信息不对称条件下经济组织监管方式的分析:对我国公立医院改革模式的讨论

随着我国由计划经济体制向社会主义市场经济体制的过渡,仍然会有一定数量的国有医院要由国家直接控制经营。并需要相应的治理结构来规范其运行。本文的结果表明,在经济学理论上,公立医院的经营目的决定了产权改革既不是提高其经营绩效的充分条件,也不是必要条件。我们的理论分析否定了“产权优先”的改革观点,而为进一步完善公立医院治理结构的改革步骤提供了理论支持,并给出一定改革措施建议。另外,本文在理论上首次提出了非对称信息企业内部的“信息悖论”问题。这个广泛的结论不仅对于医院的改革是成立的,对于其他具有相同信息特征的企业都有理论意义。

A Regulation Theory in Firms with Asymmetric Information: Application to Public Hospital Reform in China

As the transition from planned economy to socialist market economy, certain state-owned hospitals are still run by the government directly and require corresponding governance structure to guarantee the right behavior. Conclusion of this paper shows, based on economic theory, ownership reform is neither the sufficient nor necessary conditions for performance improvement, which is determined by the purpose of public hospital operation. Therefore, the "Priority of Ownership Reform Theory" for public hospitals is denied in this paper, which otherwise provides a theoretical support for the further reform in governance structure of public hospitals. In addition, this paper first raises the "information paradox" inside asymmetrical information firms in theory, which can be applied not only to reform in hospitals but also to reform in firms with similar information characteristics.