The Research Of Urban Basic Medical Service Supplier Compensation Mechanism Reconstruction

With starting and improvement of government medical system reform project in world-wide countries and regions,"medical reform" which ranges over national politic, economic and social system transform already becomes further focus of peoples. As global the biggest population, the fastest economy growth,"medical reform" in China caused global attention. Theory and research about it have become global favorite selected topic of many subjects field study including public administration subject.Both at past and present, internal and overseas, the research of system design and practice for"medical reform" revolves around two basic sections:Firstly create perfect social fundamental medical guarantee system, secondly guaranty and opitimize social basic medical service supply, the former mainly provide social fund-raising guarantee for satisfy social member’s basic medical service requirement, the latter provide service supply guarantee for it, both supplement each other and is indispensable.Now with continuously improvement of national social fundamental medical guarantee system, in process of conducting "medical reform" tasks of guaranty and optimize social basic medical service supply become more and more severe and urgent.Basic medical service supplier compensation mechamism reform as premise, foundation and important security of realizing guaranty and optimize social basic medical service supply objective,certainly becomes important content and main task of new "medical reform".Now our society occurring urban and suburban "dualization" construction pattern caused contradiction foregrounding of public hospitals centralization and "difficulties,high expense in medical care","medical reform" deep level systematic, mechanistic, structural problems centralization, with social great influncial urban basic medical service supplier compensation mechanism reform seems more urgent, complex, difficult. Base on the fact of urban basic medical service supplier compensation,"medical reform" main objective as guidance, scientific theory as tool reconstruction of urban basic medical service supplier compensation mechanism is responsibility and inevitable choice of government as "medical reform" guide.For the problem of basic medical service supplier compensation, people have different understanding, accordingly research about it also can have various selections. The subject use awarded theory of the Noble economic Prize--mechanism design theory as theoretic tool, on the basis of surveying fact research and discuss the background, connotation, goal, meaning of urban basic medical service supplier compensation mechanism reconstruction under background of new "medical reform", mechanism design theory’s suitability to the mechanism reconstruction, emphasis on discussing how to take optimizing urban basic medical service supply as target,with mechanism design theory basic principle conduct urban basic medical service supplier compensation mechanism reconstruction, point out it’s possibly active contribution to China urban basic medical service supplier compensation mechanism reform and medical system reform,put forward urban basic medical service supplier compensation new mechanism base on mechanism design theory reconstruction. Come to a conclusion, China urban basic medical service supplier compensation mechanism reconstruction need conduct mechanism design by goverment, under mechanism design theory it may satisfy the condition requirement of information efficiency, incentive compatibility, multiple equilibria, feasible and the conclusion is that social basic medical insurance system and human subjective dynamic function will play key role in the practice of urban basic medical service supplier compensation which completed mechanism reconstruction.