医疗保险信用等级制度对医院的约束作用分析

本文一方面分析了医疗保险信用等级制度对医院业务量和收入的影响,比较该制度实施前后医疗保险管理机构对定点医院经济约束作用的变化;另一方面分析了该制度对医院信誉认知的影响、医院员工对信用等级重要性认知和医院员工提高信用等级意愿等方面的内容,确定信用等级制度对医院社会声望方面的影响以及医疗保险机构对定点医院制约作用的变化。综合以上两个方面的分析得出结论:信用等级制度对于不同医院的服务量和业务收入以及社会声望具有显著影响,医院员工具有为使医院获取社会声望而提高信用等级的明显倾向,医疗保险管理机构对定点医院的约束作用进一步增强。

Analysis of medical insurance credit rank system on restriction effect on the contracted hospitals

This article first analyzes the influences of medical insurance credit rank system on hospitals＇ serv- ice quantity and income, it also compares changes of the system concerning contracted hospitals＇ economy restriction effect before and after implementation of the system. Secondly, it analyzes the influence of medical insurance credit rank system toward hospitals＇ reputation cognition, and cognition of hospital＇ s staff for essentiality of credit rank, and the willingness of hospitals＇ staff improving credit rank at their hospitals ; it ascertains influences of credit rank system toward hospitals＇ social reputation and changes of restriction effect concerning medical insurance organization at the contracted hospitals. Finally, the conclusion are made basing on the above analysis： credit rank system has no- table influences on service quality and income as well as social reputation of different hospitals, and staff members are obvious inclination to win social reputation for their hospitals by improving its credit ranking, and the restriction effect of the medical insurance administration institutions on contracted hospitals is enhanced too.