学术月刊
學術月刊
학술월간
Academic Monthly
2015年
1期
85~92
,共null页
医患矛盾 信息不对称 公共物品 市场化改革
醫患矛盾 信息不對稱 公共物品 市場化改革
의환모순 신식불대칭 공공물품 시장화개혁
doctor-patient conflicts, information asymmetry, public products, market-oriented reform
医患矛盾不是医疗市场化过度的结果,也不简单地是市场化不够的结果,而是需求高度市场化、供给仍然计划化的结果。经济发展,人们生活水平提高,医疗需求大幅增加,然而医疗供给计划化,供给不足并且结构扭曲,这是医患矛盾的根本原因。医疗市场的确存在信息不对称,但是这并不能成为政府干预的理由。没有理由相信政府能比市场更好解决信息不对称。一些医疗服务确实具有很大程度的公共品性质,这为政府干预提供了可能,但是更多的则是私人产品,需要依靠市场来提供。必须认真甄别哪些项目该政府做,哪些该市场做,需要政府做的又该介入到何种程度。
醫患矛盾不是醫療市場化過度的結果,也不簡單地是市場化不夠的結果,而是需求高度市場化、供給仍然計劃化的結果。經濟髮展,人們生活水平提高,醫療需求大幅增加,然而醫療供給計劃化,供給不足併且結構扭麯,這是醫患矛盾的根本原因。醫療市場的確存在信息不對稱,但是這併不能成為政府榦預的理由。沒有理由相信政府能比市場更好解決信息不對稱。一些醫療服務確實具有很大程度的公共品性質,這為政府榦預提供瞭可能,但是更多的則是私人產品,需要依靠市場來提供。必鬚認真甄彆哪些項目該政府做,哪些該市場做,需要政府做的又該介入到何種程度。
의환모순불시의료시장화과도적결과,야불간단지시시장화불구적결과,이시수구고도시장화、공급잉연계화화적결과。경제발전,인문생활수평제고,의료수구대폭증가,연이의료공급계화화,공급불족병차결구뉴곡,저시의환모순적근본원인。의료시장적학존재신식불대칭,단시저병불능성위정부간예적이유。몰유이유상신정부능비시장경호해결신식불대칭。일사의료복무학실구유흔대정도적공공품성질,저위정부간예제공료가능,단시경다적칙시사인산품,수요의고시장래제공。필수인진견별나사항목해정부주,나사해시장주,수요정부주적우해개입도하충정도。
Doctor-patient conflicts are neither the result of excessive medical marketization, nor the result of the marketization being insufficient, but the result of excessively market-oriented demand and still planned supply. With the development of economy, people's living standard is becoming higher and higher, which leads to the sharp increase of medical demand. However, medical supply is still being planned with inadequate capability and distorted structure. And there lies the root cause of doctor- patient conflicts. "Red Envelop" (bribery) and medical kickbacks are two aspects of one issue and both of them are the representation of distorted medical pricing. Information asymmetry does exist in medical market, but it shall not be an excuse for government to interfere. And there is no evidence to support government can solve information asymmetry better than market. Some medical services indeed have the nature of public products and they offer an opportunity for government to interfere, but the majority is private products whose supply is depended on market. So we must carefully identify which proiects government should do and which market should do, and, as to the ones requiring government's participation, to what extent should it get involved.