| 引用本文：周尚成,方鹏骞.谈判理论在医疗保险领域的应用价值[J].中国卫生政策研究,2010,3(9):31-1900/2/3 |
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| 谈判理论在医疗保险领域的应用价值 |
| 投稿时间：2010-05-20 修订日期：2010-07-06 PDF全文浏览 HTML全文浏览 |
| 周尚成, 方鹏骞 |
| 华中科技大学同济医学院医药卫生管理学院 |
| 摘要:我国医疗保险谈判独具特色，具备经济及公共管理二重特质。从经济学价值探索医疗保险谈判过程的确定风险值、预测合作剩余、分配合作剩余三阶段存在的问题及解决策略，从公共管理价值探索医疗保险谈判公共决策强调社会效益前提下的规律性，最终针对障碍因素的消除提出宏观层面的医疗保险谈判机制四条政策思路：医改配套措施支撑、医疗服务信息强制披露、提高合约层次、建立谈判主体平等地位。 |
| 关键词:社会医疗保险 谈判机制 经济价值 公共管理价值 政策思路 |
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| The application of value of the negotiation theory in medical insurance field |
| ZHOU Shang-cheng, FANG Peng-jian |
| School of Medicine and Health Management, Tongji Medical College, HuaZhong University of Science and Technology |
| Abstract:China’s medical insurance negotiation is special and have two fold characteristics composed of economic value and public administration value. On the economic value side, the paper explores the problems and strategies in negotiation procedures: establishing risk, predicting cooperative residual and making the policy or methods about how to allocate cooperative residual. On the public administration value side based on premise of priority for social benefit, the paper explores the law for public decision making of negotiation. At last, the four policy strategies of negotiation from macro point of view were put forward after eliminating passive influential factors. These policy strategies should be well adopted, including health reform auxiliary policy, compulsory exposure of medical service information, improvement of contract level and the equal position of negotiation agents. |
| Key words:Social medical insurance Negotiation mechanism Economic value Public administration value Policy strategy |
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