公立医疗机构产权制度民营化改革的经济规范分析

Normative Analysis of Privatization Reform of the Property Rights of Public Medical Institutions

公立医疗机构民营化改制是我国医疗体制改革中颇受争议的热点。从经济学角度规范分析,医疗服务的私人物品特点是民营化的基本前提,收紧预算约束、提高效率是民营化的主要依据。在民营化过程中,地方政府充当了民营化改制的推力,条块冲突主要影响了民营化的整个进程。在目前回归公益为主的政策引导下,民营化将不会作为未来医疗体制改革的重点,但局部民营化仍应得到积极实施,兼顾机构职工与患者利益条件下未来民营化进程将呈现复杂形态,而分部门、分机构、分地区的改制试点将是下一阶段民营化发展的主要方向。

Privatization of public medical institutions is the hot spot in China＇s health care reform. From normative analysis in the economic point of view, private goods characteristics of medical services is the basic premise, and tightening budget constraints and improving efficiency are the main basis for the privatization. In the privatization process, local governments acting as the thrust and conflict of compartmentalization mainly affects the entire process. Returning to the public benefits, privatization will not be the focus of health care reform in future, but partial privatization should be actively implemented. Taking the benefits of workers and patients into account, the privatization process will show a different morphology. Sub-agencies and sub-region will be the main direction of the next stage of the privatization.