期刊文献+

我国医疗服务市场失灵的制度解释:基于组织竞争的视角 被引量:3

The Institutional Explanation for Health Care Market Failure Basing on the Organizational Approach in China
收藏 分享 导出
摘要 医疗服务是一个先天性失灵的市场,需要通过不断改进管制手段才能完善起来。我国医疗资源低效率配置反映了医疗服务市场的不完善。从制度角度分析医疗服务管制及管制方式,医疗服务组织促进专业化管制.专业化管制又影响医疗服务组织结构、规模及技术,组织的核心技术在专业化管制下不断延长,服务交叉,组织间竞争加剧。而且选择按项目支付的价格管制,使医疗服务组织能够从增加设备和服务项目的激励中获得垄断力:并且按项目付费削弱公立医院与基层卫生机构之间的合作意愿,强化了公立医院垄断,减少了医疗产业分工,从而降低了医疗服务市场活力,导致了医疗资源低效率配置。 The health care market mechanism can be constructed through the reform the regulator because of the congenial defect in health market which can be reviewed from the medical resource allocation inefficiency, we use the institutional theory to explain the market failure in China. The structure, scale even the technical of the health care organization influenced by the regulation under the special dominate field, under the hospital and special evolving mutually, the core of technology chain in health organization has ex- tended and the overlap service have intensified, which mean the more competition appear in health care market. But the health care price regulator combining the payment of the fee-for-service incent the public hospital compete with adopting the strategy to increase the investment in equipment and the new service project to gain the market power, moreover the public hospital are reluctant to corpo- rate with the primary health facility because of the monopolistic state, while the public hospital strengthen its market power and reduce the division of the health care system through enlarging its size, the hospital competition make the market became less vigor and induce the medical source allocation inefficiency.
作者 徐文英 李作稳 XU Wen- ying, LI Zuo-wen First-author address: Department of the health policy & management, School of Public Health, Peking University, Beijing, 100191, China
出处 《中国卫生经济》 北大核心 2011年第12期 5-8,共4页 Chinese Health Economics
关键词 管制结构 按项目付费 公立医院垄断 资源配置低效率 regulation structure fee-for-service public hospital monopoly medical resource allocation inefficiency
作者简介 作者简介:徐文英(1968-),女,博士在读;研究方向:医疗服务组织与卫生政策;E-mail:xwy—xj@163.cim。
  • 相关文献

参考文献23

二级参考文献42

  • 1顾昕,方黎明.自愿性与强制性之间——中国农村合作医疗的制度嵌入性与可持续性发展分析[J].社会学研究,2004(5):1-18. 被引量:185
  • 2刘兴柱,魏颖.论卫生资源配置的倒三角[J].中国卫生经济,1996,15(10):56-57. 被引量:34
  • 3戴维斯,诺斯.制度创新的理论[A].科斯,阿尔钦,诺斯.财产权利与制度变迁[M].上海:上海三联书店,1994.297. 被引量:3
  • 4卫生部.第二次国家卫生服务总调查分析报告[EB/OL].卫生部网站,2008-12-10.www.mob.gov.cn. 被引量:1
  • 5卫生部.2008年第三季度全国新型农村合作医疗运行情况[EB/OL].卫生部网站,2008-12-10.www.moh.gov.cn. 被引量:1
  • 6雅诺什·科尔奈,翁笙和.转轨中的福利、选择和一致性——东欧国家卫生部门改革[M].北京:中信出版社.2003. 被引量:1
  • 7Yuan Li Liu. Development of the Rural Health Insurance System in China. Health Policy and Planning, 2004, 19 (3). 被引量:1
  • 8周其仁.花费与供给不符,这算哪门子医疗市场化[N].经济观察报,2007-01-20. 被引量:5
  • 9[1]Melnick A. The effect of market structure and bargaining position on hospital prices. Journal of Health Economics, 1992, 14:217 -233 被引量:1
  • 10[2]Culyer A, Posnett J. Hospital Behavior and Competition. In: Competition in health Care: Reforming the N. H. S. A. J. Culyer, A. Maynard and J. Posnett. London, Macmillan Press. 1990, 12 -47. 被引量:1

共引文献116

同被引文献36

引证文献3

二级引证文献2

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈