基于博弈论与激励相容理论的我国分级诊疗体系分析

目的 了解政府、大型综合医院、上级医疗机构与基层医疗机构在分级诊疗体系下的利益诉求，以推进分级诊疗体系的建立。方法 采用博弈论分析这些利益主体间的矛盾，利用激励相容理论提出建议。结果 政府投入不足，上级医疗机构不愿下沉医疗资源，基层医疗机构能力不足等问题阻碍了分级诊疗体系的推行。结论 发挥政府引领作用，加大政府投入；加强医疗机构的分工协作，合理配置医疗资源；提高基层医疗机构服务能力。

Analysis of the Hierarchical Diagnosis and Treatment System in China based on Game Theory and the Principle of Incentive Compatibility

Objective To understand the interests of the government, large general hospitals, higher medical institutions and primary health care institutions to promote the establishment of hierarchical diagnosis and treatment system. Methods The game theory is used to analyze the contradictions and interests of the stakeholders. Results The lack of government investment, the higher medical institutions not wanting to sink medical resources, lack of capacity for primary health care institutions and other issues hinder the smooth implementation of the classification system. Conclusion The role of government should be played, and government investment be increased; the division of labor among medical institutions be strengthened, and medical resources be reasonably allocated; and the strength of primary health care institutions be improved.