主诊医师负责制是当前医疗服务模式创新改革的研究热点之一.笔者通过建立主诊医师负责制实施与医生行为选择的博弈模型,探讨主诊组医生的工作行为与主诊医师负责制的具体执行模式、绩效考评设计、奖惩制度等因素的关系,并提出深入推进该制度的对策,包括建立有效甄别主诊组成员行为与产出的考核体系,明确奖惩方案,完善绩效考核的配套设施与管理制度以及提高医生对主诊医师组考核的认知.%Attending physician responsibility system is the hot study issue in the health field.By designing the game model of implementing attending physician responsibility system and physicians' behavior selection,this paper explores the relationship between physicians' behavior and attending physician responsibility system'applying model,performance evaluation design and system of rewards and penalties.Some countermeasures were put forward to promote the system including that the performance evaluation system should be built effectively so as to screen the conduct and performance of physicians,the scheme of rewards and penalties should be specific,the supporting facility together with the management system should be improved,and physicians' cognition on oerformance evaluation should be enhanced.
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