医疗服务体系整合的交易费用分解及分析框架

摘要

医疗服务体系的整合从新制度经济学角度而言是一系列新的医疗制度的建设，其成本除一般医疗服务成本外，还应包括因新制度设计和执行而产生的成本，即交易费用。在对医疗服务体系整合的交易费用进行概念界定的基础上，从医疗服务体系整合实践的角度将其交易费用分解为计划决策成本费用、卫生资源投入成本费用和监督管理成本费用3类，并从人的有限理性、机会主义、专用资产、不确定性等方面对每类交易费用产生的原因进行理论分析。%From the perspective of New Institutional Economics, the integration of medical system is to construct a series of new medical reg-ulations.In addition to general medical costs, the costs of the integration include costs result from the design and implementation of the new sys-tem, namely the transaction costs.This paper defined the concept of transaction costs of the integration medical system, and decomposed transac-tion costs into plan and decision-making costs, health resources investment costs and supervision and management costs according to the practice of the integration of medical service system.Finally this paper analyzed the causes of the transaction costs from bounded rationality, opportunism, firm-specific assets and uncertainty of people in theory .