治理视域下医疗服务价格谈判机制研究

发布时间：2018-06-02 16:20

本文选题：新医改 + 治理理论　；参考：《价格理论与实践》2017年03期

【摘要】：完善全民基本医保制度是推进健康中国战略的重要内容。医改进入深水区,利益格局深度调整不可避免,体制机制的矛盾更加突出。新医改以来,多项政策文件均提出要探索建立"医疗保险经办机构与医疗机构、药品供应商的谈判机制",以发挥"医疗保障对医疗服务和药品费用的制约作用,形成激励与约束并重的支付制度"。本文采用定性研究的方法,运用治理理论探讨医疗服务价格谈判机制,主张在多方参与、伙伴关系、协同共治、协调各方利益的原则下,各方主体在多元协商的框架下将矛盾冲突显性化,互动博弈透明化,利益诉求谈判化,共同决策契约化,完成上述目标,实现"医、患、保"三方共赢。
[Abstract]:Improving the basic health insurance system for all is an important part of the strategy of promoting a healthy China. Medical reform enters deep water area, benefit pattern depth adjustment is inevitable, the contradiction of system mechanism is more prominent. Since the new medical reform, many policy documents have proposed to explore the establishment of a "negotiation mechanism between medical insurance agencies and medical institutions and drug suppliers," in order to give play to the role of medical security in restricting medical services and drug costs. To form a payment system with equal emphasis on incentives and constraints. In this paper, we adopt the method of qualitative research to discuss the mechanism of medical service price negotiation by using governance theory, and advocate the principle of multi-party participation, partnership, co-treatment and coordination of the interests of all parties. Under the framework of pluralistic negotiation, the main bodies of each party make the contradiction and conflict explicit, the interactive game transparent, the interest appeal negotiated, the common decision made contractual, and achieve the above goal, and realize the "medical treatment, patient, and safeguard" tripartite win-win.
【作者单位】：北京工商大学经济学院;
【分类号】：F726;F842.684

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