基于利益相关者博弈的宁夏县级公立医院补偿模式研究.pdfVIP

[卫生行政管理] 中国卫生事业管理 2015 年第 10 期(总第 328 期) 基于利益相关者博弈的宁夏县级公立医院补偿模式研究* 高秀萍，钱磊，时撞撞，李瑞鹏，李林贵A (宁夏医科大学，宁夏银川 75ω04) [摘要] 目的:通过对公立医院运行中各利益相关者之间博弈情况的分析，探讨更为合理有效的公立医院补偿机 制，为公立医院改革提供政策建议;方法:采用定量数据收集方法、博弈分析及利益相关者理论分析方法，构建四种公立医 院补偿模型;结果:政府全额资助模式中，需追加投入66 元。医保全额资助模式中，需追加保险投入 55幅4754.66 元。模型三中，政府需投入38 元，医保常投入28 元。模型四中，政府财政拨款 17 元，医疗保险投49 元。建议:公立医院运行过程中，要根据自身发展目的，协调各利益相关者之 间的关系。 [关键词] 公立医院;博弈冲l 益相关者;补偿机制 [中图分类号] R 197 [文献标识码] A [文章编号] ](刷-4663 (2015) 10 -750 -ω Studyiog 00 the compensatioo m，叫einωunty pubUc bospitals of Ningxia based 00 stakebolder th佣可./Gao Xiu. ping ,et al. / /The CbinωeHeal出Service Man唔ement. Abstract Objective To analyze the stakeholders gaming in operation of puhlic hospitals , explore reasonable and effective compensation mechanism ,and provide policy recommendations for 由e reform on public hospitals. Methods Four compensation mod- els of public hospitals were constructed by quantitative data collection method ,game analysis and stakeholder 由eoηanalysis. Re- sults For the full subsidy model by 由e govemment ,67 , 197 ,754.66 Yuan needs to be input. For the full subsidy model by insur- ance ,55 ,464 ,754.66 Yuan needs to be input. For the third model ,57 , 112 ,478.38 Yuan needs to be input by 出e govemment ,and 11 ,872 ,276.28 Yuan needs to be input by insurance. And for the fourth model 17 Yuan n优ds 10 he input by the gov- emment ,and49 Yuan needs to be input by insurance. Conclusion 咀e public hospitals should coordinate the relationship among stakeholders according to their own development goals in the running process. Authors ad由四s Ningxia Medical Universi