Study on Measurement and Evaluation of Transaction Costs of Compact Urban Medical Groups
- VernacularTitle:紧密型城市医疗集团交易费用测量与评价研究
- Author:
Yudong MIAO
1
;
Yadong NIU
;
Xiangxu LI
;
Xin ZENG
;
Yinfei LI
;
Zhanlei SHEN
;
Ruizhe REN
Author Information
1. 郑州大学公共卫生学院 河南 郑州 450001
- Keywords:
compact urban medical group;
integrated delivery system;
transaction cost
- From:
Chinese Hospital Management
2024;44(8):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To measure the transaction costs of compact urban medical groups and analyze the evaluation of transaction costs by various stakeholders.Methods Using the typical sampling method,it took the Compact Urban Medical Group of J District General Hospital in Zhengzhou City,Henan Province as an example.A questionnaire sur-vey was conducted on the construction party(health administration department,leading hospital and member units)and related staff from January 19 to 24,2024.The contents of the survey included institutional statements,basic information of the respondents,relevant fees or costs of each participant,and the evaluation of transaction costs by the staff of each institutional participant.Results In 2023,the total transaction cost of District J Medical Group in Zhengzhou City was 75 811 014.49 yuan;the majority of transaction costs were borne by the leading hospi-tal(98.1％);all stakeholders confirmed the existence of transaction costs in the medical group,but there were dif-ferences in the perception of the manifestations and distribution of transaction costs(P＜0.05).Conclusion The transaction costs of compact urban medical group are high,most of which are borne by the leading hospital;The stakeholders have not yet clearly understood the form and distribution of transaction costs.The measures to deal with transaction costs include"facing up to the widespread existence of transaction costs","improving the compensation incentive mechanism"and"establishing a saving system supply path".
