High-Quality Development Mechanism of Public Hospitals under the Background of DRG Payment Reform——A Case Study Based on the Perspective of Dual Embeddedness
At present,China's DRG(Diagnosis-Related Group)payment reform has begun to show results,but the institution still needs to be further improved to suit China's situation.This article is based on the dual em-beddedness perspective and aims to explore the high-quality development mechanism of public hospitals under the background of the DRG payment system.This article adopts the interpretivist case study paradigm to deeply describe the process of"making a living and doing righteousness"in public hospitals under the background of the DRG payment system,and summarizes the high-quality development mechanism of"coupling of righteous-ness and livelihood"in public hospitals.The mechanism constructed in this article is as follows:Formal system embedding designs incentive and constraint mechanisms,and if political embedding plays a corrective role,it will promote the convergence of organizational incentive structures;Hospitals transmit incentive and constraint mechanisms through informal system embedding to achieve organizational survival and system implementation;The integration of institutional embeddedness and political embeddedness forms a driving force for the high-quality development of public hospitals,which is conducive to achieving incentive compatibility among stake-holders.However,the single case study used in the article itself has limitations in external validity.In addition,although the article excluded strong economic and political factors when selecting the case hospital,it also ob-jectively ignored the important role of"big hospitals"in the field.Moreover the article defines the concepts of institutional embeddedness and political embeddedness,provides a new theoretical explanation framework for the above situation,and conducts academic induction through the qualitative case study.In addition,the article expands the application of new economic sociology theory in the field of Chinese administrative institutions.
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