摘要
医疗机构集双重代理人身份与医疗服务提供者于一体,具有绝对的信息优势,医保控费需要医疗机构及医务人员的主动配合。文章应用联合确定基数法,从医疗机构和机构内临床科室两个层面研究促进其积极主动参与医保控费的考核方法,提出了医疗保险机构同时对医疗机构医疗服务产品数量及其单价进行激励与约束的政策建议。
Medical institutions have an absolute information advantage by combining dual agency status with that of a medical service provider.Medical insurance cost-control requires the proactive cooperation of medical institutions and medical staffs.The model of jointly deciding contract target is applied to study the assessment method of medical insurance cost-control that promotes the active participation from the aspects of medical institution and clinical department.Meanwhile,it puts forward some suggestion that medical insurance institution should encourage and constrain the quantity and price of medical institution.
作者
袁建平
邹俐爱
YUAN Jian-ping;ZOU Li-ai(Guangzhou First People's Hospital,Guangzhou,510180,China;不详)
出处
《中国卫生经济》
北大核心
2022年第12期101-104,共4页
Chinese Health Economics
关键词
联合确定基数法
医保控费
医疗服务产品
激励相容
To Jointly Set Target
medical insurance cost-control
medical service product
incentive compatibility
