基于博弈论的我国分级医疗服务体系构建策略分析  

Strategy Analysis of the Development of Hierarchical Medical Service System in China: Based on Game Theory

作　　者：邹晓旭[1] 姜橙[1] 张微微[1] 方鹏骞[2] 许栋[3] 

机构地区：[1]中山大学附属第一医院,广东广州510080 [2]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [3]华中科技大学附属协和医院,湖北武汉430022

出　　处：《中国医院管理》2015年第7期24-26,共3页Chinese Hospital Management

基　　金：原卫生部医改办委托项目"加强医疗服务机构监管策略研究";广东省科技计划项目(2011B060500043);广东省医学科学技术基金立项课题(B2014067)

摘　　要：医疗服务体系是一个由多个利益相关集团组成的复杂系统,分级医疗模式即是要建立在不同层级、不同类别医疗机构之间有效分工协作的前提下。运用博弈论,在我国医疗行业各个利益集团纵向战略互动模型的理论基础上,基于激励相容理论,对上级医院与基层医疗机构垂直战略互动博弈行为进行分析,从理论层面探讨分级医疗服务体系中各利益相关方的博弈关系及行为选择。The medical system is a complex system with multiple stakeholders. The cooperation and division of labors among different medical care situations is the basement to build the hierarchical medical system. The dynamic Game Theory on main suppliers in medical service system found that,when the higher medical institutions decentralizing medical services, and primary care institutions remaining moderate service strategies would achieve the medical social cost optimization. At the meantime,for the medical services＇ suppliers of two levels who have set up connections,they should avoid choosing opportunistic behaviors based on the vertical interactive to achieve long-term maximization of benefits.

关 键 词：分级医疗 服务体系 策略研究 博弈论 

分 类 号：R197.1[医药卫生—卫生事业管理]