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医疗、医保、医药三方发展失调的恶性循环模型
引用本文:罗力,白常凯,马安宁,尹爱田,林海,苌凤水,王志锋,傅鸿鹏,张勇,邵晶晶,郝模.医疗、医保、医药三方发展失调的恶性循环模型[J].中国医院管理,2002,22(9):48-50.
作者姓名:罗力  白常凯  马安宁  尹爱田  林海  苌凤水  王志锋  傅鸿鹏  张勇  邵晶晶  郝模
作者单位:1. 复旦大学卫生事业管理学教研室,上海市,200032
2. 山东省潍坊医学院,潍坊市,261042
3. 山东省潍坊市卫生局,潍坊市,261000
基金项目:国家杰出青年基金(批号:79925002),教育部博士点基金,上海市优秀学科带头人基金,上海市教委青年基金
摘    要:分析了次均费用过快增长的原因和作用机制,并将之用于补充课题组前期研制的医院补偿机制恶性循环模型,提出了医疗、医保,医药三方发展有失协调的恶性循环模型,研究认国,基于医疗费用这一纽带,医疗保障制度,医院,药品生产和营销商处于同一系统中,彼此之间相互影响,任何一方的操作失当必将引起其他方面的联动反应,正由于这样一种联动反应,导致医疗,医保,医药三方处于恶性循环当中。

关 键 词:医疗  医保  医药  卫生系统  恶性循环  作用机制
文章编号:1001-5329(2002)09-0048-03
修稿时间:2002年7月24日

The Vicious Circle Model of Health System Development
Luo Li,Bai Changkai,Ma Anning,et al..The Vicious Circle Model of Health System Development[J].Chinese Hospital Management,2002,22(9):48-50.
Authors:Luo Li  Bai Changkai  Ma Anning  
Affiliation:Luo Li,Bai Changkai,Ma Anning,et al. First-author' s address The Department of Health Policy and Management,Fudan University,Shanghai,200032,PRC.
Abstract:In this paper, study team analyzed the reasons and mechanism of medical expenditure per patient over - increase and improved the model of vicious circle of hospital reimbursement mechanism which was developed by the prophase research of study team. The model of vicious circle of health system development was developed by this study and shows study results as following: combined by the tache of medical expenditure, medical insurances, hospitals and drug industries influenced each other. Any error operation in each part will result in co-reaction of other parts and vicious circle of hospitals, medical insurances and drug industries.
Keywords:health system  vicious circle  mechanism
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