市场决定医疗资源配置和更好发挥政府作用的实现机制研究

Researches on the Realization mechanism to Market Determining The Allocation of Medical Resources and Better Playing The Governmental Role

医疗资源配置是医疗保险的重要功能。公平和效率是医疗资源配置的两大目标,政府和市场是医疗资源配置的两大手段,政府和市场有机结合才能实现医疗资源的优化配置。社会医疗保险是政府和市场两种资源配置手段的结合点,所以可以实现医疗资源的优化配置。社会医疗保险主要通过付费水平、付费结构和付费方式优化配置医疗资源,即通过付费水平的变动调控医疗资源的供给总量、通过付费结构的调整优化医疗资源的供给结构、通过付费方式的改革改善医疗资源的利用状况。

Medical resource allocation is an important function of medical insurance, which has two goals of fairness and efficiency, and two means of government and market. Only the combination of government and market can realize the optimal allocation of medical resources. Social medical insurance is the combination of government and market, which can optimize the allocation of medical resources through payment level, payment structure and payment method, regulating the total supply of medical resources through the change of payment level, optimizing the supply structure of medical resources through the adjustment of payment structure, and improving the utilization of medical resources through the reform of payment method.