Research On Excessive Medical Prevention From The Perspective Of Incentive Regulation

With the implementation of the "healthy China" strategy in China,the medical and health services are developing vigorously,and the medical expenses are also increasing rapidly.The phenomenon of high cost and difficulty in getting medical treatment is becoming more and more serious,causing a series of economic,social and political problems,which basically offset the benefits brought to the people by the reform of medical and health care.In order to control a series of short board problems exposed by excessive medical treatment,the government has adopted a variety of control policies,but the effect is not satisfactory,presenting a tendency of control failure.The traditional control strategy which ignores the information problem and incentive problem will cause serious distortion of the behavior of the regulated.Therefore,the fundamental solution to the problem of excessive medical care in China lies in the reform of medical insurance payment based on the theory of incentive regulation(new economic regulation theory),that is,reconstructing the incentive mechanism through the principal-agent public contract model.This paper on the related problems of excessive medical treatment for centralized comprehensive overview,including the definition of predecessors' research excessive medical treatment and excessive medical general external form,that it is in the unique phenomenon of medical services,the adverse effects of excessive medical treatment action analysis its reflect the process of deepening medical and health system reform in our country including public welfare fade.In addition to the waste of medical resources and worsening doctor-patient relationship and its adverse impact is embodied in the national level is the cause of the country medical expense rise unreasonably rigid,in countries from the people in society is not in conformity with the deepening of medical system reform to save medical resources,optimize resources rational allocation of maximizing social welfare,and the goal of building a harmonious doctor-patient relationship vision and yearning.In the analysis of the mechanism of excessive medical treatment,through the in-depth understanding of the connotation of the mechanism,the mechanism research model of "components-relationship-action path-result" was determined.This problem is divided into two parts: the principal's decision dimension and the agent's decision dimension.In other words,it analyzes the causes of excessive medical treatment from various aspects.It is pointed out that excessive medical treatment is a form of mutual manifestation caused by the distorted behavior of government,patients and doctors.Secondly,it integrates and analyzes and summarizes the exploration of excessive medical behavior in the country's joint treatment of three doctors,expecting to obtain the corresponding new ideas.Including the country through the top-level design to crack the "difficult to see a doctor,expensive to see a disease";The "four-wheel drive" of drug management empowerment,medical insurance payment empowerment,compensation mechanism empowerment and performance incentive empowerment is a beneficial exploration of excessive medical treatment.It also proposes the reflection of the existing governance path,including the deficiency of the legal basis regulation,the inherent malpractice in the reform process of hospital system and the current medical insurance system which is in urgent need of improvement.Then,it discusses the legitimacy basis of introducing incentive regulation theory into excessive medical treatment.On the basis of the regulation theory and regulate the development of the thought of system,the comparative analysis to the rules of western thought,shows the incentive regulation as the government regulation reform of the new trend in governance problem of excessive medical treatment advantages and self consistent theory,compatibility,incentive regulation of the government regulation of the most cutting-edge ideas,is a new way of thinking on regulatory reform.Review the theory of incentive regulation as the new regulation breakthrough to the traditional theory of regulation is the premise for asymmetric information acknowledging what problem analysis,the problem in the principal-agent framework were discussed,and combed and precipitation under the health related interest subjects including but not limited to,medical and health care system,medical and health care system of the principal-agent relationship between,then from the Angle of excessive medical treatment,based on principal-agent model analysis,incentive regulation tools with health control fee to solve major breakthrough incentive regulation design scheme is put forward.It mainly considers information disclosure regulation,price cap regulation,franchise bidding and inter-regional competition as the regulation choices of excessive medical treatment regulation in China.