| 引用本文：韩优莉, 张悦.医疗服务提供者利他性：内涵、测量及对供方激励政策的启示[J].中国卫生政策研究,2020,13(11):1-8 |
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| 医疗服务提供者利他性：内涵、测量及对供方激励政策的启示 |
| 投稿时间：2020-09-20 修订日期：2020-11-02 PDF全文浏览 HTML全文浏览 |
| 韩优莉, 张悦 |
| 首都医科大学公共卫生学院 北京 100069 |
| 摘要:医疗服务的不确定性和信息不对称性决定了医疗服务提供者不同于一般商品的提供者，由于患者难以对医疗服务质量做出判断，在服务提供过程中医生利他性是保证患者健康福利的关键。已有研究多数支持医疗服务提供者利他性行为的假设，不当的经济激励具有挤出医生利他性的风险。考虑医疗服务提供者的利他性特点，设计适当的维护医生利他性的激励机制是医院回归公益性和卫生事业健康发展的基础。但对医疗服务提供者利他性测量存在一定难度，从利他性角度设计医疗服务提供方适当激励政策的研究还非常有限。本文从医疗服务提供者利他性的内涵、理论模型和测量方法层面进行评述，并探讨对供方激励政策的启示，以期为完善符合医疗行业特点的供方激励机制提供参考。 |
| 关键词:医疗服务提供者 利他性 激励 政策 |
| 基金项目:国家自然科学基金面上项目（71774113） |
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| Altruism of medical service provider: Connotation, measurement, and implications on incentive polices |
| HAN You-li, ZHANG Yue |
| School of Public Health, Capital Medical University, Beijing 100069, China |
| Abstract:The uncertainty of medical services and the asymmetry of information determine that medical providers are different from those of general commodities. In the process of medical services, it is difficult for patients to make judgments on the quality of medical services, so,service providers' altruism is the key to ensuring patients' guaranteed benefits. Many studies support the hypothesis of altruistic behavior of medical service providers, however, improper economic incentives have the risk of crowding out doctors' altruism. Considering medical service providers' altruistic characteristics, designing an appropriate incentive mechanism to maintain the altruism of medical providers is important for hospitals to return to public welfare, and it is also a long-term strategy for the sustainable development of healthcare service system. However, it is difficult to measure the altruism of medical service providers, and from this perspective, in-depth research on the design of appropriate incentive policies is still very limited. This article analyzes the connotation, theoretical models, and empirical evidences of medical service providers' altruism, and then explores the implications on supplier incentive policies in order to provide a reference for perfecting supplier incentive mechanisms in line with the characteristics of the medical industry. |
| Key words:Medical service provider Altruism Incentive Policy |
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