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Economic method and the concept of competition
JIA Hongbo. Ideal Relation between Administrative Department of Basic Medical Insurance Fund and Public Hospital: Theory and Its Implication for Public Hospital Reform[J]. Journal of Beijing University of Aeronautics and Astronautics Social Sciences Edition, 2018, 31(4): 44-52, 59. DOI: 10.13766/j.bhsk.1008-2204.2018.0107
Authors:JIA Hongbo
Affiliation:Institute of Social Security, Beijing University of Aeronautics and Astronautics, Beijing 100083, China
Abstract:
The essential relation between administrative department of basic medical insurance fund and public hospital is the relation between demand and supply of healthcare. Consumer paramountcy theory, managed (care) competition theory and cost matrix theory can be the theoretical foundation to establish ideal relation between administrative department of basic medical insurance fund and public hospital. The reform of public hospital in the future should move towards the following:public hospital should be de-administration and become independent market player, administrative department of basic medical insurance fund should purchase basic health care from public hospital by means of negotiating, the reimbursement of basic medical insurance should transform into payment for performance, the competition should be carried out among public hospital and non-public hospital, industry supervision should be strengthen after separating of medical treatment and drug sale, leading position of administrative department of basic medical insurance fund should be assured in the course of procurement tenders of drugs, regional planning of health resource should be improved and management of administrative department of basic medical insurance fund should be optimized further.
Keywords:administrative department of basic medical insurance fund  public hospital  consumer paramountcy  managed (care) competition  cost matrix
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