医改背景下医疗服务价格管制效果研究

Research on the Effect of Medical Service Price Regulation under the Background of Medical Reform

中国医疗服务价格改革一直在管制与放松管制之间徘徊。而医疗服务价格管制固有缺陷导致“管制失灵”是政府推动放松医疗服务价格管制的动力。医疗服务供给增加不能满足需求增长是医疗服务价格增长趋势不减的根本原因。在政府破除“以药养医”定价机制后,医疗服务供给方则会通过“过度检查、以设备养医”等方式获取相应收入,医疗服务价格管制效果甚微。为恢复价格引导医疗服务资源有效配置的功能,政府应进一步放松医疗服务价格管制,让价格调节医疗服务市场中的供求关系。与此同时,政府应加强医疗服务质量管制。

China's medical service price reform has been hovering between regulation and deregulation.It is found that the inherent defects of medical service price regulation lead to"regulation failure"is the government's driving force to deregulate medical service prices.The increase in the supply of medical services that can not meet the demand growth is the root cause of the unabated growth trend of medical service prices.After the government breaks down the pricing mechanism of"using medicine to support doctors",medical service providers will obtain corresponding income through"over-examination,using equipment to support doctors"and other methods,and the price regulation of medical services will have little effect.To restore the function of price to guide the effective allocation of medical service resources,the government should further deregulate the price of the medical service market,let prices adjust the supply and demand in the medical service market.At the same time,the government should strengthen medical service quality regulation.