医疗服务供给的公私合作伙伴关系模式探讨

Study on medical service supply public-private partnership mode: Based on the view of public economics

医疗服务具有准公共物品属性,其供给模式及体系结构影响公众健康的公平公正。本文基于我国医疗服务需求与供给现状,思考多元化办医的公共经济学问题,通过探讨公私合作伙伴关系(public-private partnership,PPP)模式在国内外医疗服务领域的实践现状,总结与归纳PPP模式在我国医疗服务供给上的可行性及存在风险,从而提出关于构建适合我国国情的由政府、公立医院和社会资本共同协作的创新性医疗服务供给模式。同时,医疗服务供给PPP模式要实现长远发展,客观上需要解决合作主体之间的合作成本、利益分配和风险分担等问题。

Due to the quasi-public att ributes of medical service, the supply mode and system could influence equity and fairness of general people's health. Based on the view of public economics, the purpose of this paper was to explain the economic nature of medical service supply. By analyzing the practice of public-private partnership(PPP) mode in medical care supply and the related public economic issues, we summarized the feasibility and risks of PPP model in Chinese medical care supply market. Finally, we discussed the innovative medical service system provided by government, public hospitals, and social capitals together. Therefore, to guarantee further development of this new medical service supply—PPP mode, we should pay att ention to some practical problems, such as the share of cooperation cost and the balance between the benefit and risk among all partners.