医疗服务市场化评价框架研究

Study on the Evaluation Framework of Medical Market Evolution

针对目前看病难看病贵问题是否缘于市场化,学术界讨论热烈,但对于医疗服务市场化程度缺乏整体、全面的评价。改革开放以来我国建立了社会主义市场经济,近年来,已对经济、劳动力等领域进行了市场化测度研究。该研究在借鉴其他领域市场化评价的基础上,针对医疗服务领域的特性,对医疗服务市场化进行定义,从政府管制与市场开放程度、非公要素发展、医疗机构自主权三个方面建立评价框架,并提出了关键指标。

The topic of a market orientation reform resulting in inadequacy and affordability issues of medical services has attracted considerable attention in academic circle. However, there is still no consensus on the definition of medical service market orientation and on how to measure it. Socialist market economy has taken shape initially since the reform and opening up policy. Based on the existing measurement on market orientation in other fields and the special features in medical market, the authors attempt to improve market orientation concept and measurement. The medical market orientation framework should be constructed and an indicator system be proposed in terms of government function and market opening scale, the development of the non-public elements and the autonomy rights of medical institutes.