Study On Systematic Dynamic Model Of Compensatory Mechanism And Its Application In Public Non-profit Hospitals

Public Non-profit Hospitals Reform is the emphasis and difficulty of the New Medical Reform in China. While in the process of promoting the reform, the government clearly states that they will carry out reforms in compensatory system and compensatory mechanism, and gradually remove drug-add income from revenue of public non-profit hospitals, therefore, the ways by which a scientific and suitable compensatory system and compensatory mechanisms may build will decide sustainable development of public non-profit hospitals, as well as success in the New Medical Reform.To begin with, the author compares and analyzes three main representative hospitals compensatory mechanisms worldwide, which are public integrated model, public contract model and commercial insurance model, and summarize related theories on compensatory system and compensatory mechanisms for public non-profit hospital. On this basis, the author thoroughly analyzes cost structure and revenue structure in Chinese public non-profit hospitals, and then establishes a standard mapped relationship between hospital costs occurrence and compensation. Furthermore, the author builds a new compensatory system equipped with three compensation channels (government, market and society) for public non-profit hospitals, and undertakes a qualitative analysis for structure and function of the new compensation system.Secondly, the author makes use of theory and method of system dynamics and Vensim platform to analyze causal relationship diagram in the new compensatory mechanisms, and builds a system dynamics model by flow and equation before systemic testing.Finally, the author analyzes status quo of public non-profit hospitals in Guangdong province, according to"the Health Statistics Yearbook of Guangdong Province (2002-2010)". while using the new compensation mechanism model to determines the initial value of the parameters in the simulation model by datum analysis and processing, the author also simulates system structure characters and behavior mechanism of three compensatory channels mentioned-above by model simulation, sensitivity testing and policy intervention trial, and brings forward the corresponding policy recommendations. The results are supposed to has use for reference to policy making in the New Medical Reform from microscopic aspect.