医疗服务价格管制:理论模型与我国的改革取向

The Price Regulation of Medical Service: Theoretic model and reform trends in China

目的:探讨医疗服务价格管制的理论模型及我国的改革取向。方法:定性分析方法。结果:医疗服务是介于公共服务和私人服务之间的一种混合服务。医疗服务价格管制包括价格水平管制和价格结构管制。医疗服务的信息不对称、公平性、外部性以及垄断性是对医疗服务实施价格管制的原因。拉姆齐定价模型、收益率管制定价模型、最高限价模型、标准管制定价模型、费尔德斯坦定价模型是医疗服务定价通常依据的几个理论模型。结论:我国应该以上述模型为依据对医疗服务价格水平和价格结构进行改革和调整。

Objective： To explore the medical service price regulation of theoretic model and reform trends in China. Methods： Qualitative method. Results： Medical care is the service that mix the nature of public service and private service. The price regulation of medical care includes the regulation of price level and price structure. The asymmetric information, equality, externality and monopoly of the medical care are the reasons to implement the price regulation. Ramsey pricing model, investment rate of return pricing model, the price-cap model, yardstick price regulation model and Feldstein pricing model are the general models to implement the price regulation of medical care. Conclusion： China should reform and modify the current price level and structure of medical care based on the above models.