价值工程
價值工程
개치공정
VALUE ENGINEERING
2013年
23期
134-135,136
,共3页
医生%道德风险%羊群效应
醫生%道德風險%羊群效應
의생%도덕풍험%양군효응
doctors%moral hazard%herding effect
本文从医生道德风险的成因入手,并构建动态博弈模型,运用信息经济学有关理论分析其机理和表现形式,并从第三方角度,提出相应的规避策略,首先就医生道德风险的羊群效应的表现形式进行描述,然后基于动态博弈模型研究了单个医生道德风险的产生,进而推广到医生群体,研究了羊群效应的产生机理。在此基础上提出了规避不合规的羊群效应、诱导合规羊群效应的主要途径:1)降低医生的违规收益;2)加大对医生的违规惩罚;3)提高违规行为的发现概率;4)加强医生医德医风建设,形成良好的医院文化。
本文從醫生道德風險的成因入手,併構建動態博弈模型,運用信息經濟學有關理論分析其機理和錶現形式,併從第三方角度,提齣相應的規避策略,首先就醫生道德風險的羊群效應的錶現形式進行描述,然後基于動態博弈模型研究瞭單箇醫生道德風險的產生,進而推廣到醫生群體,研究瞭羊群效應的產生機理。在此基礎上提齣瞭規避不閤規的羊群效應、誘導閤規羊群效應的主要途徑:1)降低醫生的違規收益;2)加大對醫生的違規懲罰;3)提高違規行為的髮現概率;4)加彊醫生醫德醫風建設,形成良好的醫院文化。
본문종의생도덕풍험적성인입수,병구건동태박혁모형,운용신식경제학유관이론분석기궤리화표현형식,병종제삼방각도,제출상응적규피책략,수선취의생도덕풍험적양군효응적표현형식진행묘술,연후기우동태박혁모형연구료단개의생도덕풍험적산생,진이추엄도의생군체,연구료양군효응적산생궤리。재차기출상제출료규피불합규적양군효응、유도합규양군효응적주요도경:1)강저의생적위규수익;2)가대대의생적위규징벌;3)제고위규행위적발현개솔;4)가강의생의덕의풍건설,형성량호적의원문화。
From the causes for doctor moral hazard, this paper set the dynamic game model, used the theory of information economics to analyze the mechanisms and manifestations, and proposed the corresponding avoidance strategies from the third party perspective. Firstly, the representation of herding effects of moral hazard among doctors is described, then the causes for the moral hazard of single doctor is studied based on the dynamic game theory model, and further extended to the group of doctors, based on which the cause mechanism of herding effects is studied. According to the discussion above, the main approaches are proposed to avoid the herding effects that violating the rules and to induce the herding effects that obey the rules: 1) reducing the benefits of doctors when violate the rules; 2) enhancing the punishment of doctors when violate the rules; 3) increasing the probability of discovering the behaviors that violate the rules; 4) strengthening the morals construction of doctors to form good culture of hospitals.