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在2009年开始的我国新一轮医疗卫生体制改革中,积极探索建立医疗保险经办机构与医疗机构、药品供应商之间的谈判机制被正式纳入了新医改的方案,这是合理控制医疗服务和药品费用并处理好相关利益主体之间关系的行之有效的选择。本文立足于对医疗保险谈判机制构建的理论基础研究,分析涉及到的几个典型理论,以期对我国在新医改中构建医疗保险谈判机制提供启示。
In the new round of health care system reform that started in China in 2009, we actively explored the establishment of a negotiating mechanism between medical insurance agencies and medical institutions and drug suppliers, and formally incorporated the new medical reform program. This is a reasonable control of medical services And drug costs and deal with the relationship between the relevant stakeholders effective choice. Based on the theoretical foundation of the construction of medical insurance negotiation mechanism, this article analyzes several typical theories involved in order to provide enlightenment for our country to construct medical insurance negotiation mechanism in the new medical reform.