医疗机构与养老机构间合作利益协调机制理论分析与框架构建

摘要

With the arrival of population aging,how to properly solve the problem of old-age security,especially ensuring the quality of life for disabled and dementia elderly people,had become a widespread concern of the government and society.Promoting the cooperation between medical institutions and pension institutions so as to fully utilize the separated social medical resources was an effective measure to solve the pension problem in China.The core issue of promoting cooperation between the two sides was to coordinate the distribution of benefits among each other and establish a reasonable interest coordination mechanism.Based on the theory and method of cooperative gaming,it analyzed the game relationship between medical institutions and pension institutions from the perspective of cost-benefit,constructed a game model,and revealed the changes of cooperation strategies between medical institutions and pension institutions under different cost-benefit cases.Based on the shapley value method,a reasonable profit distribution mechanism was designed to maintain the stability of the cooperation so as to provide references for the practice of the pension service system and the similar research in the discipline.%随着人口老龄化的到来,如何妥善解决老年人养老保障问题,尤其是保证失能、失智等老年人晚年生活质量,成为政府和社会广泛关注的问题.促进医疗机构与养老机构合作,使分离的社会医养资源得到充分综合利用,是解决我国养老问题的有效举措.而促进双方合作的核心问题是协调好彼此的利益分配,建立合理的利益协调机制.文章根据合作博弈的理论和方法,从成本-收益角度分析医疗机构与养老机构合作的博弈关系,构建博弈模型,揭示不同成本-收益情况下医疗机构与养老机构合作策略的变化;针对不同合作策略的选择,基于shapley值法,设计合理的利益分配机制以维持合作的稳定性,以期为养老服务体系的实践和学科内同类研究提供借鉴.