医疗服务递送机制中主体利益关系及扭曲矫正——基于政府职能的视角  

On the Relationship between Beneficial Bodies and Its Distortion Correction in Health Care Delivery Mechanism:from a Perspective of Government Functions

作　　者：唐芸霞[1] 

机构地区：[1]华中师范大学管理学院,湖北武汉430079

出　　处：《当代财经》2012年第7期31-40,共10页Contemporary Finance and Economics

基　　金：教育部人文社会科学研究项目"商业健康保险发展中的政府行为研究"(10Y JC 630219);中央高校基本科研业务费项目"社会医疗保险中医方道德风险的治理研究"(C C N U 12A04008)

摘　　要：医疗服务递送机制中涉及到医疗服务机构、医生、药企和患者四方利益主体。当前我国这些利益主体之间种种不合理的利益"合作"与"冲突",均与医疗服务递送机制中政府职能的缺位和错位存在着直接关系。在进一步深化医改的过程中,我国政府应当正确地履行好理应承担的公共职能,即加强对卫生资源的合理规划与配置;加大对公立医院的财政投入并优化对其补偿机制;加强对医疗服务机构与药品行业的监管;加强医药信息披露机制建设;鼓励医药卫生服务市场公平竞争,并放弃不适当的医药价格管制。Many beneficial bodies are involved in the health care delivery mechanism, such as health care providers, doctors, pharmacy and patients. At present, different kinds of unreasonable cooperation and conflicts on benefits between these bodies are directly related with the absence and dis- location of the government fimetions in the health care delivery mechanism in China. In the process of deepening the health care reform, the Chinese government should perform its public functions cor- rectly, which it should assume, such as strengthening health resource planning and allocation, increas- ing financial investment in public hospitals and optimizing the compensation mechanism, strengthening the supervision of the health care institutions and the pharmaceutical industry, strengthening the con- struction of the medical information disclosure system, encouraging fair competition in the medical health service market, and giving up inappropriate price controls.

关 键 词：医疗服务递送机制 主体利益关系 政府职能缺位 政府职能越位 扭曲矫正 

分 类 号：F062.6[经济管理—政治经济学]