医改的抉择:政府主导还是市场化——基于医疗卫生服务及其市场特殊性的分析

The Choice of Medical Service Reform :Government-guided or Market-guided——The analysis on the basis of the particularity of the medical service and the particularily of its market

医疗卫生改革理应寻求解决民众的“看病难”、“看病贵”问题。医疗卫生服务及其市场是医改中所有问题的归结点。在对医疗卫生服务与其市场的特殊性进行分析中,表明医疗服务市场不同于一般的商品市场与服务市场,在政府与市场的分工上针对其特点进行合理界定,既否决单纯的市场主导,也否决一味的市场化,而是二者的理性结合。

Medical service reform is to solve people＇ s ＂the trouble and the high cost of obtaining medical service＂. Medical service and it＇ s market are the focus of all the problems about medical reform. On the basis of the analysis of the medical service and the particularity of its market, this article finds that the medical service market is quite different from the ordinary commodity market and service market ,and consequently defines the boundary of the division of government and market against its characteristics. Neither simplified marketoriented nor complete marketing is acceptable, and the rational choice is the combination.