基于公平偏好视角的公立医院医生激励机制研究  

Research on the Incentive Mechanism for Doctors in Public Hospitals Based on the Perspective of Equity Preference

作　　者：於君 杨立宏 王俏荔[1] Yu Jun;Yang Lihong;Wang Qiaoli(School of Humanities and Management,Ningxia Medical University,Yinchuan,Ningxia,750004,China;不详)

机构地区：[1]宁夏医科大学人文与管理学院,宁夏银川750004 [2]宁夏核地质调查院,宁夏银川750021

出　　处：《中国卫生经济》2024年第10期76-80,共5页Chinese Health Economics

基　　金：国家自然科学基金项目(71964028);宁夏医科大学校级重点科研项目(XZ2022012)。

摘　　要：目的:研究不同公平偏好下公立医院医生努力水平和激励系数的影响因素,为公立医院医生激励机制设计提供建议。方法:运用公平偏好理论、委托代理理论以及Matlab软件进行分析。结果:医生努力水平与成本系数呈负相关,与公平偏好水平呈正相关,且纵向公平偏好对于努力水平的提升作用高于横向公平偏好;激励系数与医生纵向公平偏好呈正相关,与横向公平偏好呈负相关。结论:政府和医院管理者要降低医生努力成本,充分了解医生公平偏好状况,加强对医生工作的监督,采用综合激励策略干预医生公平偏好状况,并将医生公平偏好负效用转化为努力工作的积极性。Objective:To study the influencing factors of the effort level and incentive coefficient of doctors in public hospitals under dfferent fairness preferences,and provide suggestions for the design of the incentive mechanism for doctors in public hospitals.Methods:The equity preference theory,principal-agent theory and Matlab Software were used for analysis.Results:The doctor's effort level was negatively correlated with the cost coefficient,positively correlated with the fairness preference level,and the promotion effect of vertical fairness preference on the effort level was higher than that of horizontal fairness preference;the incentive coefficient was positively correlated with the doctor's vertical fairness preference and negatively correlated with the horizontal equity preference.Conclusion:The government and hospital managers should reduce the effort cost of doctors,fully understand the fairness preference of doctors,strengthen the supervision of doctors'work,adopt a comprehensive incentive strategy to intervene in the fairness preference of doctors,and transform the negative utility of doctors'equity preference into the enthusiasm for working hard.

关 键 词：医生激励 委托代理 公平偏好 公立医院 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F224.9[经济管理—国民经济]