中国医疗的供给与政策

China’s Healthcare Supply and Policy

本文首先指出中国医疗服务价格的快速增长和供给的增长停滞并存的现状。医疗服务供给的增长停滞被归咎于中国医疗的国营供给体系。然后,本文用江苏省宿迁市的医疗改革案例说明医疗供给民营化的正面影响。最后,对政府医疗政策提出一些建议。

The supply of healthcare in China did not increase from 1989 to 2004 while the price of healthcare increased rapidly, according to data provided by the Chinese National Bureau of Statistics. This is explained by the rapid increase in income which led to a rapid increase in price when supply failed to increase. The lack of increase in supply was due to the policy of public supply when local governments did not have sufficient funds to invest in healthcare. The reform experience of Suqian city is cited to demonstrate that allowing private supply can increase supply, lower price and improve quality of healthcare. This paper recommends such a policy to the Chinese government, after explaining why the successful experience of Suqian’ reform is not fully appreciated in China.