新医改形势下医疗保健市场信誉机制的建立与完善  

The Establishment and Perfection of Reputation Mechanism in Medical Care Market under the Situation of New Health Reform

作　　者：郑大喜[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院财务处,武汉430030

出　　处：《医学与社会》2010年第9期34-36,39,共4页Medicine and Society

摘　　要：医患关系紧张是在市场经济背景下,由于价值选择和制度安排失当造成的。法律和信誉是维持医疗市场有序运行的两个基本机制。与法律相比,信誉机制是一种成本更低的维持医疗秩序的自我实施机制。在许多情况下,法律是无能为力的,只有信誉才能起作用。重构医疗秩序必须以规范监管作为制度保障,以诚信互动作为必要条件。The tensional doctor-patient relationship is a result of improper value choice and institutional arrangement in the background of market economy and high technology development.Law and reputations are two principal mechanisms of medical care market order,reput-ations are self-enforcing and more cost-effective as compared with law.In many occasions,law is helpless and only reputations can play a role.In order to restructure medical order,we should take regulated-supervision as its guarantee of abiding institutions,honesty and interaction as its necessary condition.

关 键 词：医患关系 信息不对称 信誉缺失 医疗秩序 

分 类 号：R197[医药卫生—卫生事业管理]