健康发展与政策研究2024，Vol.27Issue(6)：500-504,536,6.DOI:10.12458/HDPR.202409020
整合型医疗卫生服务体系交易费用:解构、测度与应对
Transaction costs of integrated delivery systems:deconstruction,measurement,and strategic responses
摘要
Abstract
The establishment of an integrated delivery system(IDS)marks a significant reform in healthcare service provision,representing a critical trend in global healthcare reforms,and serving as a crucial framework for achieving the Healthy China initiative.Reducing transaction costs is key to the successful implementation of this new system.Guided by the Williamson-Steven Cheung transaction cost analysis paradigm,this study decomposes transaction costs into planning and decision-making costs,operational collaboration costs,specific investment costs,and supervision costs,thereby constructing a micro-measurement model for IDS transaction costs.Leveraging actor-network theory,the study proposes strategies to enhance awareness of transaction costs,establish cost-saving institutional provisions,refine compensation and incentive mechanisms,and create pathways for collective action among stakeholders.These strategies aim to reduce IDS transaction costs and facilitate the resilient and sustainable operation the system.关键词
整合型医疗卫生服务体系/交易费用/解构/测度模型/应对策略Key words
integrated delivery systems/transaction costs/deconstruction/measurement model/response strategies分类
医药卫生引用本文复制引用
苗豫东,朱东方,李寅飞,申战垒..整合型医疗卫生服务体系交易费用:解构、测度与应对[J].健康发展与政策研究,2024,27(6):500-504,536,6.基金项目
国家社会科学基金一般项目(21BGL222) （21BGL222）
