作　　者： ;

机构地区： 华南理工大学公共政策研究院

出　　处： 《开放时代》 2018年第2期178-196,共19页

摘　　要： 确保医疗服务的效率和公平,是每个国家进行医疗改革的基本目标。按照新自由主义的理念,实现这些目标的一个重要举措是对公立医院进行私有化或变相私有化的产权改造。然而,从中国及全球的医疗改革实践来看,公立医院私有化并未达到预期的效果。医疗服务因为信息高度不对称很容易导致市场失灵,公立医院私有化不仅没能提升医疗效率,反而强化了医疗排斥效应。维持医疗服务的公益性需要强有力的政府干预,而对于政府而言,控制医院的产权是推行医疗政策最为有效的手段之一。 Ensuring the efficiency and fairness of medical services is a fundamental goal of health care reform in each country. According to the neo-liberal ideas,an important measure to achieve these goals is the privatization or disguised privatization of public hospitals. However,judged from the practices of health care reform in China and around the world,the privatization of public hospitals has failed to achieve the desired results. A better commitment to property rights reform is more like an illusion. Because of highly asymmetric information,medical services can easily sink into market failure,making public hospitals less efficient and more repulsive. Maintaining the public welfare of medical services requires the government intervention. And for the government,control of hospital property is one of the most effective means to implement health policies.

关 键 词： 公立医院 私有化 医疗效率 医疗公平 排斥效应

领　　域： []