摘要
目的分析我国医疗-医保系统发展的协同性。方法以复合系统理论为框架,在建立评价医疗系统和医保系统评价指标体系的基础上,构建医疗-医保复合系统协同度模型,测算1996-2015年医疗、医保系统的有序度及医疗-医保复合系统的协同度。结果总体上,医疗、医保两个系统的发展是割裂的,协同度长期处于-0.07~0.12的低水平状态。结论政府应以医疗-医保系统协同性评价为基础,建立起整合型卫生投入模式和医疗-医保统筹管理机制。
Objective To evaluate the synergy degree of medical service supply-social health insurance complex system.Methods Constructing a medical service supply-social health insurance complex system and evaluation index system.Based on fitting panel data,the study estimated the order degrees of medical service system and social health insurance system,and the synergy degree of medical service supply-social health insurance complex system.Results Generally,the development of medical service supply and social health insurance systems was fragmented.Synergy degree of medical service supply-social health insurance complex system was in the low level of -0.07~0.12.Conclusion The study suggested that the government should establish an integrated investment model and an overall management mechanism based on the synergy dgree of medical service supply-social health insurance complex system.
作者
张谦
顾建钦
赵要军
王菊珍
袁向东
苗豫东
ZHANG Qian;GU Jian-qin;ZHAO Yao-jun(Henan Provincial People’s Hospital,Zhengzhou,Henan,450003,Chin)
出处
《中国医院管理》
北大核心
2020年第1期27-29,共3页
Chinese Hospital Management
基金
国家自然科学基金项目（71603132）
中国博士后科学基金面上资助项目（2018M632781）
中央引导科技地方发展专项项目（Z135050009017）
广州市科技计划项目（201704020208）
关键词
医疗服务提供系统
社会医疗保险系统
复合系统
协同度
medical service delivery system
social health insurance system
complex system
synergy degree
