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The Study on Layered Service Mechanism of Medical Institutions-An Application of Screening Model

机译：医疗机构分层服务机制研究-筛选模型的应用

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摘要

To establish perfect health system mechanism, which is one of the critical targets of new medical reform, furthermore the service mechanism of medical institution that is the basis to construction of health care systems and mechanisms. Firstly this article takes a lot of indexes such as the number of doctor and beds, average daily treatment capacity, time of waiting, medical equipment utilization etc and to analyze the service status of the different levels of medical institutions. Secondly this paper gives the message about hospital services and charges in the medical service market by established a model of signaling. The sufferer can choose the best health care by one's own economic condition and the desire of the payment after making a judgment having established a model of screening and obtained the equilibrium solution of existing institutional arrangements that is pooling equilibrium. Then, the thesis starting from the idea of mechanism design and changing the institutional constraints had built a theoretical screening model according to the basic requirements of the new health care reform and under the premise of both fair and efficient. Furthermore, the paper examined the output of the model and sufferer is choice to maximizing the interests under the new institutional arrangements and derived equilibrium solution, which is separating equilibrium. Finally, modified the model and proposed the idea to build system of layered service in the health care market.
机译：建立完善的卫生系统机制是新医改的重要目标之一，也是建立医疗机构服务机制的基础，是建立医疗体制和机制的基础。首先，本文采用了很多指标，例如医生和病床的数量，平均日处理能力，等待时间，医疗设备利用率等，并分析了各级医疗机构的服务状况。其次，通过建立信号模型，给出了有关医疗服务市场中医院服务和收费的信息。病患在建立筛选模型并获得合并均衡的现有制度安排的均衡解决方案后，可以根据自己的经济状况和支付意愿选择最佳的医疗服务。然后，论文从机制设计的思想出发，改变制度约束，根据新的医疗改革的基本要求，在公平，高效的前提下，建立了理论筛选模型。此外，本文考察了模型的输出，而受害人则是在新的制度安排和导出的均衡解决方案下最大化利益的选择，均衡解决方案就是分离均衡。最后，对模型进行了修改，提出了建立医疗市场分层服务体系的构想。

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