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冰冻三尺非一日之寒:看病贵是社会互动博弈的结果
引用本文:郑余焕,吕军,郝模. 冰冻三尺非一日之寒:看病贵是社会互动博弈的结果[J]. 中国卫生资源, 2007, 10(3): 121-124
作者姓名:郑余焕  吕军  郝模
作者单位:复旦大学卫生发展战略研究中心,上海,200032
基金项目:国家自然科学基金;985二期公共管理与公共政策创新基地科研基金
摘    要:
看病贵等社会问题涉及多个部门,它的产生是一个多方博弈的互动过程:各级政府在经济发展优先的氛围下,忽视了对医疗卫生改革总体把握,政府财政鉴于财政拮据等原因对医疗卫生服务原有的筹资职能逐步弱化,物价部门严守医疗服务低收费政策导致收费标准扭曲,卫生行政部门在财政、物价等政策环境下作适应性努力,而医院对宏观政策的顺应成了看病贵等问题的滋生地,无序的医用品和制药业市场推波助澜,不健全的医疗保障制度使得看病责成为普遍的社会问题,病人需方、医院和政府之间的互动形成医疗卫生事业的两极状况。其中根源是政府财政投入不足,促发因素是物价所定的收费标准不合理。

关 键 词:看病贵  社会互动  根源
文章编号:1007-953X(2007)03-0121-04
修稿时间:2007-03-30

Rome is not built in a day: the problem of overly expensive medical services is the result of social interaction
ZHENG Yu-huan,LV Jun,HAO Mo. Rome is not built in a day: the problem of overly expensive medical services is the result of social interaction[J]. Chinese Health Resources, 2007, 10(3): 121-124
Authors:ZHENG Yu-huan  LV Jun  HAO Mo
Affiliation:Research Center of Health Development Strategies, Fudan University,Shanghai 200032, China
Abstract:
Social problems like overly expensive medical services involves a number of departments caused through a multi-game interaction process. In the atmosphere that economic development priorities, governments at all levels neglect to grasp the health reform. In view of the financial constraints and other reasons govemment progressively weakened the original fund-raising functions to the health service. Price department strictly stick to the low-cost medical services policies, which led to the abnormal charge standard. Health administration made efforts adaptability under the environment of finance and price policies. Hospitals comply with the macroeconomic policy, which became a breeding ground for the problem like overly expensive medical services. Disorderly market of the pharmaceutical industry and medical supplies strengthened the problem. And imperfect medical insurance system made overly expensive medical services a universal social problem. Interaction among patients demand side, hospitals and govemment made the state of polarization in medical and health undertakings come in to being. Above all the root cause is lack of government financial input; the trigger sector is unreasonable charges.
Keywords:Overly expensive medical services    Social interaction    Root cause
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