利用竞争作为政策工具推进公立医院改革  

Competition as policy tool for public hospital reform in China

作　　者：潘杰[1] 

机构地区：[1]四川大学华西公共卫生学院/西部农村卫生发展研究中心,四川成都610041

出　　处：《中国卫生政策研究》2014年第11期48-53,共6页Chinese Journal of Health Policy

基　　金：国家自然科学基金青年基金(71303165);中国博士后科学基金(2013M540706和2014T70863);四川大学中央高校基本科研业务费研究专项(skqx201401);美国纽约中华医学基金会基金(13-167)

摘　　要：市场配置医疗卫生资源不等同医疗市场私有化,其核心是引入竞争机制。医院竞争不仅存在于不同产权医院间,公立医院内部也可引入竞争。促进公立医院"内部竞争"的公共政策可充分发挥市场机制作用。由于医疗市场存在特殊性,竞争可能产生正面或负面影响。为取得预期效果,在促进竞争的同时,决策者需要科学设计政策环境,对公立医院竞争进行驾驭。加强管制、权利下放和信息发布三者并重将是现阶段利用竞争作为政策工具推进中国公立医院改革的关键。The essence of the market-oriented reforms is to promote competition rather than privatization.Competition does not only exist between public and private ownership forms,but also among public hospital themselves. The promotion of the internal competition among public hospitals will play a positive role for the market mechanism to take effect. Due to the unique in various aspects of health care market,competition can have positive or negative influences on performance,thus the policy makers need to guide the competition policies carefully to make sure they work in the right direction. In regard to the status quo,we provide the following policy suggestions which emphasize on stronger regulation,higher degree of autonomy for lower-level medical institutions,and more information disclosure.

关 键 词：竞争 公立医院 医疗改革 政府 市场 

分 类 号：R197[医药卫生—卫生事业管理]