分级诊疗制度关涉主体的利益冲突与协调

The Interest Mechanism of Optimal Allocation of Resources about Hierarchical Diagnosis to Build Between Related Subjects

目前我国实施的分级诊疗制度关涉医疗卫生管理机构、医院、患者及其家属、社会组织等多个利益主体,这些利益主体为自我利益的最大化暗中博弈,从而导致分级诊疗制度的整体实施步履维艰。从"利益相关者"理论的视角看,只有建立互利、共赢的协调机制来均衡各方利益关系,才能化解分级诊疗制度实施过程中不同利益主体之间的利益矛盾,从而促成分级诊疗制度的有序推进和长效实施。

At present, the implementation of the policy of hierarchical diagnosis relates to medical and health agencies, hospitals, patients and their families, social organizations, and other stakeholders, they are involved in the maximizing self-interest and secret game, resulting in the overall implementation of the ＂ hierarchical diagnosis＂ policy process hard steps. From the perspective of the ＂stakeholders＂ theory, only balance the interests of relevant parties by creating the coordinating mechanism of mutual benefit and win-win results can defuse the conflict of interests among the various interest subjects in the process of the hierarchical diagnosis, thus be the basic guarantee of hierarchical diagnosis for its ordered improvement and effective execution.