基于资源与产能关系的医疗机构层级间的非良性互动机理分析  

Analysis on Vicious Interaction Mechanism of Hierarchical Medical Institutions Based on the Relationship of Resources and Capacity

作　　者：吴悦[1] 刘爽[1] 张亮[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《中国卫生经济》2017年第3期66-69,共4页Chinese Health Economics

基　　金：国家自然科学基金项目(71273099)

摘　　要：在卫生服务领域和经济学中资源与产能相对应的是卫生资源与卫生服务供给能力,卫生资源与卫生服务供给能力及其相互关系是不同级别医疗机构间分工协作与良性互动的重要因素。然而医疗机构卫生资源的倒置与卫生服务供给能力的错位,在居民自由择医理念的影响下,加重了病源在三级医疗机构的集聚程度,医疗机构层级间的非良性互动与相互竞争成为分级诊疗政策推行的重要障碍,因此亟需厘清其机理并提出针对性的政策建议。In the health service field, health resources and health service supple capacity were related with the resource and capacity in economics. Health resources, health service supple capacity and their relationships were important factors for the cooperation and benign interaction of hierarchical medical institutions. However, inversion of health resources and health dislocation of service supply capacity exacerbated the agglomeration degree of patients in the tertiary medical institutions under the impact of residents＇ freely searching for medical service concept. Vicious interaction and mutual competition among hierarchical medical institutions had become an important obstacle for the implementation of hierarchical medical services. Therefore, its mechanism needed to be clarified while the corresponding policy recommendations sllouht be proposed.

关 键 词：卫生资源 医疗机构 卫生服务供给 分级诊疗 

分 类 号：R197.1[医药卫生—卫生事业管理]