| 引用本文: |
薄云鹊,刘思宇,韩优莉.区域医疗服务体系纵向整合利益分配机制的实验经济学研究[J].中国卫生经济,2017,(7):9-12.[点击复制] |
.A preliminary experimental economics study on? profit allocation mechanism in vertical integration medical delivery system[J].CHINESE HEALTH ECONOMICS,2017,(7):9-12.[点击复制] |
|
| 摘要: |
| 目的：在参照点契约理论的框架下，运用实验经济学的方法初步探讨医疗机构管理者对医疗服务体系纵向整合利益分配的选择和反应。方法：利用z-tree软件编写实验程序，招募40名卫生管理专业的高年级本科生作为受试者进行实验，收集分成比例（整合收益中社区的分成占比）、努力程度等数据，利用Excel2007、SPSS17.0进行分析。结果：医院方选择分配给社区的比例的中位数是35%，社区方选择努力程度的中位数是8；选择的分成比例≤50%的比重占98%，选择的努力程度为10的比重占23.5%；医院选择的分成比例和社区选择的努力程度呈显著的相关关系 (r=0.45,P＜0.01)。结论:整合中努力程度与收益分配比例相关，社区卫生服务中心在努力程度上存在折减行为。 |
| 关键词: |
| DOI： |
|
| 基金项目: |
|
| A preliminary experimental economics study on? profit allocation mechanism in vertical integration medical delivery system |
|
| () |
| Abstract: |
| Objective: Based on the theory of contract as reference points, this research used experimental methods to explore the medical institution managers’ motivation and reflection of the profit allocation in vertical integrated?medical delivery system. Methods: z-tree software was used to design the experimental program. 40 undergraduate students majoring in health management were recruited as the subjects. Sharing rates and effort levels were collected and calculated using Excel2007 and SPSS17.0. Results: The?median sharing?rate hospital managers allocated to community centers?was 35 percent.?The median?of effort level community health care center directors chose was 8. The proportion of sharing rates equal to or less than 50% accounted for 98 percent. The proportion of the highest effort level was 23.5 percent. The correlation between sharing rate and effort level was significant( r=0.45,P＜0.01). Conclusion: Benefit distribution mechanism needs to be considered in the process of establishing vertical integration of medical delivery system. |
| Key words: |
