基于最优理论的民营医院与公立医院共生协同利益决策机制研究

Benefit Decision-making Mechanism Research on the Symbiotic Cooperation between Private Hospitals and Public Hospitals Based on Optimized Theory

目的:研究民营医院与公立医院之间医疗共享资源利益决策问题,探寻民营医院和公立医院共生协同的内在机理。方法:利用最大化法深入研究民营医院与公立医院决策机制。结果:在医疗共享资源供给大于需求时,民营医院和公立医院共生协同合作能够带来额外的医疗服务市场总利益,民营医院与公立医院协同决策优于独立决策;在医疗共享资源供给小于需求情况下,两者协同决策不能给医疗服务市场带来额外利益。结论:为了充分利用医疗资源,更好地服务居民,同时促使医疗服务市场总利益最大化,建议搭建信息协同平台、形成有效的协同机制以及建立协同绩效评价体系。

Objective： To study the problem of the interests decision-making about sharing medical resources between private hospitals and public hospitals research, and to explore the internal symbiosis mechanism of private hospitals and public hospitals. Methods： The maximization method was applied to study in depth the decision-making and benefit distribution mechanism of private hospi- tals and public hospitals. Results： The symbiotic cooperation of private hospitals and public hospitals could bring the total additional benefits of the medical service market when the supply of the sharing medical resources was greater than demand. Collaborative decision was better than independent decision-making between private hospitals and public hospitals. When the supply of sharing in medical resources was less than demand situation, the symbiotic cooperation decisions of both hospitals could not bring additional benefits from the medical service market. Conclusion： In order to make full use of medical resources, provide better service to the residents and maximize the total benefit of the medical service market, it was recommended to build the information platform, form effective coordination mechanism and establish collaborative performance evaluation.