摘要
本文认为,患者的行为心理因素是造成就医集中的重要原因,具体包括参照点的选择与偏好逆转、损失厌恶和风险规避、框架效应与启发式偏向、心理账户、敏感度递减等。通过加强社区医院的力量、改革医疗保险的支付方式、在居民中形成正确的医学技术观等措施,可以缓解这一反常现象。
Behavioral and physiological factors mainly contributed to concentration of medical care seeking, which included reference choice and preference reversals, loss averse and risk reduction, framing effect and heuristic bias and mental accounting et al. these phenomenon can be reduced by enforcing community hospitals, reforming health insurance payment and building correct views on medical technology.
关键词
就医集中
参照点
风险规避
心理账户
敏感度递减
medical care seeking concentration
reference point
risk reduction
mental accounting
sensitivity descending
