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契约式社区医疗筹资机制的利益博弈与改进策略

The Interest Gaming and Improvement Strategies of the Contractual Community Medical Financing Mechanism

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【作者】 贾清萍赵宁

【Author】 JIA Qing-ping;ZHAO Ning;School of Public Administration,Nanchang University;

【机构】 南昌大学公共管理学院

【摘要】 根据目前契约式社区医疗服务筹资机制存在的不足,从博弈的视角分析筹资过程中各利益相关者的筹资困境及其相互间的利益博弈焦点,探寻合理的优化策略对筹资机制进行改进。目的在于:(1)明确契约式社区医疗各筹资主体的责任,减少因责任缺失而导致的经费不足现象;(2)促进筹资机制的稳定性和可持续发展,为签约服务提供充足的发展动力;(3)有利于契约式社区医疗服务的大力推广,为分级诊疗制度奠定基础。

【Abstract】 According to the present deficiency existing in contractual community medical service financing mechanism,it analyzedthe financing difficulties and mutual interest game from the angle of game analysis of the various stakeholders in the financing process,explored the reasonable optimizing strategies for improving financing mechanism.The purposes aimed as:(1) determine the responsibil-ity of each contractual community health financing body,reduce the fund shortage phenomenon caused by the lack of responsibility;(2) promote the stability and sustainable development of the financing mechanisms,to provide sufficient power to the development ofcontract services;(3) it was conducive to vigorously promote the contractual community medical service and lay the foundation for thegrading system.

【基金】 国家自然科学基金项目(71463037)
  • 【文献出处】 中国卫生经济 ,Chinese Health Economics , 编辑部邮箱 ,2017年08期
  • 【分类号】R197.1
  • 【被引频次】2
  • 【下载频次】191
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