卫生服务准公共产品划分的依据与意义

Definition of Quasi-public Goods in Health Services and Its Significance for Resources Allocation

准公共产品既有公共产品特性又有私人产品特征,在卫生服务领域是更为常见的产品类型。政府利用市场机制提供准公共产品是许多国家的经验。体现公益性和促进市场竞争也是我国新医改的两个方向。但目前国内学者对卫生服务准公共产品的理解还不一致。借助排他性与竞争性的二维分析框架,可以明确卫生服务领域中准公共产品的界限。同时,利用社会再生产的资本分析方法,区分不同类型卫生服务的资源配置要求,为政府公共投入和引导社会资本的政策制定提供参考。

Quasi-public goods with combination characteristics oH public goods and private goods were more popular in health services. In many countries, governments provide quasi-public goods with market mechanisms. In China, the new round of health care reform planed to establish a health care system characterized by public welfare and market competition. However, the domestic scholars have not reached an agreement on the quasi-public goods in health services. In a binary framework of competitiveness and exclusiveness, the boundaries of the quasi-public goods in health services can be clearly defined. By the analysis of capital in social reproduction, the allocation of resources can be discriminated for different types of health services, which can provide reference for government policy making relating to public investment and social capital guidance.