中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2014年
9期
708-711
,共4页
姚中进%姜虹%杜仕林%周袖宗
姚中進%薑虹%杜仕林%週袖宗
요중진%강홍%두사림%주수종
公立医院%委托代理%政府规制俘获
公立醫院%委託代理%政府規製俘穫
공립의원%위탁대리%정부규제부획
Public hospital%Principal-agent%Government regulation capture
医疗卫生服务存在高度的信息不对称,公立医院具有多层委托代理性质,信息不对称导致委托人与代理人的价值目标不一致,也导致政府规制俘获的产生。政府规制俘获是公立医院公益性淡化的根本原因之一,要阻滞公立医院政府规制俘获的产生,需要在公立医院法人治理框架下,从制度层面重构政府规制体系,消除信息不对称及其由此带来的负外部性,使公立医院真正回归公益性。
醫療衛生服務存在高度的信息不對稱,公立醫院具有多層委託代理性質,信息不對稱導緻委託人與代理人的價值目標不一緻,也導緻政府規製俘穫的產生。政府規製俘穫是公立醫院公益性淡化的根本原因之一,要阻滯公立醫院政府規製俘穫的產生,需要在公立醫院法人治理框架下,從製度層麵重構政府規製體繫,消除信息不對稱及其由此帶來的負外部性,使公立醫院真正迴歸公益性。
의료위생복무존재고도적신식불대칭,공립의원구유다층위탁대이성질,신식불대칭도치위탁인여대리인적개치목표불일치,야도치정부규제부획적산생。정부규제부획시공립의원공익성담화적근본원인지일,요조체공립의원정부규제부획적산생,수요재공립의원법인치리광가하,종제도층면중구정부규제체계,소제신식불대칭급기유차대래적부외부성,사공립의원진정회귀공익성。
There is a high degree of information asymmetry in medical services.Public hospitals are characteristic of the nature of multi-layer principal-agent relationships.Asymmetric information can lead to inconsistent value goals between the principal and the agent,giving birth to the government regulation capture as a result.Such capture ranks a fundamental cause for diluted public welfare nature of public hospitals.To offset such capture at public hospitals calls for reconstruction of government regulation system within the framework of public hospital corporate governance at an institution level.It is also necessary to eliminate the information asymmetry and its negative results,bringing public hospitals back on track to public welfare.