OECD国家和中国的医生收入差距比较研究  

An International Comparative Study of the Income Gap Between Doctors in OECD Countries and China

作　　者：党旺旺 王震[2] DANG Wang-wang;WANG Zhen(Graduate School,Chinese Academy of School Sciences,Beijing,102488,China)

机构地区：[1]中国社会科学院大学研究生院,北京102488 [2]中国社会科学院经济研究所公共经济学研究室,北京100836

出　　处：《中国卫生经济》2020年第3期24-30,共7页Chinese Health Economics

基　　金：中国社会科学院大学大学生创新创业训练计划项目资助项目(201914596002)。

摘　　要：目的:综合比较经济合作与发展组织(OECD国家)和中国公立医院的医生收入水平。方法:按照医疗卫生体制中筹资机制的不同,本研究将36个OECD国家分为全民福利国家、社会保险国家和多元筹资国家三类。在此分类基础上,进行国际、国内的全科医生和专科医生收入比较。结果:国际比较发现,多元筹资国家医生的收入水平最高,福利国家居中,而社会保险国家最低,这说明社会保险国家由于政府对医疗服务市场的干预程度较强,医生的收入水平没有反映医生的真实人力资本价值;国内、国际比较发现,按照医疗卫生筹资来源中国属于多元筹资类国家,但公立医院医生工资水平远低于OECD国家中多元筹资类国家,这反映出中国的公立医院医生工资收入整体偏低,薪酬制度没有体现医生的真实价值。结论:需要改革我国的公立医院薪酬制度,提高医生合法收入,使得医生的收入体现其人力资本价值,缩小国际差距,提高医疗服务水平。Objective:To comprehensively compare the income levels of doctors in the OECD(hereinafter referred to as OECD countries)and Chinese public hospitals.Methods:According to the different funding mechanisms in the health care system,this study divided 36 OECD countries into universal welfare states,social insurance countries,and multi-funded countries.Based on this classification,a comparison of the incomes of domestic and international GPs and specialists is performed.Results:First,the interna tional comparison found that the income level of doctors in multi-funded countries is the highest,the welfare state is the middle,and the social insurance country is the lowest.This shows that the social insurance countries have a strong government intervention in the medical service market,and the income level of doctors does not reflect the true human capital value of doctors.The second is domes tic and international comparison.According to the source of medical and health financing,China is a multi-funding country,but the salary level of doctors in public hospitals is much lower than that in OECD countries.This reflects that the salary of doctors in public hospitals in China is generally low,and the salary system does not reflect the true value of doctors.Conclusion:The salary system of public hospitals needs to be reformed to increase the legal income of doctors so that their income reflects the value of their human capital,reduce international differences,and improve the level of medical services.

关 键 词：医生收入 比较分析 经济合作与发展组织 中国 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F202[经济管理—国民经济]