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医药分离是我国医药卫生体制改革的重要环节和目标之一,也是社会各界关注的热点话题。本文从理论和实践两个方面对医药分离问题进行了详尽的梳理和总结。按照产业组织理论,医药分离有助于纠正医生的激励机制,发挥专业分工的效率,以及打破医院的垄断地位,但也具有局限性,甚至在一定环境下会显现出较为严重的负面作用。对理论的经验检验表明,医药分离的实际效果并不完全是正面的。在实践方面,韩国、日本和中国台湾地区在推行医药分离的过程中,既取得了一些成功的经验,也积累了不少教训,值得我国政策制定者认真学习和借鉴。
Pharmaceutical separation is one of the important links and goals of the medical and health system reform in our country. It is also a hot topic of concern to all sectors of society. This article from the theory and practice of the two aspects of the separation of medicine carried out a detailed review and summary. According to the theory of industrial organization, the separation of medicine helps to correct the doctor’s incentive mechanism, give full play to the efficiency of professional division of labor, and break the monopoly position of the hospital. However, it also has its limitations. Even under certain circumstances, it will have a more serious negative effect. An empirical test of theory shows that the actual effect of pharmaceutical separation is not entirely positive. In practice, South Korea, Japan and Taiwan in China have both gained some successful experiences and accumulated a great deal of lessons in the process of separation of medicine. It is deserved to be conscientiously studied and used by our policy makers.