Cerezo Espinosa de los Monteros, JavierCastro Torres, AntonioGómez Salgado, JuanCoronado Vázquez, María del Valle2021-05-102021-05-102021-04Cerezo Espinosa de los Monteros, J., Castro Torres, A., Gómez Salgado, J. ... Coronado Vázquez, V. (2021). Administration of Strategic Agreements in Public Hospitals: Considerations to Enhance the Quality and Sustainability of Mergers and Acquisitions. International Journal of Environmental Research and Public Health, 18(8), 4051. DOI: https://doi.org/10.3390/ijerph180840511660-4601http://hdl.handle.net/10272/19796Merger 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.engAtribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/Mergers and acquisitionsSustainabilityCooperationHealthcare systemsHealth managementInnovationStaff healthQuality of careStrategyjournal article10.3390/ijerph18084051open access