患者效用最大化就医决策与深化新医改的路径选择

A Pathway Choice of Patient Utility Maximization and Deepening New Healthcare Reform

患者效用最大化下的就医决策模式和预算约束条件下的医疗机构质量—数量模型研究结论揭示:通过降低价格提高医疗服务需求的增量有限,患者效用最大化表现为对具有更高的质量价格比的医疗服务的需求增加。深化新医改的路径选择要以提高医疗服务质量为导向,通过建立激发供方的效率机制,特别是提高基层医疗机构的服务水平,保持患者长期效用的持续增长。

The findings from clinical decision making on patient utility maximization and quality - quantity mod- el of healthcare institute within budget constraint showed ： there is a limited power to increase healthcare demand by reducing price; and the most significant character of patient utility maximization is that patients need quality care and cost - effective service. To deepen health reform, we should pay attention to promote heahhcare service quality and improve patient＇ s long - term utility by stimulating efficiency mechanism of provider.