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医疗服务是一个先天性失灵的市场,需要通过不断改进管制手段才能完善起来。我国医疗资源低效率配置反映了医疗服务市场的不完善。从制度角度分析医疗服务管制及管制方式,医疗服务组织促进专业化管制,专业化管制又影响医疗服务组织结构、规模及技术,组织的核心技术在专业化管制下不断延长,服务交叉,组织间竞争加剧。而且选择按项目支付的价格管制,使医疗服务组织能够从增加设备和服务项目的激励中获得垄断力;并且按项目付费削弱公立医院与基层卫生机构之间的合作意愿,强化了公立医院垄断,减少了医疗产业分工,从而降低了医疗服务市场活力,导致了医疗资源低效率配置。
Health care is a market that is inherently dysfunctional and needs to be improved through continuous improvement of control measures. The inefficient allocation of medical resources in China reflects the imperfection of medical service market. From the institutional point of view of the medical service control and control methods, medical service organizations to promote professional control, professional control and affect the medical service organization structure, size and technology, the organization’s core technology continues to expand under the specialization of control, service cross, between organizations Increased competition. And choose to pay according to the price of the project to enable medical service organizations to obtain monopoly power from the incentive to increase equipment and services; and pay by project to weaken the willingness to cooperate between public hospitals and grass-roots health institutions, strengthening the monopoly of public hospitals, Reduce the division of labor in the medical industry, thereby reducing the vitality of the medical service market and leading to the inefficient allocation of medical resources.