Analysis on the dilemma and strategy of healthcare and prevention integration based on incentive compatibility
10.3760/cma.j.cn111325-20220218-00128
- VernacularTitle:基于激励相容的医防融合困境与策略分析
- Author:
Li TENG
1
;
Yue DAI
;
Yueping LI
Author Information
1. 福建医科大学公共卫生学院，福州 350122
- Keywords:
Public health;
Integration of healthcare and prevention;
Incentive compatibility;
Principal-agent
- From:
Chinese Journal of Hospital Administration
2022;38(8):570-574
- CountryChina
- Language:Chinese
-
Abstract:
Integration of healthcare and prevention is key path to achieving the pattern of " macro healthcare, macro health". However, it is hard at present to fully integrate healthcare and prevention in China, mostly due to the lack of effective incentive compatibility strategies. Based on the incentive compatibility theory, this study proposed a multi-level principal-agent chain of healthcare and prevention integration. Taking the incentive transmission among stakeholders in the principal-agent chain as the analysis framework, the dilemma and causes of incentive incompatibility of healthcare and prevention integration were studied.Combined with the proctice of healthcare and prevention integration in Sanming city, the incentive compatibility strategies of healthcare and prevention integration were proposed at the level of government, medical institutions, medical staff, public health staff and residents. These strategies refer to coordinating the use of medical insurance funds and public health funds, strengthening organization management as well as assessment and incentive, rewarding health promotion management points, and setting up health science popularization teams.
