引用本文: 朱紫雯.供给侧视角下的过度医疗与分级诊疗的理论机制研究[J].中国卫生经济,2018,(3):8-10.[点击复制] .A theoretical framework on hierarchical medical system and excessive medical treatment based on the perspective of Supply Side[J].CHINESE HEALTH ECONOMICS,2018,(3):8-10.[点击复制]
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供给侧视角下的过度医疗与分级诊疗的理论机制研究
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摘要:
探讨我国医疗市场供给侧行为主体的行为决策理论机制以及分级诊疗制度抑制过度医疗行为的机制。在不完全信息和医疗需求刚性患者假设的供给侧视角医生医疗行为选择模型下,患者接受医生全部的医疗供给,一般医疗市场和高级医疗市场存在结构不平衡,一般医疗市场的需求为零而高级医疗市场需求过剩,存在过度医疗;在分级诊疗制度下医生医疗行为选择模型中,通过政策引导进行基层首诊,一般医疗市场和高级医疗市场都达到均衡,提高社会资源配置的效率,改善患者的福利状况;在上述分析基础上,提出相应的政策建议。
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A theoretical framework on hierarchical medical system and excessive medical treatment based on the perspective of Supply Side
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Abstract:
This paper discusses the decision-making mechanism of medical market on supply side and how the hierarchical medical system help inhibiting the excessive medical behavior. In the case of incomplete information and rigid demand hypothesis, the patient will accept all the supplies doctor offered and there is structural unbalance in both general medical market and advanced medical market which means the excessive medical treatment exist. Under the hierarchical medical system, distinguishing by primary medical institution, both general medical market and advanced medical market reach equilibrium which improve the social resource allocation efficiency and the patients’ welfare at the same time. Based on the analysis above, the corresponding policy suggestions are put forward.
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