The relationship and optimization suggestions between medical treatment system and medical insurance system from the perspective of system theory, game theory and synergy theory
10.3760/cma.j.cn111325-20201230-02273
- VernacularTitle:系统论、博弈论及协同论视角下医疗与医保体系的关系及优化建议
- Author:
Yurong BAO
1
;
Liping YING
;
Sisi TANG
;
Yinghui BAO
;
Linlin JIANG
;
Shijun ZHU
Author Information
1. 解放军总医院第二医学中心质量管理科，北京 100853
- Keywords:
Interdepartmental relations;
Medical treatment system;
Medical insurance system;
Linkage;
Reform
- From:
Chinese Journal of Hospital Administration
2021;37(8):627-630
- CountryChina
- Language:Chinese
-
Abstract:
The positive interaction between medical treatment system and medical insurance system is of great significance to promote the reform of medical and health care system. Due to the complexity of the relationship between them, it is difficult to explain it comprehensively with a single theoretical method. The authors analyzed the relationship between medical treatment system and medical insurance system by applying system theory, game theory and synergy theory, and then put forward policy suggestions to optimize the linkage reform of medical treatment system and medical insurance system, so as to better promote the reform of " three medical linkage" and promote the construction of healthy China. The suggestions included optimizing the allocation of health resources, accelerating the construction of medical insurance legislation and health technical evaluation system, strengthening the construction of multi-level medical insurance system, promoting the inter regional information interconnection between medical care and medical insurance, improving the coordination mechanism, negotiation mechanism, incentive and constraint mechanism between medical care and medical insurance.
