契约理论视角下医疗保险支付制度的选择及演变分析

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医疗支付制度是医疗交易的一个重要环节,支付制度的选择决定着医疗活动的数量、质量和效率。文章给出了医疗保险支付制度的经济学定义,并首先从保障的视角用控制理论对医疗保险支付制度进行了分析,接着变换角度来理解支付制度,重新审视支付制度的选择和演变过程。在此基础上引入新制度经济学的契约理论,从交易费用的角度研究医疗领域支付制度的选择和发展趋势。 Medical payment system is an important part of medical transactions, the choice of payment system determines the quantity, quality and efficiency of medical activities. The article gives the definition of the medical insurance payment system, and first analyzes the medical insurance payment system from the perspective of security. Then it analyzes the payment system from the perspective of transformation and reexamines the choice and evolution of the payment system. Based on this, the contract theory of new institutional economics is introduced to study the choice and development trend of payment system in medical field from the perspective of transaction costs.
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