对公立医院行为规制措施的模糊综合评判研究.pdfVIP

中国科技论文在线 对公立医院行为规制措施的模糊综合评判 研究# 孙越，吴群红，梁立波，黄卫东，高力军** 5 （哈尔滨医科大学公共卫生学院，哈尔滨 150081） 摘要：目的对现行医院行为规制的措施进行综合评价，确定优先干预措施。方法 从失效程 度、干预迫切性等四个方面建立模糊评判模型，进行综合评价与比较。结果 政府缺乏有效 的监管机制以及对医院和医生的投入不足是导致公立医院和医生行为扭曲的最主要的根源 之所在；其次，医疗事故的举证倒置和相对滞后的支付方式是导致过度医疗服务的另一重要 10 原因。结论 实现对医院和医生行为有效控制目标的首要优先策略是建立有效的监督机制； 此外，还应加大对医院和医生的投入，着力完善相应的法律法规和支付机制的改革。 关键词：公立医院；行为规制；规制失效；模糊评判；模糊矩阵 中图分类号：R197.32 15 A Fuzzy Comprehensive Judgement on the Measures of Public Hospital Behavior Regulation Sun Yue, Wu Qunhong, Liang Libo, Huang Weidong, Gao Lijun (Harbin Medicial University, Harbin 150081) Abstract: Objectives To indentify priority interventions through comprehensive evaluation on the 20 effectiveness of regulation measures on the existing hospital profit seeking behavior. Methods By applying the model of fuzzy comprehensive evaluation based the criteria built from 4 aspects including the degree of failure, intervention urgency，etc. Results The lack of governments effective supervision on profit seeking behavior, inadequate investment to hospital and doctors were two most important reasons ，which leads to behavioral distortion of hospital and doctor. The 25 other important reasons that contributing to the over-prescription of drug and excessive medical services are the onus proof burden in medical disputes and the not well functioning payment method of medical insurance schemes. Conclusion