| 摘要: |
目的 研究我国建立分级诊疗制度的困境以及相关解决政策建议。方法 利用博弈论和帕累托改进理论分析促进分级诊疗制度的实施方法。结果 分级诊疗的难点在于未能实现拍累托改进，即患者和政府可以在分级诊疗制度中节约成本，但医生并未得到相应的激励，因此，缺乏下沉积极性。结论 若能够让政府和患者节省的一部分费用补贴给大医院医生，则这些医生就会下沉到基层医疗机构，即可以实现帕累托改进、建立分级诊疗就医秩序。 |
| 关键词: 分级诊疗 博弈 纳什均衡 帕累托改进 |
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| Analysis and Policy Suggestion of Hierarchical Diagnosis and Treatment System Based on Game Theory in China |
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| Abstract: |
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Objective To discuss the dilemma of establishing the hierarchical diagnosis and treatment system in China and the relevant policy recommendations. Methods Game theory and Pareto improvement theory can be used to analyze and promote the implementation of the hierarchical diagnosis and treatment system. Results The difficulty of grading diagnosis and treatment lies in the failure to achieve Pareto improvement，that is，patients and the government can save costs in the grading system，but doctors have not been given corresponding incentives，therefore，they are lack of enthusiasm for subsidence. Conclusion The hierarchical diagnosis and treatment system can save the government subsidies for health insurance and medical costs. If the doctor can get part of the costs，they will sink to the grassroots medical institutions，which can realize the Pareto improvement. The order of medical treatment and classification will be formed. |
| Key words: hierarchical diagnosis and treatment,game,Nash equilibrium,Pareto improvement |
