Study On Getting Rid Of China’s "drug-maintaining-medicine": Analysis From The Perspective Of Mechanism Design Theory

In the current new round of health care reform, to get rid of "drug-maintaining-medicine" mechanism has become a vital breakthrough in the reform of china’s public hospitals. It is also a key aspect to ensure that public hospitals return to the public welfare, a key measure to alleviate the problem of "difficult to see a doctor, see a doctor expensive" and the strained doctor-patient relationship and so on. Although some of domestic provinces and cities have been carried out to get rid of "drug-maintaining-medicine" mechanism, the understanding of the social from all walks of life to this mechanism is far from enough. The voice is to defend "drug-maintaining-medicine" mechanism still be heard.In this paper, the “Goal-results” principle of mechanism design theory proved the "drug-maintaining-medicine" mechanism reverse incentive is the real reason to make new medical reform for getting into trouble. However, Gave rise to adverse incentive effects of the medicine for the "drug-maintaining-medicine" is contrary to the principle of "incentive compatibility", this is also the root causes of many defects in the field of current medical. Thus the new reform should follow the basic idea is to create a positive incentive mechanism of incentive compatibility. This paper tries to use community recognized theoretical tool to explore the effective path to solve the problem of major reality in today’s society. It is a beneficial exploration and tries in the academic.On the basis of knowing the purpose and significance,this paper is divided into six parts. The first part is the introduction. The second part discusses and analysis the formation of the "drug-maintaining-medicine" mechanism and its evolution, which discusses the addition of drug policy gradual formed profit of “drugs to support medical" mechanism, as well as this mechanism gradually reverse the development of crazy profit incentives. The third part use the “Goal-results” principle of mechanism design theory to Search for the "drug-maintaining-medicine" mechanism formed by the reverse incentive mechanism. This mechanism makes the goal of the hospital and social goal deviation or departure from, and is the real reason for new reform in our country in trouble. The fourth part is designed to analysis the "drug-maintaining-medicine" mechanism in China. Due to this mechanism design defect, resulting in the mechanism produced the serious negative effect of perverse incentives, namely the incentive incompatibility. Thus, using the principle of incentive compatibility deeply reveal the drawbacks of “drugs to support medical" mechanism in our country. The "drug-maintaining-medicine" mechanism informed a strong adverse incentives, is caused by series of deformed society for the current situation,such as “see a doctor expensive" 、"Good doctors and cheap drug to be eliminated"、"Tense doctor-patient relationship"、"Public hospital public welfare loss" and so on. The fifth part is mainly drawn inspiration from foreign experience in medical compensation settlement mechanism for getting rid of "drug-maintaining-medicine" in our country. The sixth part on the basis of learning foreign countries’ experience, Proposed using the incentive compatibility principle to reform China’s "drug-maintaining-medicine" mechanism countermeasures and Suggestions. To break the "drug-maintaining-medicine" mechanism cannot achieved by single measure, but by a whole mechanism can fundamentally break this mechanism. To find the correct path for the health care reform to relieve "difficult to see a doctor, see a doctor expensive" 、 "Tense doctor-patient relationship".