吉首大学学报(社会科学版)

• “大数据与公共服务平台”专题研究 • 上一篇    下一篇

优质医疗服务供给不足的机制分析——基于不完全信息模型

彭聪,许坤   

  1. (中国人民大学 公共管理学院,北京 100872)
  • 出版日期:2018-05-01 发布日期:2018-04-25
  • 作者简介:彭聪,男,中国人民大学公共管理学院博士研究生。
  • 基金资助:
    国家社会科学基金重大项目(11&ZD041,15ZDB158)

Analysison the Mechanism of Insufficient Supply of Quality Medical Services:Based on Incomplete Information Model

PENG Cong,XU Kun   

  1. (School of Public Administration and Policy,Renmin University of China,Beijing 100875,China)
  • Online:2018-05-01 Published:2018-04-25

摘要:我国优质医疗服务供给不足的机制主要体现在:(1)事前对医疗服务需求的不完全信息,使服务购买者根据预期平均收益进行决策;(2)医疗机构等级分类体系和等级评价规则,使服务购买者掌握了医疗服务的质量信息;(3)医疗市场价格管制、医疗保障制度和居民不断上升的收入,使不同质量医疗服务的相对供给成本不足以抵消质量加成收益,最终导致服务购买者集中与更高质量梯级的医疗机构缔约。应通过建立诊疗与治疗分离的医疗机构体系,改革医疗机构等级评价规则等,解决医疗市场资源配置扭曲问题。

关键词: 不完全信息, 信号显示, 质量价差, 医疗保险

Abstract: There are several reasons for themechanism of insufficient supply of quality medical services in China.Firstly,the information on the demand for medical services in advance is incomplete,so the service purchasers make their decisions according to the expected average income.Secondly,the classification system and rating evaluation rules of medical institutions enable the service purchasers to get the quality information of medical services.Thirdly,the price control of the medical market,the medical security system and the rising income of the residents make the relative supply cost of medical services of different quality insufficient to offset the added benefits of quality,causing the service purchasers to sign contracts with medical institutions of higher quality.It is suggested that the distorted allocation of medical market resources should be solved by establishing a medical institution system that separates diagnosis and treatment from treatment and reforming the evaluation rules of medical institutions.

Key words: incomplete information, information signaling, price-gap of quality, medical insurance

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