中国卫生经济
中國衛生經濟
중국위생경제
CHINESE HEALTH ECONOMICS
2013年
7期
35-37
,共3页
邓益坚%周志迎%刘宏裕%熊剑
鄧益堅%週誌迎%劉宏裕%熊劍
산익견%주지영%류굉유%웅검
医疗服务%价格管理%医疗费用控制
醫療服務%價格管理%醫療費用控製
의료복무%개격관리%의료비용공제
medical service%price management%medical expenditure control
目的:研究医疗服务项目价格管理与医疗费用控制之间的传导机制。方法:通过建立医务人员个人收入模型,结合信息不对称理论、委托代理理论、行为经济学和制度经济学来诠释从政策到效果的根本原因。结果:不足的人力成本补偿和广泛存在的“交叉补贴”是拉动医药总费用不合理增长的根本原因。结论:如果政府希望提高高能力水平类医务人员提供医疗服务,对医疗机构:(1)提高财政补贴;(2)提高综合差价收入部分;(3)提高市场化程度,让医务人员的技术劳务得到合理的补偿。
目的:研究醫療服務項目價格管理與醫療費用控製之間的傳導機製。方法:通過建立醫務人員箇人收入模型,結閤信息不對稱理論、委託代理理論、行為經濟學和製度經濟學來詮釋從政策到效果的根本原因。結果:不足的人力成本補償和廣汎存在的“交扠補貼”是拉動醫藥總費用不閤理增長的根本原因。結論:如果政府希望提高高能力水平類醫務人員提供醫療服務,對醫療機構:(1)提高財政補貼;(2)提高綜閤差價收入部分;(3)提高市場化程度,讓醫務人員的技術勞務得到閤理的補償。
목적:연구의료복무항목개격관리여의료비용공제지간적전도궤제。방법:통과건립의무인원개인수입모형,결합신식불대칭이론、위탁대리이론、행위경제학화제도경제학래전석종정책도효과적근본원인。결과:불족적인력성본보상화엄범존재적“교차보첩”시랍동의약총비용불합리증장적근본원인。결론:여과정부희망제고고능력수평류의무인원제공의료복무,대의료궤구:(1)제고재정보첩;(2)제고종합차개수입부분;(3)제고시장화정도,양의무인원적기술노무득도합리적보상。
Objective:To analyze the conduction mechanism between price management of medical services and medical expenditure control. Methods: Based on the theory of asymmetric information, principal-agent, behavioral economics, and institutional economics, it constructs the personal income model of medical staffs to explain the root causes of the changes from the policies to the effects. Results:Short of human cost compensation and widely employed “Cross Subsidization” are the root causes pulling the medical expenditure increasing unreasonably. Conclusion: To improve the medical services of high level medical stuffs, the government should ask the medical institutions do as the following: (1) increase financial subsidies; (2) raise compound price difference; (3) improve the marketability to meet the reasonable need for technological compensation.