试析营利性与非营利性医疗机构的不同点

Comparisons of Profit and Non-profit Medical Institutions

营利性与非营利性医疗机构的不同点主要表现在 :收益分配不同 ,前者的收益可用作投资者的经济回报 ,后者的收益只能用于医疗事业的自身发展。投资渠道不同 ,前者主要由市场投资者投资 ,后者主要由政府投资。提供的服务项目与承担的社会义务不同 ,前者提供基本医疗以外的服务 ,只对无法支付费用的急诊病人承担社会义务 ,后者提供基本医疗服务 ,即为无力支付医疗费用的病人提供免费医疗服务。定价的基础不同 ,前者以市场为基础定价 ,后者以全成本为基础定价。政府采取管理政策的取向不同 ,对前者应以调动建立和发展营利性医疗机构的积极性为导向 ,对后者应以完善补偿机制和规范经营为导向。

The main differences of profit and non-profit medical institutions are as following: (1) the distribution of profit is different. The profit can be given to investors as economic rewards for the former,while the profit is only used to development of medical service for the latter;(2) the financing channels are different. Market investors mainly invest the former,while the latter is depended on government;(3) the service items and the social duty are different. The former just supplies medical services except of basic medical services and only undertake duties of medical expense for emergence patients who cannot pay medical expense,while the latter supplies basic medical services,that is to supply free medical service for patients who cannot pay medical expense;(4) the basis of defining price is different. The former defines price based on market,while the latter defines price based on whole cost;and (5) the direction of government's management policies is different. The policies' direction for the former should be to mobilize the activities of establishing and developing profit institutions,while for the latter it should be to perfect compensatory mechanism and standard operation.