Simulation Analysis on the Compensation Mechanism for High-Quality Development of Public Hospitals Based on System Dynamics Model
- VernacularTitle:基于系统动力学模型的公立医院高质量发展补偿机制仿真模拟分析
- Author:
Meifeng WANG
1
;
Xiliang LENG
;
Zhongyi TANG
;
Haiyin WANG
;
Botao TIAN
;
Chunlin JIN
Author Information
1. 上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所)上海 200040
- Publication Type:Journal Article
- Keywords:
public hospital;
compensation mechanism;
financial subsidy;
medical service;
high-quality development
- From:
Chinese Health Economics
2025;44(11):14-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To propose policy recommendations for the compensation mechanism of high-quality development of municipal public hospitals.Methods:Taking the municipal public hospitals in Shanghai as the research object,the aspects of financial subsidies,the structure of medical service income,investment in scientific research and education,and other social compensations were examined to conduct a systematic simulation of the operation of the average municipal public hospital in Shanghai under different policy intervention scenarios.Results:If the current conditions remain unchanged,the average municipal public hospital in Shanghai will face a deficit starting in 2032,the proportion of income from examinations and laboratory tests will surpass that of medical service income in 2026 and 2031,respectively.If the hospitals follow a plan of Combination Plan 3,4,and 5,the average municipal public hospital in Shanghai will be able to break even from 2023 to 2033,and the structure of medical service income will be significantly optimized.Conclusion:To establish a new compensation mechanism for high-quality hospital development that enhances medical services,it is recommended to optimize the structure of government financial compensation,explore rational pricing strategies based on categories,increase investment in scientific research and education while paying attention to the transformation of scientific and technological achievements,expand compensation channels for public hospitals,and improve relevant laws and regulations.
