医疗服务供应链中医生多维激励机制模型分析

Analysis of multi-incentive model for doctors in medical services supply chain

目的基于供应链理论建立医生多维激励机制模型,为改进医生激励机制、提高医疗服务水平提供参考。方法利用基于信息不对称的委托代理模型,推导产出指标和监督考核指标两个维度的医生激励机制模型,给出激励强度公式,分析医生激励强度的影响因素。结果根据所得出的医生激励机制模型,可以认为对医生和医疗机构的激励强度主要取决于对医疗服务质量的外部评估和内部监督考核的准确程度。结论建立和完善医疗质量外部评估指标,加强对医生行为的内部监督和考核,引导医生的正确行为,是确保患者获得高质量医疗服务的关键。

Objective To establish a multi-incentive model for doctors based on the medical services supply chain theory, so as to provide reference for improving the incentive mechanisms for doctors and for promoting the quality of medical services. Methods Based on the asymmetric information of principal-agent model, the study developed the incentive model of doctors＇ behavior with output and surveillance indicators, deduced the formula for incentive intensity, and analyzed the influencing factors of incentive intensity. Results According to the obtained incentive model, the incentive intensity to the doctors and medical service suppliers was mainly correlated with external evaluation and internal surveillance results of medical service quality. Conclusion The key points for high quality medical service are to establish the external evaluation indicator and intensify the internal supervision and assessment to guide the behaviors of doctors.