Research on cooperation outcome of medical and nursing institutions based on reciprocity theory

Corresponding author: lufang, lufang@njmu.edu.cn

DOI: 10.12201/bmr.202304.00009

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  Abstract: With the rapid development of aging, the dual needs of the elderly for medical care and elderly care are growing day by day. How to effectively carry out the cooperation between medical institutions and elderly care institutions has become a hot topic of social concern. Based on the analysis framework of reciprocity theory, using the methods of grounded research and multi case study, this paper codes three cooperation cases, namely, the public to public model, the public to private model, and the public to private model, analyzes the reciprocal behaviors of both parties in different stages of cooperation and their evolution process, and clarifies the impact of reciprocal behaviors on cooperation outcomes. It is found that due to the different ownership nature of cooperative parties, the reciprocal behavior adjustment can be different, which will affect the attitude of cooperative parties and eventually lead to different outcomes of cooperation. In the public-to-public mode, the decision-making autonomy and flexibility of public pension institutions are relatively low, which is prone to the asymmetry of reciprocity intensity, which affects the attitude of partners and leads to the breakdown of cooperation. In the private mode of public construction, private partners can focus on institutional operation due to less construction pressure, and the government provides continuous reciprocity, so the cooperation is easy to move forward smoothly. In the public-private mode, private pension institutions have strong autonomy and flexibility, and both sides can achieve win-win development through resource complementarity. Therefore, the public-to-public cooperation mode should expand the service scope of public pension institutions and give them more autonomy in operation. For the public-private cooperation model, the government should take precise measures according to different periods of cooperation and continue to help the development of institutions. For the public-private cooperation model, the government should issue relevant technical standards, so that both parties can rely on the basis of the cooperation, and for the combination of medical and nursing institutions should continue to expand the scope of cooperation, to achieve win-win development.

  Key words: Medical and nursing institutions；Cooperation outcome；Reciprocal behavior；Cooperation mode

  Submit time: 10 April 2023

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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