慢病自我管理激励的理论逻辑与机制构建——基于医疗保险视角  

Theoretical Logic and Mechanism Construction of Chronic Disease Self-Management Incentives——A Medical Insurance Perspective

作　　者：甘银艳 孙菊[2,3] GAN Yinyan;SUN Ju(Guangxi Medical Information Institute,Nanning Guangxi 530022,China)

机构地区：[1]广西壮族自治区医学科学信息研究所,广西南宁530022 [2]武汉大学政治与公共管理学院,湖北武汉430072 [3]武汉大学健康研究院,湖北武汉430072

出　　处：《卫生经济研究》2023年第2期6-9,共4页

基　　金：国家社会科学基金“城乡居民基本医疗保险基金风险评估与管控机制研究”(16BGL1500);广西卫生健康委自筹经费科研课题“广西慢病管理路径研究——基于行为经济学理论的个人健康管理激励”(Z20210799)。

摘　　要：我国已初步形成了慢病综合防治工作机制和服务网络,慢病患者健康管理被置于目标人群分类管理三级预防主线中,但慢病管理效果取决于是否建立基于医患双方行为的长效激励机制。对此,医疗保险应发挥杠杆作用,以价值共创和行为经济学理论为基础,探索构建慢病自我管理的激励机制,从供需两方面整合创新,提升慢病自我管理效果。China has initially formed a comprehensive prevention and treatment mechanism and service network for chronic diseases.The health management of patients with chronic diseases has been placed in the main line of tertiary prevention for the categorization and management of target population. However, the effect of chronic disease management depends on the establishment of a long-term incentive mechanism based on the behavior of both doctors and patients. In this regard, medical insurance should play a leveraging role, based on value co-creation and behaviour economics theory, to explore the construction of an incentive mechanism for self-management of chronic diseases, and integrate innovation from both supply and demand sides to enhance the effect of self-management of chronic diseases.

关 键 词：医疗保险 自我管理 激励机制 慢病 

分 类 号：R19[医药卫生—卫生事业管理]