Study on cooperative governance of overtreatment based on the insured empowerment under the perspective of game theory

JIANG Dan, XU Fang-ping, XU Li-ying, YANG Huan, CHU Shu-zhen

Soft Science of Health ›› 2021, Vol. 35 ›› Issue (10) : 19-23.

PDF(4853 KB)
PDF(4853 KB)
Soft Science of Health ›› 2021, Vol. 35 ›› Issue (10) : 19-23. DOI: 10.3969/j.issn.1003-2800.2021.10.004

Study on cooperative governance of overtreatment based on the insured empowerment under the perspective of game theory

  • JIANG Dan, XU Fang-ping, XU Li-ying, YANG Huan, CHU Shu-zhen
Author information +
History +

Abstract

Objective To study the positive effect of the insured empowerment in solving the problem of overtreatment by taking the medicine-induced consumption of overtreatment as the specific research scenario. Methods Through the construction of “insured person-medical prescription-government” three dynamic game model,this paper explored the game strategy of participating in cooperative governance of medical insurance parties based on the insured empowerment. Results The empowerment of the insured had a positive promotion effect on government control and a negative effect on medical prescription induction;Reduce the cost of participating in governance,increase governance income,can promote participation of the insured in governance. Conclusions Model validation finds that the participation of the insured can improve the control effect of the government on the medical prescription induced consumption,reduce the probability of medical prescription induced consumption,and improve the problem of overtreatment obviously;Cultivating the right consciousness of the insured and perfecting the related system construction will help to accelerate the implementation of the right of the insured;Reducing the degree of information asymmetry can reduce the cost of governance and promote the participation of insured people in governance.

Key words

the insured empowerment / overtreatment / cooperative governance / game theory

Cite this article

Download Citations
JIANG Dan, XU Fang-ping, XU Li-ying, YANG Huan, CHU Shu-zhen. Study on cooperative governance of overtreatment based on the insured empowerment under the perspective of game theory[J]. Soft Science of Health, 2021, 35(10): 19-23 https://doi.org/10.3969/j.issn.1003-2800.2021.10.004

References

[1] 黄国武,仇雨临.医疗保险治理现代化:内在逻辑和路径推演[J].四川大学学报(哲学社会科学版),2019,221(2):96-104.
[2] 王梦潇,刘冬妍,孙洛平.医疗服务的社会效率研究[J].中山大学学报(社会科学版),2015,55(2):197-204.
[3] 郑树忠.探索医保管理向医保治理的转型发展——以上海完善医保预算管理协商谈判机制为例[J].中国医疗保险,2015(8):26-28.
[4] 汤普金斯.公共管理学说史:组织理论与公共管理[M]:上海译文出版社,2010.
[5] E F.Client Control and Medical Practice[J].American Journal and Sociolgy,1960(4):374.
[6] 卢建龙,姜 艳,吕力琅,等.医患委托代理关系的双向选择行为模型:基于信息传递与预期收益[J].中国卫生政策研究,2019,12(7):24-27.
[7] 谢识予.经济博弈论(第三版)[M].上海:复旦大学出版社,2010.
[8] 王家合,戴星原,杨 嬛,等.中部欠发达县域社会办医的协同治理效果评价——以湖北省麻城市为例[J].经济地理,2019,39(3):48-56.
PDF(4853 KB)

1793

Accesses

0

Citation

Detail

Sections
Recommended

/