健康管理联合体交易费用的测度与应对策略

Measurement and Coping Strategies of Transaction Costs of Health Management System

健康管理联合体(Health Management Alliance,HMA)作为整合型医疗卫生服务体系的重要构成已在全国范围内初步建立,基于现实情境,归纳交易费用学理嬗变过程、辨析HMA本质特征、解构HMA交易费用并提出量化测度的模型,将HMA交易费用的应对策略归纳为“知”“减”“增”3个层面。目的在于有效降低高昂的交易费用,探寻节约性制度供给路径;纠正前期学界仅聚焦HMA“产出导向”视野的偏差,吸引各方对HMA交易费用的关注与思考;为我国HMA政策研究与改革实践提供新思路。

Based on the reality that the Health Management Alliance(HMA)has been initially established nationwide as an important component of the integrated health care service system,on the basis of summarizing the evolution process of transaction cost theory,discriminating the essential characteristics of HMA,deconstructing HMA transaction cost and putting forward a quantitative measurement model,the coping strategies of HMA transaction cost are summarized into three levels:“knowing”,“reducing”and“increasing”.It aims to solve the high transaction cost effectively and explore the economic system supply path;correct the deviation of the field of vision which only focuses on the“output orientation”of HMA in the early stage,and arouse the attention and thinking of all parties on the transaction cost of HMA;provide a new position and a new idea for HMA policy research and reform practice in China.