南开经济研究
南開經濟研究
남개경제연구
Nankai Economic Studies
2013年
1期
40~52
,共null页
“以药养医” 药价虚高 过度治疗 劳动者价值规律
“以藥養醫” 藥價虛高 過度治療 勞動者價值規律
“이약양의” 약개허고 과도치료 노동자개치규률
Medicine-selling Dependent Hospital; Inflated Price of Medicines; Over-trealrnent;The Law of Value
我国目前医疗领域中的许多乱象在一定程度上归因于＂以药养医＂体制。＂以药养医＂体制违背市场经济下的劳动者价值规律,由此造成了各种经济关系和人性的扭曲。革除＂以药养医＂首先要求遵循市场经济下的劳动者价值规律。为此,我们提出通过提高医疗服务费的方式（即实现医师价值之回归）来革除＂以药养医＂。通过构建理论模型,我们得到如下论证：以回归医师价值之方式革除＂以药养医＂,能够在不需要进一步的政府财政支持下,理顺当前被扭曲了的医患关系,使病人、医生和医院都能从中获益,因而这是一项典型的帕累托改进。
我國目前醫療領域中的許多亂象在一定程度上歸因于＂以藥養醫＂體製。＂以藥養醫＂體製違揹市場經濟下的勞動者價值規律,由此造成瞭各種經濟關繫和人性的扭麯。革除＂以藥養醫＂首先要求遵循市場經濟下的勞動者價值規律。為此,我們提齣通過提高醫療服務費的方式（即實現醫師價值之迴歸）來革除＂以藥養醫＂。通過構建理論模型,我們得到如下論證：以迴歸醫師價值之方式革除＂以藥養醫＂,能夠在不需要進一步的政府財政支持下,理順噹前被扭麯瞭的醫患關繫,使病人、醫生和醫院都能從中穫益,因而這是一項典型的帕纍託改進。
아국목전의료영역중적허다난상재일정정도상귀인우＂이약양의＂체제。＂이약양의＂체제위배시장경제하적노동자개치규률,유차조성료각충경제관계화인성적뉴곡。혁제＂이약양의＂수선요구준순시장경제하적노동자개치규률。위차,아문제출통과제고의료복무비적방식（즉실현의사개치지회귀）래혁제＂이약양의＂。통과구건이론모형,아문득도여하론증：이회귀의사개치지방식혁제＂이약양의＂,능구재불수요진일보적정부재정지지하,리순당전피뉴곡료적의환관계,사병인、의생화의원도능종중획익,인이저시일항전형적파루탁개진。
Many disorders in the medical field of current China are to some extent attributed to the system of＂Medicine-selling Dependent Hospital＂. This system violates the law of value in the market economy, and thus distorts the variety of economic relations and of human natures. Get- ting rid of the ＂Medicine-selling Dependent Hospital＂ needs to follow the law of value in the market economy. To this end, we propose to raise the medical service fee （i.e., returning the value of doctor）. By constructing a theoretical model, we get the following argument： By relying on doctor＇s value returning, getting rid of ＂Medicine-selling Dependent Hospital＂ need no further government financial support. Meanwhile it can rationalize the current distorted relationship be- tween doctors and patients; patients, doctors and hospitals can be all benefited. Therefore, it is a typical Pareto improvement.
