医疗服务体系中多元所有制模式比较及中国的选择  

Comparison of Models of Ownership Structure in Health Care and Its Chinese Choices

作　　者：封进[1] 张涛[1] 

机构地区：[1]复旦大学经济学院

出　　处：《江海学刊》2009年第6期74-79,共6页Jianghai Academic Journal

基　　金：国家自然科学基金项目"中国农村健康需求与医疗保障制度建设"(项目号:70573024)的阶段性成果

摘　　要：医疗服务存在较严重的信息不对称问题,完全由市场提供会使消费者福利受损,完全由政府提供又会产生效率损失。实践中各个国家和地区对医院所有制结构的安排与其社会福利制度有关。从运行效果看,不同模式各有千秋,但越来越多地引入竞争机制是共同趋势。中国的选择需要顺应消费者需求,近期宜采用民营医院为补充的模式,满足基本医疗需求;长期应逐步过渡到民营医院为竞争的模式,实现公平与效率的统一。Because of the asymmetric information problem in health care,absolute provision by market will cause a loss of consumer welfare,while absolute provision by government will have efficiency problem.In practice,each country has its own choice of ownership structure related to its social welfare system.As to the performance,each model has its own advantages.However,introducing competition is a common trend.China's choice should meet the demands of her consumers and adopt the model in which private hospital plays a complimentary role at first stage and eventually will move to a model in which private hospital plays a competitive role,leading to the unity of fairness and efficiency.

关 键 词：医疗服务 多元所有制 医疗绩效 

分 类 号：R197.1[医药卫生—卫生事业管理]