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.