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Administration of Strategic Agreements in Public Hospitals: Considerations to Enhance the Quality and Sustainability of Mergers and Acquisitions

Author

Listed:
  • Javier Cerezo-Espinosa de los Monteros

    (Andalusian Ministry of Health and Families, 41020 Seville, Spain)

  • Antonio Castro-Torres

    (Andalusian Health Service, 41071 Seville, Spain)

  • Juan Gómez-Salgado

    (Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain
    Safety and Health Postgraduate Program, Universidad Espíritu Santo, Guayaquil 091650, Ecuador)

  • Javier Fagundo-Rivera

    (Health Sciences Doctorate School, University of Huelva, 21007 Huelva, Spain
    Centro Universitario de Enfermería Cruz Roja, University of Seville, 41009 Seville, Spain)

  • Carlos Gómez-Salgado

    (Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain)

  • Valle Coronado-Vázquez

    (Illescas Health Centre, Castilla-La Mancha Health Service, 45200 Toledo, Spain
    Health Science Institute of Aragon, 50009 Zaragoza, Spain
    Department of Health Sciences, Santa Teresa de Jesus Catholic University of Avila, 05005 Avila, Spain)

Abstract

Merger processes between hospitals have high benefit potential for patients, staff and managers. This integration of health centres can improve the quality and safety in patient care. Additionally, cooperative processes enhance the sustainability of the health system, by increasing team spirit, giving innovative ideas and improving staff satisfaction. In this article, the critical factors for successful hospital mergers and acquisitions in the Public Health System were considered to develop a brief guide to help with the organisation of a merger process. Five sections were designed: Strategic administration and objectives, Staff management, New hospital complex structure, Processes and Results. This guide facilitates the communication between a variety of stakeholders, thus improving the engagement between all members of the new healthcare system. This could be particularly important for countries with large regional variance in the organisation of health care and resources.

Suggested Citation

  • Javier Cerezo-Espinosa de los Monteros & Antonio Castro-Torres & Juan Gómez-Salgado & Javier Fagundo-Rivera & Carlos Gómez-Salgado & Valle Coronado-Vázquez, 2021. "Administration of Strategic Agreements in Public Hospitals: Considerations to Enhance the Quality and Sustainability of Mergers and Acquisitions," IJERPH, MDPI, vol. 18(8), pages 1-18, April.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4051-:d:534616
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    References listed on IDEAS

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    1. Gaynor, Martin & Laudicella, Mauro & Propper, Carol, 2012. "Can governments do it better? Merger mania and hospital outcomes in the English NHS," Journal of Health Economics, Elsevier, vol. 31(3), pages 528-543.
    2. Rohde, Tarald & Torvatn, Hans, 2017. "A strategic document as a tool for implementing change. Lessons from the merger creating the South-East Health region in Norway," Health Policy, Elsevier, vol. 121(5), pages 525-533.
    3. Matthew S. Lewis & Kevin E. Pflum, 2017. "Hospital systems and bargaining power: evidence from out-of-market acquisitions," RAND Journal of Economics, RAND Corporation, vol. 48(3), pages 579-610, August.
    4. Kifmann, Mathias, 2017. "Competition policy for health care provision in Germany," Health Policy, Elsevier, vol. 121(2), pages 119-125.
    5. Ahgren, Bengt, 2008. "Is it better to be big?: The reconfiguration of 21st century hospitals: Responses to a hospital merger in Sweden," Health Policy, Elsevier, vol. 87(1), pages 92-99, July.
    6. Schmitt, Matt, 2017. "Do hospital mergers reduce costs?," Journal of Health Economics, Elsevier, vol. 52(C), pages 74-94.
    7. Monica Giancotti & Annamaria Guglielmo & Marianna Mauro, 2017. "Efficiency and optimal size of hospitals: Results of a systematic search," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-40, March.
    8. Angeli, Federica & Maarse, Hans, 2012. "Mergers and acquisitions in Western European health care: Exploring the role of financial services organizations," Health Policy, Elsevier, vol. 105(2), pages 265-272.
    9. Siciliani, Luigi & Chalkley, Martin & Gravelle, Hugh, 2017. "Policies towards hospital and GP competition in five European countries," Health Policy, Elsevier, vol. 121(2), pages 103-110.
    10. Smet, Mike, 2002. "Cost characteristics of hospitals," Social Science & Medicine, Elsevier, vol. 55(6), pages 895-906, September.
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    Cited by:

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