摘要
解决医疗、医保和医药协同发展,就是要解决主体间角色博弈的问题。基于共容利益理论,构建了我国医疗、医保和医药协同发展的理论框架,并按照所需对策细分出须健全型共容利益、须削减型共容利益和须建立型共容利益三种类型。采取PMC指数方法,对市级三医协同政策实现共容利益的程度进行了分析,发现须健全型共容利益最满足预期,须削减型共容利益次之,须建立型共容利益最为薄弱。多数样本市政策符合促进三医协同共容利益的预期,但是在集体谈判协商、药品耗材带量采购、年薪制等方面仍有一定的差距,尤其以医联体打包付费政策与预期差距较大,亟待政策跟进。
The solution to the synergistic development of healthcare,health insurance,and pharmaceuticals is to solve the problem of intersubjective role games.Based on the theory of compatible interests,the article constructs a theoretical framework for the synergistic development of China's healthcare,health insurance,and pharmaceuticals.It also categorizes three types of responses according to their needs,namely,“accommodating benefits to be robust,”“accommodating benefits to be reduced,”and“accommodating benefits to be established.”Further,the article adopts the PMC index methodology to analyze the extent to which municipal triple health care policies have achieved co-benefits and finds that the“accommodating benefits to be robust”policy best meets expectations,the“accommodating benefits to be reduced”policy second,and the“accommodating benefits to be established”policy weakest.Specifically,most of the sample cities'policies meet the expectation of promoting the compatible benefits of the tripartite system,but there are still some gaps in collective bargaining and negotiation of banded purchasing of drugs and consumables.In particular,there is a large gap between the policy on packaged payment for health care organizations and the expectations,and there is an urgent need to follow up on the policy.The article improves the weak theoretical foundation of the current tripartite system research and tries to analyze the synergy index of the tripartite system from the perspective of internal interests,which expands the analytical dimension of the quantitative research on the tripartite system.
作者
梁金刚
LIANG Jingang(College of Sociology and Nationalities,University of Chinese Academy of Social Sciences,Beijing 102400,China)
出处
《经济与管理》
北大核心
2026年第2期55-62,共8页
Economy and Management
