摘要
医疗服务体系纵向整合是深化医药卫生体制改革的重要举措。本文借鉴不完全契约理论分析框架,构建区域医疗服务体系纵向整合效应的分析模型。研究发现当医院面临生存压力且与社区卫生服务机构的服务具有互补性时,医院一体化社区可能是有效率的,但对医疗服务连续性的影响是有限的。社区卫生服务机构对其所服务的社区居民的连续性负责,但并不具备整合医院的能力。因此应以区域居民健康需要和连续性医疗服务为目标,以政府为主要推动方,通过完善整合利益分配机制来提高整合的效应。
Establishing vertical integration of medical delivery system is an important measure in health system reform. Based on the incomplete contract theory, this paper constructs a theory model of the vertical integration in regional medical delivery system. The economic and social nature of medical institutions, and the substitution and complementary of services provided by hospitals and community health services are important factors. Hospital integrating community health services institutions is likely to be efficient if the hospital is under economic stress and its services are complementary to the services of community health services, but the impact on the continuity of care is limited. Community health services are responsible for the continuity of the community residents they serve, but do not have the capacity to integrate the hospital. The government places an important role in delivering continuous health care to meet regional medical needs. In order to promote the impact of vertical integration of regional medical delivery system, it is necessary to design the mechanism of profit distribution.
出处
《中国行政管理》
CSSCI
北大核心
2017年第11期128-134,共7页
Chinese Public Administration
基金
国家自然科学基金"不完全契约理论框架下医疗服务体系纵向整合效应的理论和实证研究"(编号:7140030317)
关键词
不完全契约理论
医疗服务体系
纵向整合
incomplete contract theory, medical delivery system, vertic~ i_ntegrat!on ]
作者简介
韩优莉，首都医科大学卫生管理与教育学院副教授；;常文虎，首都医科大学卫生管理与教育学院教授
