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Effective Communications: Critical factors in Health Alliance Success

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... It seems to provide better results in an incremental, emergent, bottom-up approach. It is important to obtain professional buy-in and to deal with the resistance from the professionals, horizontal tensions, clashes and other hindering factors, avoiding threats for salaries, positions and titles [43,44,47,49,52,54]. The merger must be seen as a complex interplay of internal and external factors as well as actors. ...
... Achieving common objectives with local authorities can facilitate the merger. The political opposition's efforts to further their own agendas in government can be a key factor [43,44,50,51,54]. ...
... Strong feelings in workers should be managed: hope, fear, frustration, resentment, concerns . . . It is especially important to provide quality and accurate information to manage rumours quickly [43,44,47,50]. ...
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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.
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