公立医院主要负责人年薪制实施的演化博弈分析  

Evolutionary Game Analysis of the Implementation of the Annual Salary System for Principal Officials in Public Hospitals

作　　者：夏冕[1,2] 尹圣洁 蒋帅 张美丽 Xia Mian;Yin Shengjie;Jiang Shuai;Zhang Meili(School of Political Science and Public Administration,Wuhan University,Wuhan,430072,China;Wuhan University Centre for Health Governance Studies,Wuhan,430072,China)

机构地区：[1]武汉大学政治与公共管理学院,武汉430072 [2]武汉大学健康治理研究中心,武汉430072 [3]郑州大学第一附属医院,郑州450052 [4]河南省医院管理研究院,郑州450052 [5]温州医科大学公共卫生与管理学院,浙江温州325035

出　　处：《中国卫生经济》2024年第5期5-8,共4页Chinese Health Economics

基　　金：国家自然科学基金项目(71874128);河南省医院管理创新研究课题(HNYGCX-2023-02A);武汉大学2021年度研究生导师育人方式创新项目(413200093)。

摘　　要：目的:探讨如何有效落实及推进公立医院主要负责人年薪制。方法:在既有年薪制实践基础上,通过构建演化博弈模型,分析在年薪制实施过程中影响政府与公立医院主要负责人策略选择的关键因素。结果:除博弈双方彼此互动影响外,政府监管成本、社会与行政系统内外部压力会影响政府策略选择,年薪水平与结构、绩效目标实现的困难程度及惩罚力度会影响医院主要负责人的策略选择。结论:年薪制的实施需要合理制定薪酬方案、完善奖惩机制并降低交易成本。Objective:It explores how to promote the effective implementation of the annual salary system in public hospital.Methods:On the basis of the existing annual salary system reform,through evolutionary game model,it analyzes the key factors that affect strategy selection of government and principal person in charge of hospitals during the implementation of the annual salary system.Results:In addition to the interaction between behavioral agents,the cost of government supervision,the internal and external pressure of social and administrative systems affect the strategic choice of government.The level and structure of annual salary,the difficulty degree of achieving performance goals and intensity of punishment affect the strategic choice of the main person in charge of hospital.Conclusion:In order to improve the implementation of the annual salary system,government should make a reasonable salary scheme,improve the reward and punishment mechanism and reduce transaction costs.

关 键 词：年薪制 政策实施 演化博弈 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R197