Research on Vertical Professional Collaborative Evaluation Tools of Healthcare System Based on the Tight County Healthcare Alliance in China

The vertical professional collaborative evaluation tools of healthcare system constructed in this paper contain 4 dimensions: (1) Value compatibility and trust, defined as the alignment of health-related values, cultural norms, and behavioral expectations across different provider levels (e.g., primary vs. tertiary care) and specialties (e.g., physicians vs. nurses), operationalized through shared decision-making and perceived reliability; (2) Communication and coordination mechanisms, encompassing systems for bidirectional information flow (e.g., standardized referral protocols, interoperable IT platforms) and procedural safeguards to enable cross-disciplinary collaboration; (3) Incentive and constraint mechanisms, referring to policy tools (financial/non-financial rewards, accountability metrics) designed to motivate or regulate collaborative behaviors; and (4) Structure and strength of collaborative relationships, characterized by the topology (e.g., network centrality) and resilience of inter-provider connections, measured through interaction frequency and resource-sharing patterns.,; 8 factors and 15 items whose overall reliability and validity were good and has certain applicability in China. Given regional sociocultural diversity, the findings require validation through broader case studies.