北京市医疗服务市场竞争态势研究  

Study on Competition Status of Beijing Health Service Market

作　　者：毛阿燕[1] 雷海潮[2] 

机构地区：[1]北京市疾病预防控制中心,北京100013 [2]中华人民共和国卫生部政策法规司,北京100013

出　　处：《中国卫生经济》2010年第1期49-51,共3页Chinese Health Economics

基　　金：北京市自然科学基金资助项目--医疗领域非价格竞争研究(9083016)

摘　　要：目的:利用定性的方法测量北京市医疗服务市场的竞争强度,并分析竞争对医疗费用带来的影响;方法:从门诊、住院以及住院手术等三方面,利用"市场集中度"指标测算1990～2005年北京市医疗服务市场的竞争强度;结果:北京市医疗服务市场在测算的15年间都经历着较强的竞争,而且竞争强度在2000年后有逐渐增强的趋势;结论:缺乏竞争不能成为医疗费用高的主要原因,从医疗装备竞赛理论的角度理解,激烈的竞争反而促进了费用的剧烈上升。Objective： Qualitative analysis is used to exam the competition status of Beijing health service market, and the impact that this competition brought about is also explained. Method： Calculating the HHI index of out-patients, inpatients and surgery markets in Beijing city from 1990 to 2005. Result： There exists a high level of competition in Beijing health service market during these 15 years, and the competition increaseds intensely after the year of 2000. Conclusion： Lack of competition could not be the main reason of high medical cost, instead, based on Medical Arms Race （MAR） theory, a high level of competition in health service market will lead to a sharp increase of medical cost.

关 键 词：竞争 费用 医疗装备竞赛 

分 类 号：R197.1[医药卫生—卫生事业管理]