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

However, the negative effect may not be significant after a year [ 61 ]; the workers seem to adapt very quickly to their new situation and, as staff job satisfaction is positively correlated with health care quality, both variables may be ensured if the staff expectations regarding the merger benefits are met during the early years after the integration [ 15 , 33 , 61 ].

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