医疗服务价格管制的经济学分析(pdf 15页)

医疗服务价格管制的经济学分析
摘 要 本文提供了一个用于评价医疗服务价格管制的分析框架。我
们首先阐述了医疗服务价格管制导致“以药养医”体制形成的原因。
然后，我们的分析表明，“以药养医”这一间接定价机制，通常无法
使患者的效用水平达到只存在道德风险和有限责任约束时的次优水
平。最后，我们就医疗体制改革提出了相应的政策建议。
关键词 道德风险 有限责任 医疗服务价格管制 医疗体制改革
Abstract In this paper we develop a framework to appraise the
policies concerning price controls of health service. Firstly, we analyze
the link between price controls of health service and the formation of
China’s health care system, in which underpaid doctors were
compensated by excessive medicine fee and examination fee. Secondly,
we argue that, in nature, the system is an indirect pricing mechanism and
that this mechanism generally makes the level of utility of patients lower
than the second best level of utility under moral hazard and limited
liability. Finally, we provide some suggestions pertinent to the reform of
China’s health care system.
JEL Classification I18 D82 K23
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