Study On The Credit Evaluation Of Certified Hospitals In Shanghai

Nowadays, social medical insurance system’s innovation has been entered“ameliorate system, improve management and customer services”the new stage. Along with the development of society and economy, there are more and more credit factors may cause some safety problems about the social medical insurance fund. Some certified hospitals violating the rule will not only cause the difficulty of control medical treatment fee and balance of the social medical insurance fund, but also result in cumber innovation of the social medical insurance fund system.This paper is research on the problems in some certified hospitals in ShangHai violating rules and also integrate the difficulty to manage the social medical insurance policy, thus, the article will explore that credit factors of the certified hospital may lead medical treatment fee increased and Game theory pointview try to find some good ideas in order to solve the balance of the social medical insurance fund. Meanwhile, it is scientific evaluation about certified hospital’s creditability as well. Secondly, the designated hospitals need to establish creditable evaluation system and fuzzy evaluation model, therefore, it will get truly result about creditable evaluation.In addition, according to this truly result with management at different levels and to establish the effective control management and punishment of break faith system, as a result, these new management will lead the medical resources allocate more effectively. It will help promote the social medical insurance system’s innovation and will also benefit the further development in this harmonious society.