论医疗服务的竞争性供给——交易费用的视角

On the Competitive Supply System of Medical Service——From the Respective of Transaction Cost

医疗服务制度可以分为三种基本形式:社会福利型医疗服务制度、自由市场型医疗服务制度和竞争性供给型医疗服务制度。从医疗服务市场供给量、市场结构以及社会收益三个角度,沿着制度变迁的逻辑,可以看到不同制度下医疗服务的交易费用的变化。其中,竞争性供给制度相对于社会福利型制度、自由市场型制度具有节约交易成本和促进社会收益的优势。

Based on the transaction cost theory and the definition of transaction cost of medical service supply（TCMSS）, an analysis on the difference of TCMSS under the dissimilar supply systems displays that competitive supply system has the advantages of deducing the transaction costs and increasing total social revenues to social welfare system and the free market system on the viewpoint of supply quantity, market structure and the total social revenues along the logic of institutional change.