakeholders; Mitchell’s Scoring Method

分类号:: R197.1

DOI:: 10.13912/j.cnki.chqm.2025.32.10.21

文献标志码:: A

摘要:: 目的识别并分类区域横向专科联盟中的利益相关者，为联盟高效运行提供参考。方法采用文献研究法归纳利益相关者候选人，运用专家咨询法与米切尔评分法，识别关键利益相关者并分类，同时计算影响指数。结果识别出7类利益相关者，确定型包括联盟决策层、政府机构、卫生行政部门，预期型涵盖成员医院决策层、医保部门，潜在型涉及成员医院员工、医疗需求者（患者/居民/家属）。联盟决策层影响指数最大(0.83)，成员医院员工影响指数最小(0.15)。结论针对确定型利益相关者，应强化顶层战略规划，构建协同治理框架；针对预期型利益相关者，应健全制度体系，构建长效激励机制；针对潜在型利益相关者，应提升关注度，构建良性互动反馈体系。

Abstract:: ObjectiveTo identify and classify stakeholders in regional horizontal specialty alliances, providing references for the efficient operation of such alliances.MethodsLiterature research was employed to summarize potential stakeholders, while expert consultation and Mitchell’s scoring method were utilized to identify key stakeholders, classify them, and calculate their influence indices.ResultsSeven categories of stakeholders were identified, with definitive stakeholders including the alliance decision-making body, government agencies, and health administrative departments; anticipated stakeholders encompassing the decision-making bodies of member hospitals and medical insurance departments; and latent stakeholders involving employees of member hospitals and medical demanders (patients, residents, and family members). The alliance decision-making body had the highest influence index (0.83), while employees of member hospitals had the lowest (0.15).Conclusion For definitive stakeholders, top-level strategic planning should be strengthened, and a collaborative governance framework should be established. For anticipated stakeholders, a robust institutional system and long-term incentive mechanisms should be developed. For latent stakeholders, increased attention should be given, and a positive interactive feedback system should be constructed.

参考文献/References:

［1］苏日娜,许大国,陈沛军,等.紧密型专科联盟模式对提升县级医院专科技术能力效果分析［J］.中国医院管理,2024,44(6):90-92,96.［2］张静,张昱,王虎峰,等.城市紧密型医联体医疗质量同质化管理的路径和作用［J］.中国卫生质量管理,2023,30(3):14-19.［3］卓梅英,何宇.基于Mitchell分类法职业院校校企合作紧密型利益相关者构建策略［J］.福建开放大学学报,2023(4):23-27.［4］BJUGN R,CASATI B.Stakeholder analysis: a useful tool for biobank planning［J］.Biopreserv Biobank,2012,10(3):239-244.［5］STONE MM,CRITTENDEN W. A guide to journal articles on strategic management in nonprofit organizations, 1977 to 1992［J］.Nonprofit Manag Leadersh,1993,4(2):193-213.［6］DAL MASO L,MAZZI F,SOSCIA M,et al.The moderating role of stakeholder management and societal characteristics in the relationship between corporate environmental and financial performance［J］.J Environ Manage,2018,218:322-332.［7］NEVILLE BA,BELL SJ,WHITWELL GJ.Stakeholder salience revisited: refining, redefining, and refueling an underdeveloped conceptual tool［J］.J Business Ethics, 2011,102(3):357-378.［8］VAN DIJK T, VAN DER SCHEER W, JANSSEN R.Power, legitimacy and urgency: unravelling the relationship between Dutch healthcare organisations and their financial stakeholders［J］.Health Policy,2021,125(8):1077-1084.［9］刘凤屏.基于建立现代医院管理制度下公立医院利益相关者及其利益诉求的研究［D］.南昌:江西财经大学, 2018.［10］石晶金,袁瑞,于广军.专科联盟健康医疗数据共享利益相关者影响指数研究［J］.中国医院,2023,27(2):26-30.［11］任建萍,颜丹丹,卫萍,等.基于利益相关者影响指数法的基本药物制度利益相关者研究［J］.中华医院管理杂志,2014，30(10):752-754.

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更新日期/Last Update: 2025-10-15