医疗服务递送机制中主体利益关系及扭曲矫正——基于政府职能的视角

医疗服务递送机制中涉及到医疗服务机构、医生、药企和患者四方利益主体。当前我国这些利益主体之间种种不合理的利益"合作"与"冲突",均与医疗服务递送机制中政府职能的缺位和错位存在着直接关系。在进一步深化医改的过程中,我国政府应当正确地履行好理应承担的公共职能,即加强对卫生资源的合理规划与配置;加大对公立医院的财政投入并优化对其补偿机制;加强对医疗服务机构与药品行业的监管;加强医药信息披露机制建设;鼓励医药卫生服务市场公平竞争,并放弃不适当的医药价格管制。

On the Relationship between Beneficial Bodies and Its Distortion Correction in Health Care Delivery Mechanism:from a Perspective of Government Functions

Many beneficial bodies are involved in the health care delivery mechanism,such as health care providers,doctors,pharmacy and patients.At present,different kinds of unreasonable cooperation and conflicts on benefits between these bodies are directly related with the absence and dislocation of the government functions in the health care delivery mechanism in China.In the process of deepening the health care reform,the Chinese government should perform its public functions correctly,which it should assume,such as strengthening health resource planning and allocation,increasing financial investment in public hospitals and optimizing the compensation mechanism,strengthening the supervision of the health care institutions and the pharmaceutical industry,strengthening the construction of the medical information disclosure system,encouraging fair competition in the medical health service market,and giving up inappropriate price controls.