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目的:解释供给者诱导需求理论范式、追踪实证研究进展,为我国医疗卫生改革提供借鉴。方法:展开新古典理论、博弈论和行为主义学派对诱导需求的理论推导,纳入经典实证研究和最新的研究进展,系统性回顾供给者诱导需求。结果:供给者诱导需求的产生与激励制度、疾病种类和研究人群有关。结论:约束医院内部激励,医疗服务供给侧结构性改革、发展“互联网+医疗”及建设DRGs的医保支付制度可以有效减少诱导需求。
OBJECTIVE: To explain the paradigm of supply-induced demand theory and to track the progress of empirical research so as to provide reference for the reform of medical and health care in China. Methods: Expanding the neoclassical theory, game theory and behaviorism school to induce the demand of the theoretical derivation, including the classical empirical research and the latest research progress, systematic review supplier-induced demand. Results: Supply-induced demand was related to incentive regimes, disease types, and study population. CONCLUSIONS: It is effective in reducing the induced demand by restraining internal incentives in hospitals, structural reforms in the supply side of medical services, developing “Internet + medical care” and building medical insurance payment systems for DRGs.