浅析医疗服务供需双向约束机制对医院经营行为的影响

Influences of Two-way Constraint Mechanism of Supply and Demand on Medical Care on Hospital Operative Practice

自1998年国务院决定在全国范围内进行城镇职工医疗保险制度改革以来,总额控制、比例分担、分段支 付、按病种付费等制约措施的实施,对医疗服务供需双方都产生了明显的约束作用,导致医疗服务供给、需求双向紧缩, 许多深层次矛盾开始显露。双紧缩机制:一方面有效控制了医疗服务需求的过快增长,另一方面也制约着医院供给的增 长,从中长期经济预期的角度看,势必导致医院经营模式、经济效益、经济增长方式等一系列经营行为的转变。

Since urban employee basic medical insurance system is implemented in 1998, some constraint measures, such as total amount control, share as ratio, payment as stages, and payment as diseases, have obviously limited supply and demand on medical care, which results in shrink of supply and demand on medical care. Many deep contradictions are also appearing. On the one hand, two-way shrink mechanism effectively controls the fast growth of demand on medical care; on the other hand, it constrains the growth of hospital supply. From the point of view of middle or long term economic prediction, it will result in change of hospital operative practice, such as operative model, economic benefit and methods of economy growth.Authors′address Humanity and Sociology College, Jiangsu University, Zhenjiang, Jiangsu Province, P.R. China.