| 引用本文：姚强,张晓丹,焦月芳,等.我国过度医疗的主要表征、生成机制及治理策略分析[J].中国卫生政策研究,2025,18(7):61-69 |
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| 我国过度医疗的主要表征、生成机制及治理策略分析 |
| 投稿时间：2025-06-01 修订日期：2025-07-07 PDF全文浏览 HTML全文浏览 |
| 姚强1,2，张晓丹1，焦月芳1，姚岚2,3 |
| 1.武汉大学政治与公共管理学院 湖北武汉 430072;2.国家医保研究院华科基地 湖北武汉 430030;3.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:本文基于阿罗的医疗服务不确定性和信息不对称性理论，系统总结分析了我国过度医疗的主要表征及生成机制，并提出治理策略。研究发现，过度医疗在我国主要表现为住院、检查、手术的过度利用，其中基层医疗机构的过度医疗问题严峻，是利益驱动机制、医疗资源供给、患者认知偏差、医保支付方式及医疗行为监管机制共同作用的结果。建议深化公立医院薪酬制度改革，完善医疗资源和医保资源规划，加强居民健康教育，优化医保待遇体系和支付方式，建立基于病种的医疗行为监管系统，通过多种手段协同治理过度医疗行为，提高医疗卫生服务的质量和效率，实现我国卫生体系的高质量发展。 |
| 关键词:过度医疗 表征 成因 治理 |
| 基金项目:国家自然科学基金面上项目（72174149）；武汉大学自主科研项目（人文社会科学）数智文科牵引专项（413000171） |
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| The characteristics， mechanisms and governance of overmedicalization in China |
| YAO Qiang1,2, ZHANG Xiao-dan1, JIAO Yue-fang1, YAO Lan2,3 |
| 1.School of Political Science and Public Administration， Wuhan University， Wuhan Hubei 430072， China;2.HUST Base of National Institute of Healthcare Security， Wuhan Hubei 430030， China;3.School of Medicine and Health Management of Tongji College， Huazhong University of Science and Technology，Wuhan Hubei 430030， China |
| Abstract:This study systematically summarizes and analyses the current situation and the generation mechanism of overmedication in China based on the uncertainty and information asymmetry of medical services， and then puts forward targeted governance strategies. The study finds that overmedicalization in China is mainly manifested in the overuse of hospitalization， examinations， and surgical procedures， with the problem being particularly severe in primary healthcare institutions. The study concludes that the formation of overmedicalization in China is the product of the combined effect of multiple factors including the interest-driven mechanism， the supply of medical resources， the cognitive bias of patients， the payment method of medical insurance and the regulatory mechanism of medical behaviour. Based on these analyses， we propose five governance measures： deepening the reform of public hospital compensation systems， strengthening the planning of medical and health insurance resources， optimizing the health insurance benefit system and payment methods， establishing a disease-based medical behavior regulation system， and enhancing public health education. The coordinated implementation of these measures could suppress the overmedicalization effectively， improve the efficiency of healthcare services and achieve the high-quality development of China's healthcare system. |
| Key words:Overmedicalization Characteristics Causes Governance |
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