CAJ | 학술논문

医生不仅是医疗服务的提供者,也是医疗服务需求水平的决定者,极易发生诱导行为。由于医疗服务具有无形性、不可分离性、不一致性以及医患之间信息的不对称性,决定了医生的诱导行为对医疗费用攀升起着决定性作用。防范该行为的有效主体是医保机构,而二者之间的主要博弈渠道则是医疗保费的支付方式。因此,应该根据不同的支付方式对诱导需求的作用机制,确定医疗保费支付方式的选择原则以及通过多元办医、建立医生个人信息库、对消费者进行告知选择等改善医患之间的信息不对称性。
의생불부시의료복무적제공자,야시의료복무수구수평적결정자,겁역발생유도행위。유우의료복무구유무형성、불가분리성、불일치성이급의환지간신식적불대칭성,결정료의생적유도행위대의료비용반승기착결정성작용。방범해행위적유효주체시의보궤구,이이자지간적주요박혁거도칙시의료보비적지부방식。인차,응해근거불동적지부방식대유도수구적작용궤제,학정의료보비지부방식적선택원칙이급통과다원판의、건립의생개인신식고、대소비자진행고지선택등개선의환지간적신식불대칭성。
Doctors are medical service providers as well as the deciders about demand level of medical service.They often generate induced behavior easily.Medical service has invisible,inseparable,inconsistent attributes and asymmetric information between doctors and patients,which makes the induced behavior from doctors play a decisive role in the rising of medical cost.Medical insurance institutions are the efficacious principal to keep away the induced behavior,while the payment method of medical insurance is the main game channel.Therefore,depending on the function mechanism about payment method impacting induced demand,constituting principle to choose medical insurance payment method,mending asymmetric information between doctors and patients via multiple medical office,establishing personal information database of doctors,and informing consumers about choices,etc.