中南大学学报(医学版)
中南大學學報(醫學版)
중남대학학보(의학판)
JOURNAL OF CENTRAL SOUTH UNIVERSITY (MEDICAL SCIENCES)
2014年
4期
423-427
,共5页
医疗机构%市场化%风险%控制
醫療機構%市場化%風險%控製
의료궤구%시장화%풍험%공제
medical institution%marketization%risk%control
随着20世纪下半叶以来新公共管理运动在全球的兴起,市场化成为了主流。一些国家将原本由政府管理的医疗机构注入民营资本,让医疗行业朝着市场化方向改革,医疗机构市场化改革可能存在的风险主要有以下几个方面:医疗资源分配不均的风险;医疗行业市场失灵的风险;政府寻租腐败的道德风险;社会正义价值沦丧的风险等。医疗机构市场化的风险控制措施主要有:明确政府的职能定位;完善医疗保险体系建设;健全基层医疗体系;强化医院社会意识。
隨著20世紀下半葉以來新公共管理運動在全毬的興起,市場化成為瞭主流。一些國傢將原本由政府管理的醫療機構註入民營資本,讓醫療行業朝著市場化方嚮改革,醫療機構市場化改革可能存在的風險主要有以下幾箇方麵:醫療資源分配不均的風險;醫療行業市場失靈的風險;政府尋租腐敗的道德風險;社會正義價值淪喪的風險等。醫療機構市場化的風險控製措施主要有:明確政府的職能定位;完善醫療保險體繫建設;健全基層醫療體繫;彊化醫院社會意識。
수착20세기하반협이래신공공관리운동재전구적흥기,시장화성위료주류。일사국가장원본유정부관리적의료궤구주입민영자본,양의료행업조착시장화방향개혁,의료궤구시장화개혁가능존재적풍험주요유이하궤개방면:의료자원분배불균적풍험;의료행업시장실령적풍험;정부심조부패적도덕풍험;사회정의개치륜상적풍험등。의료궤구시장화적풍험공제조시주요유:명학정부적직능정위;완선의료보험체계건설;건전기층의료체계;강화의원사회의식。
Marketization has become the mainstream since the new public management emerges globally in second half of the 20th century. Some countries infuse private capital into medical institutions which used to be managed by the government originally, and cause the medical industry reforms to be market-oriented. Market-oriented reforms of medical institutions may have risks in the following aspects: the risk of uneven distribution of medical resources, the risk of market failure, the moral risk of government renting-seeking and corruption and the decay of social justice values. Measures of controlling these risks include deifning the function orientation of the government, completing the institution-building of healthcare system, improving primary medical system and strengthening social consciousness of hospitals.