Research on the Measurement and Coping Strategies of Transaction Costs of Compact County Medical Alliance
- VernacularTitle:紧密型县域医共体交易费用测度与应对策略研究
- Author:
Xiangxu LI
1
;
Yadong NIU
;
Xin ZENG
;
Yinfei LI
;
Zhanlei SHEN
;
Ruizhe REN
;
Yudong MIAO
Author Information
1. 河南省医学科学院 河南 郑州 450003
- Keywords:
compact county medical alliance;
integrated healthcare delivery system;
transaction cost
- From:
Chinese Hospital Management
2024;44(8):5-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To measure the transaction costs of compact county medical alliance and propose counter-measures.Methods Based on Williamson-Zhang Wuchang analysis paradigm,it established the measure matrix of transaction cost of compact county medical alliance.Through the typical sampling method,the medical community of D city in Haixi Prefecture,Qinghai Province was selected as a research example to carry out an empirical study.Results The total transaction cost of the compact county medical community was 6 292 500.00 yuan,the transac-tion cost of the leading hospital was 6 234 300.00 yuan,accounting for 99.07％,and the special investment of the leading hospital reached to 5 887 100.00 yuan,accounting for 94.43％.The total transaction cost of the 298 referred patients was 308 400.00 yuan,and the average transaction cost per patient was 1 035.05 yuan.Conclusion The transaction costs of compact county medical alliance was generally high,most of which was borne by the leading hospital,and the patients also had to bear the corresponding transaction costs.In the next stage,the transaction costs should be dealt with from three aspects,including recognizing the secrecy and universality of the transaction costs,establishing economical system supply and establishing a sound compensation mechanism.
