Coordination mechanism of medical insurance payment system and salary system reform in public hospitals :An expectancy theory analysis on paid physician behavior
10.3969/j.issn.1674-2982.2018.12.008
- VernacularTitle:医保支付方式与公立医院薪酬制度改革协同机制研究——基于期望理论的领薪医生行为分析
- Author:
Yang SUN
1
;
Xue-Fei GU
;
You-Mei FENG
Author Information
1. 武汉大学政治与公共管理学院 湖北武汉 430072
- Keywords:
Payment method;
Salary system;
Public hospital;
Expectation theory;
Incentive compatibility
- From:
Chinese Journal of Health Policy
2018;11(12):45-50
- CountryChina
- Language:Chinese
-
Abstract:
The in-depth improvement of medical treatment is particularly important for the integrity, systema-ticity and synergy of the reform. Through the theoretical analysis of physician's incentive expectation, it was found that the doctor's behavior is continuously affected by the three pairs of motivational relationships, and the interrupted or distorted incentive relationship is not conducive to guiding the reasonable service delivery from physicians. In these three pairs of incentive relationship, the two reforms of medical insurance payment system and physician's salary system occupy an important position, and their degree of correlation is extremely high. Only when the two are effectively synergistic can the incentive compatibility" of public medical institutions and physicians be realized to achieve the expected results. The goal of is to make a change in the physician's behavior as expected by the health system in the reform.
