基于公立医院公益性回归的政府财政补偿博弈分析.pdfVIP

中国卫生事业管理 2014 年第2 期(总第到8 期) {探索与改革] 基于公立医院公益性回归的政府财政补偿博弈分析* 虞兰香12 ，李嗣敏lA ，张文斌2. 王景洁I (1.湖北武汉市第五医院，湖北武汉 430050; 2. 华中科技大学同济医学院医药卫生管理学院) [摘要] 针对目前我国公立医院公益性淡化和老百姓看病难、看病贵的现象，通过建立政府财政补偿与公立医 院回归公益性的博弈模型，探讨公立医院公益性的回归与政府补偿的关系，提出了既要维护公立医院公益性，同时兼顾 医院效率的几点建议。 [关键词] 公立医院;公益性;补偿;效率;博弈 [中图分类号J R 197.1 [文献标识码J A [文章编号] 1 ∞4-4663(2014)02 -84 -02 Game analysis of governmental tinancial compensation based on the public welfare of state-owned hospitals. /Yu Lan-xiang ,et al. / /The Chinωe Health Service Management. Abstract Accordìng to the problem of declìne of publìc welfare in state-owned hospitals and inaccessibility and costlìness in healthcare ,the game model of govemmental financial compensation with public welfare of state-owned hospitals was developed , by which the relationship between publìc welfare of state-owned hospìtals and the govemment compensation was explored. Based on which ,some suggestions were put forward to maintain the public welfare of state-owned hospitals combining with hospitals effi- clency. Authors address The Fifth Hospital of Wuhan City ,Wuhan ,P. R. China. Key word state-owned hospital; public welfare; compensation; efficiency; gaming 随着市场化进程的加快和卫生体制改革的深入，医疗费用 利益膨胀，过分追求经济效益，忽视了其应承担的社会责任，这 上涨，政府财政投入不足，公立医院公益性日趋淡化，趋利行为 也导致其公益性淡化。并且，社会对医院和医务人员的不满意 加深，老百姓获取可承担的医疗服务越来越难的现象成为社会 使医患关系的紧张氛围不断上升。在这一链性反应中，政府投 热点、焦点问题。可以设想，政府的补偿机制与公立医院公益 入与公立医院公益性回归构成了一个博弈的竞局，博弈的结果 性的实现程度是相五关联的。政府的补偿机制与公立医院的 决定了公立医院公益性的实现程度。 2 政府补偿与公立医院经营行为的博弈分析 公益性到底有着什么样