| 引用本文：蔡菲, 张新平.美国医院信息公开中的利益集团分析[J].中国卫生政策研究,2017,10(2):32-36 |
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| 美国医院信息公开中的利益集团分析 |
| 投稿时间：2016-08-10 修订日期：2016-12-21 PDF全文浏览 HTML全文浏览 |
| 蔡菲, 张新平 |
| 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030 |
| 摘要:通过文献梳理美国医院信息公开中的利益集团，分析主要利益集团的需求与实践。运用policy maker 4.0软件进一步分析各利益集团的立场、权力及受医院信息公开政策的影响程度。结果发现，利益集团主要为五类：决策者（政府）、雇主/购买者、健康保险公司、医院以及消费者。决策者为监测和提高医疗服务质量、雇主为了权衡各种保险计划的成本效益、健康保险公司为制约服务提供者和投保者选择高质量的服务机构、医院需要利用公开的信息来管理和提高医疗质量、消费者为选择好的医疗提供者，都有推动医院信息公开的意愿。作为医院信息公开中最大的利益主体，结果显示消费者对医院信息公开的立场为低支持，这主要源于消费者虽然认可医院信息公开的做法，但话语权等权力小，参与有限。分析美国医院信息公开中的利益集团，可为我国医院信息公开工作提供证据支持。 |
| 关键词:医院 信息公开 利益集团 美国 |
| 基金项目:国家社会科学基金重大项目（15ZDC037） |
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| Analysis on the interest groups of hospital information disclosure in the United States |
| CAI Fei, ZHANG Xin-ping |
| School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan Hubei 430030, China |
| Abstract:Through the literature combing the interest groups of hospital information disclosure in the United States, the demand and practice of the main interest groups are analyzed. This paper uses policy maker4.0 software to further analyze the interests of various interest groups, power and the degree of influence by the policy of hospital information disclosure. The results showed that interest groups involved in hospital information disclosure in the United States can be mainly divided into five categories:consumers, employers, health insurance companies, hospitals, and decision makers (government). In order to balance the cost-effectiveness of various insurance schemes, health insurance companies choose high-quality service providers to restrict poor-service providers and insurers, and hospitals need to use public information to manage and improve health care. In order to monitor and improve the quality of medical services, employers need to weigh various insurance plans, health insurance companies have to measure the service quality of themselves and competitors, and hospitals need to manage and improve the medical quality and increase market share. As the largest stake in the hospital information disclosure, the results show that the consumer's position on the hospital information disclosure is low support. From the consumer as a main, although the hospital information disclosure practices but the right to speak and other small powers have a limited participation. Analyzing the of the interest groups of hospital information disclosure in the United States, they all push forward the hospital information disclosure work to provide evidence to support. |
| Key words:Hospital Information disclosure Interest groups The United States |
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