我国长三角地区医疗服务价格协同治理:内涵诠释与理论框架

The Coordinated Governance of Healthcare Service Prices in the Yangtze River Delta Region of China:Connotation Interpretation and Theoretical Framework

如何在长三角区域一体化进程中发挥好关乎民生福祉的医疗服务价格协同治理优势,有效解决区域医疗服务比价关系等问题,具有重要的现实意义。诠释长三角地区医疗服务价格协同治理内涵的基础上,借鉴SFIC模型,构建协同动因、协同目标、协同主体、协同程序与协同过程五维协同治理理论分析框架,分析我国长三角地区医疗服务价格协调管理工作,指出在协同动因上应确保治理主体间有强烈的协作意愿,在协同目标上应以实现区域共同利益最大化为愿景,在协同主体上应建立多元主体共治与顶层统筹的管理模式,在协同程序上应构建透明规范化规则与信息共享机制,在协同过程上应通过多元主体互相协商决策以达成理顺区域医疗服务比价关系等共识。

In the process of integrated development in the Yangtze River Delta region,effectively leveraging the advantages of coordinated governance in medical service pricing that are crucial to the well-being of the population and addressing issues such as the regional healthcare service price comparison system holds important practical significance.Based on elucidating the essence of coordinated governance in medical service pricing in the Yangtze River Delta region,it draws upon the SFIC model to construct a five-dimensional theoretical analysis framework for coordinated governance,encompassing collaborative motives,collaborative goals,collaborative entities,collaborative procedures,and collaborative processes.In analyzing the coordinated management of medical service pricing in the Yangtze River Delta region,in terms of collaborative motives,it is essential to ensure a strong willingness for collaboration among governance entities.Regarding collaborative goals,the vision should be centered on maximizing common regional interests.Concerning collaborative entities,a management model involving the collaborative governance of diverse entities and top-level coordination should be established.For collaborative procedures,it is crucial to formulate transparent and standardized rules and mechanisms for information sharing.In terms of collaborative processes,consensus on issues such as streamlining regional healthcare service price relationships should be achieved through the mutual negotiation and decision-making of diverse entities.