Research on the"Package Payment"Problem of the Compact County Medical Community Based on Multi-Dimension-al Scale Analysis and Social Network Analysis
- VernacularTitle:基于多维尺度分析和社会网络分析的紧密型县域医共体"打包付费"问题研究
- Author:
Lingbo HUANG
1
,
2
;
Xinglong ZHANG
;
Peiyun LIU
;
Rong PENG
;
Xianjing TAN
;
Qiming FENG
Author Information
1. 广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位) 南宁 530021
2. 广西医科大学信息与管理学院 南宁 530021
- Keywords:
compact county medical community;
total payment;
multi-dimension scaling;
social network analysis
- From:
Chinese Health Economics
2024;43(1):26-30
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the core issues in the implementation of"packaged payment"in China's compact county medi-cal community,in order to provide useful references for the innovative reform of medical insurance payment methods in compact coun-ty medical community.Methods:By constructing the problem system through the macro model of the health system,analyzing the re-lated literature using multidimensional scale analysis and social network analysis,and comprehensively evaluating the results using the entropy-weighted TOPSIS method,it summarizes the core issues of"packaged payment"in compact county medical community.Results:There are core issues in China's compact county medical community,such as inadequate distribution of benefits and incen-tive and constraint mechanisms within the medical community(Ci= 1.000),lack of effective supervision and assessment mechanism for medical communities(Ci= 0.732),suppressed quality and efficiency of medical services(Ci= 0.652),lagging medical informatiza-tion construction(Ci= 0.595),and incomplete supporting policy measures(Ci= 0.579).Conclusion:The"packaged payment"of com-pact county medical community can be optimized from the following three aspects:a multi-level collaborative incentive mechanism should be improved to ensure the service quality and efficiency;optimize the total amount calculation method and improve the de-tailed supporting measures;accelerate information construction and strengthen supervision and assessment management.
