Abstract
An analysis of typical cases of the incentive-restraint mechanism in the development of medical alliances in China, discovered a number of problems as follows. These include poor top-level system design, delayed reform of the medical insurance payment system, poor performance of the two-way referral system, insufficient human resources and their unreasonable distribution, shortage of a performance appraisal and salary incentive system, and low patient support. In this regard, this paper put forward policy recommendations on the pathway to carry out the incentive and constraint mechanism of medical alliances, in terms of such aspects as top-level system design, medical insurance system, personnel and remuneration system, and two-way referral system. Key words: Medical alliance; Hierarchical diagnosis and treatment; Incentive and constraint mechanism; Key issues; Pathway
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