CAJ | 학술논문

本文用管制经济学理论分析了我国医疗资源配置中政府管制的现状以及存在的问题，指出政府管制的“越位”和“不到位”与医疗服务行业垄断、信息不对称、外部性、道德风险相交织，是医疗行业诸多领域出现混乱的深层次原因，并对如何改进提出了具体建议。本文认为，在医疗机构的市场准入方面应该放松管制，在政府限价方面应该优化结构同时进行配套补贴，强制性推进覆盖全民的基本医疗保障制度建设，对现行医院等级制度进行改革，推进国有医院“去行政化”，引导医疗机构合理改进经营模式，引进问责、听证机制提高管制水平，是政府管制在医疗资源配置中应该努力的方向。
본문용관제경제학이론분석료아국의료자원배치중정부관제적현상이급존재적문제，지출정부관제적“월위”화“불도위”여의료복무행업롱단、신식불대칭、외부성、도덕풍험상교직，시의료행업제다영역출현혼란적심층차원인，병대여하개진제출료구체건의。본문인위，재의료궤구적시장준입방면응해방송관제，재정부한개방면응해우화결구동시진행배투보첩，강제성추진복개전민적기본의료보장제도건설，대현행의원등급제도진행개혁，추진국유의원“거행정화”，인도의료궤구합리개진경영모식，인진문책、은증궤제제고관제수평，시정부관제재의료자원배치중응해노력적방향。
This paper analyzed the problems of government regulation on China medical resources allocation. The author point out that there are ＂Offside＂ or ＂Absence＂ issues on government regulation of China medical resources allocation, and put forward the concrete policy proposals on how to solve the problems. According to the article, government has to rightly control the allocation of medical resources, effort directions should be made lie on the following aspects ： Controls of market access to medical institutions should be relaxed ; Structure of price limitation from government should be optimized simultaneously offering subsidies; Comprehensive, mandatory promote universal coverage of basic medical security system building; Reform the current hospital hierarchy, determined to promote the state-owned hospital ＂non-administration＂ ; Reasonably guide the improvement, optimization of business models of hospitals and other medical institutions and finally, improve the effectiveness and efficiency of government control with introduction of Rules of Accountability and the Public Hearing Mechanism.