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该文通过对农村医疗市场的分析 ,发现县乡两级医疗机构之间存在着明显的竞争关系 ,县乡两级医疗机构之间的竞争主要表现在住院服务方面 ,同时 ,两者的竞争在医疗费用份额上表现得更为明显。乡镇卫生院在竞争中总体处于劣势 ,但通过控制医疗服务的次均服务费用、改善服务态度、密切与病人的关系和提供便利的就诊条件 ,可以获得更多的医疗服务市场份额。同时发现乡镇卫生院的“以医养防、重医轻防”是普遍行为 ,在竞争占得一些优势的乡镇卫生院表现更明显
Through the analysis of the rural medical market, this article finds that there is a clear competitive relationship between county and township medical institutions. The competition between county and township medical institutions is mainly reflected in the hospitalization service. At the same time, the competition between the two is The share of medical expenses is even more pronounced. Township health centers are generally at a disadvantage in competition, but they can gain more market share in medical services by controlling the average cost of medical services, improving service attitudes, keeping a close relationship with patients, and providing convenient medical conditions. At the same time, it was found that the “health care for doctors and prevention of minor diseases” of township hospitals is a common practice, and the performance of township hospitals that have gained some advantages in competition is even more pronounced.