医院补偿机制改革的博弈过程及对医院运行的积极影响  

Game Process in Hospital Compensation Mechanism Reform and Corresponding Positive Effects for Hospital Running

作　　者：郭武栋[1] 宋文舸 赵琨[1] 肖月[1] 

机构地区：[1]卫生部卫生发展研究中心,北京100191 [2]辽宁省卫生厅,沈阳110005

出　　处：《中国卫生经济》2011年第8期11-13,共3页Chinese Health Economics

基　　金：世界银行贷款/英国政府赠款中国农村卫生发展项目(7551-CN)

摘　　要：目的:分析医院补偿机制改革的博弈过程,并运用机制设计理论分析补偿机制改革给医院运行所带来的积极影响。方法:利用文献研究法、干预研究法和现场调研法分析上述问题。结果:从博弈论的角度分析,医院补偿机制改革涉及各方利益相关者,要通过博弈过程的公开、公正、平等,保证实现博弈各方的利益最优化。两个试点地区的实践为上述思路提供了经验与借鉴。结论:医院补偿机制改革作用空间较大的是医疗保险的支付制度和水平。补偿机制改革是公立医院改革适宜的路径选择,是医院加强内部管理有效的助推手段。Objective： To analyze the game process in hospital compensation mechanism reform and the corresponding positive effects through using the method of mechanism design. Methods： Employing the methods of literature review, intervention research and site investigation to address the problems above. Results： From the aspect of game theory, the hospital compensation mechanism involves different stakeholders, whose benefits will be optimized and guaranteed through a public, fair and equal game process. These two pilot districts provide practical experience and useful reference for logistics above. Conclusion： The hospital compensation mechanism reform can act on the payment system and level of payment of medical insurance effectively. The compensation mechanism reform is the proper choice and tool for public hospital reform, and also the effective measurement to strengthen the internal management of the hospital.

关 键 词：农村医疗机构 诊治技术优化 临床路径 补偿机制 博弈 机制设计 

分 类 号：R197.3[医药卫生—卫生事业管理]