摘要
运用期权理念构建国家基本医疗卫生服务管理模式,提出了政府通过买入基本医疗卫生服务这个买方期权,对冲其对城乡居民承担的卖出买方期权的风险,建立社会保障部门、社区医疗服务机构和城乡居民三位一体的管理模式及其基本思路;并通过分析政府、城乡社区医疗服务机构和城乡居民在国家基本医疗卫生服务管理模式中的职责和地位设计,为建立和完善新型城乡一体化医疗服务体系提供决策建议。
Our country＇s medical reform so far, has not yet fundamentally touched the hospital the economical compensation mechanism, has not yet been established the active control medical expense mechanism and the incentive mechanism for supplies side, there is an urgent need to develop a mechanism that medical service providers become the main medical expense control body. This article utilizes the option idea to construct the basic health care managed model for all urban and rural residents, proposed that the government should buy a call option of the basic health services from the social medical providers to avoid the risks selling a put option to all residents in the urban and rural areas. The basic health care managed model should be built among the government, the social medical treatment and all residents. The basic idea is to use the option operations pattern to realize risk control question through the risk shift method, so that the medical providers to become the main body of cost control. The government realizes risk transfer to medical providers by the fact signing a contract with medical providers , and the government will pay the captivation in advance to medical providers according to the premium from average medical costs of urban and rural residents. Namely, the government transform the fair premium into the captivation for medical provider to realize the risk rationally transfer from insurant, government and medical providers Analytical designing the duties and positions that the government , medical providers and the urban and rural residents serve the managed model and making a recommendation to gradually establish and perfect the new medical service system of urban and rural integration in the final part.
出处
《中国卫生经济》
北大核心
2009年第3期5-7,共3页
Chinese Health Economics
基金
辽宁省社科基金重点项目。
关键词
期权理念
期权运作模式
城乡基本医疗卫生服务
option idea
option organization pattern
the basic health care for all urban and rural residents
