新医改形势下医疗保健市场信誉机制的建立与完善

The Establishment and Perfection of Reputation Mechanism in Medical Care Market under the Situation of New Health Reform

医患关系紧张是在市场经济背景下,由于价值选择和制度安排失当造成的。法律和信誉是维持医疗市场有序运行的两个基本机制。与法律相比,信誉机制是一种成本更低的维持医疗秩序的自我实施机制。在许多情况下,法律是无能为力的,只有信誉才能起作用。重构医疗秩序必须以规范监管作为制度保障,以诚信互动作为必要条件。

The tensional doctor-patient relationship is a result of improper value choice and institutional arrangement in the background of market economy and high technology development.Law and reputations are two principal mechanisms of medical care market order,reput-ations are self-enforcing and more cost-effective as compared with law.In many occasions,law is helpless and only reputations can play a role.In order to restructure medical order,we should take regulated-supervision as its guarantee of abiding institutions,honesty and interaction as its necessary condition.