Table 4 Priority by third-level sub-criteria for organizational resilience factors among medical alliance with pairwise comparison.

A1 Aware

B1 Situational cognitive ability

C1 All members of the medical alliance possess a wealth of knowledge and expertise*

C2 The township hospital and its branch hospitals share a common vision*

C3 All members of the medical alliance know how to convey information to the township hospital and its branch hospitals for support*

B2 Resource redundancy and reserve ability

C4 Number of health technicians per 1000 people in the medical alliance

C5 The growth rate of the balance sheet of the medical alliance

C6 The medical alliance has established contingency protocols with suppliers to ensure the procurement and prompt delivery of equipment, supplies, and other resources in the event of shortages

B3 Risk prevention and control ability

C7 Timely warning of internal and external threats and challenges within the medical alliance*

C8 Number of joint emergency training and exercises conducted by the township hospital of the medical alliance and its branch hospitals according to the contents of the emergency plan

C9 Establish a multi-point trigger mechanism for intelligent early warning linkage between the township hospital of the medical alliance and its branch hospitals

A2 Self-regulating

B4 Ideological stability and maintenance ability

C10 Leadership at the decision-making level of the medical alliance*

C11 Self-efficacy of all members of the medical alliance*

C12 Employee turnover growth rate in the medical alliance

B5 Resource allocation and coordination ability

C13 The Medical alliance’s ability to mobilize personnel*

C14 Growth rate of the medical balance in the medical alliance

C15 The medical alliance has established an emergency command and dispatch information system interconnected with government departments such as disease control, health commission, and public security

B6 Organizational execution ability

C16 Flexibility in adjusting the management model of the medical alliance*

C17 Implementation rate of the annual work plan of the medical alliance

C18 Rate of timely handling of infectious diseases and public health emergencies in the medical alliance

A3 Adaptive

B7 Knowledge innovation ability

C19 Capacity of all members of the medical alliance to absorb new knowledge*

C20 Digital diagnosis and treatment concept for all members of the medical alliance*

C21 The number growth rate of new technologies and projects that the township hospital helps its branch hospitals to carry out

B8 Resource balanced layout ability

C22 Ratio of the annual growth rate of outpatient and emergency visits in each branch hospitals of the medical alliance to that in the township hospital

C23 The medical alliance has implemented the “three 10%”^†differential reimbursement policy

C24 Number of characteristic departments/units built by the township hospital to help each branch hospital

B9 Service optimization ability

C25 Frequency of medical quality homogenization evaluation, supervision, and assessment carried out by the medical alliance regularly on the township hospital and each branch hospital

C26 Rapid balance between short-term operations and long-term planning of the medical alliance*

C27 Continuous improvement of healthcare delivery processes and standards in the community alliance*

A4 Integrated

B10 Joint decision-making mechanism

C28 Frequency of the medical alliance management committee organizing the backbone of the township hospital and the administrative departments of each branch hospital to jointly conduct the medical alliance work meeting

C29 Funds of the medical alliance are jointly negotiated and allocated by the township hospital and each branch hospital

C30 Compatibility of opinions between the township hospital and its branch hospitals*

B11 Service function integration ability

C31 Growth rate of the number of business and management backbone personnel assigned by the township hospital to its branch hospitals

C32 Have a unified financial reporting format and the transfer and settlement format of personnel and property between the township hospital and each branch hospital

C33 The integration of medical and preventive integration services in the medical alliance*

C34 The proportion of branch hospitals within the medical community that are interconnected with the township hospital’s information platform

B12 Social cooperation network

C35 Stable partnerships between the medical alliance and non-health sectors*

C36 Medical alliance and other relevant health departments to carry out in-depth cooperation modes*

A5 Diverse

B13 Service object coverage

C37 The proportion of increase in the standardized management rate of major diseases in the county

C38 The growth rate of county-level medical treatment rate

B14 Service supply ability

C39 The coverage rate of the medical alliance meeting the recommended standards of national service capacity

C40 Diversity in the composition of various disciplines within the medical alliance service team*

C41 The growth rate of the proportion of patients referred down from the township hospital to branch hospitals within the medical alliance

B15 Service responsiveness

C42 Patient satisfaction with the overall medical alliance*

C43 Doctor satisfaction with the overall medical alliance*