反思医疗卫生保健体系的-癌性-发展趋势.pdfVIP

反思医疗卫生保健体系的“癌性”发展趋势 杨国利1 文摘 研究目的：以消除过度医疗为目标，探讨医改的新路径。研究方法：通过类比对照研究， 分析医疗卫生保健体系得了什么样的“病”以及病因何在。研究结果：1、医疗卫生保健体 系存在的问题类似生命体罹患了“癌症”；2 、“癌症”病因是个人主义的道德伦理观和理性 人利己主义的市场经济制度；3、建构中国生命伦理学，为 “癌症”治疗提供道德伦理支撑； 4 、建立公医生的共品市场以节制医疗的商品市场，为治疗“癌症”提供制度与机制保证；5， 如果政府向医生的公共品市场年投入 3800 亿元，以确保执业医生年均收入达到20 万的前提 下，有可能通过消除 10525 亿的过度医疗而在医疗的商品市场获得巨大的经济效益。结论： 医疗问题的世界性与普遍性揭示医改要成功需要在理论、制度与机制等方面的创新。 关键词：癌症，医改，公共品，市场，医疗经济 To rethink the development tendency with the “cancer” of the medicine-health-care-system/ YANG Guoli/Beijing Chuiyangliu Hospital, Beijing , 100022 Abstract Objective: to explore the new way to remove the over-treatment from the medical process. Methods: to analyze what disease the medicine-health-care-system gets and its etiology by the analogy research. Overcomes: 1 the disease that the medical-health-care-system gets is similar to the “cancer” of the body. 2 its causes include two kinds, one is the individualism moral ethics and another is the market-institutional environment based on rational man of the self-interested. 3 to base the Chinese bio-ethics to cure the “cancer”. 4 to establish the public goods market of the doctor to compete with the medical commodity market. 5 if the government invests 380 billions in the public goods market, the annual salary of the doctor with the public goods will be 200 thousand, there will be an annual incomes of 1052.5 billions in the medical commodity market by eliminating the over-treatment. Conclusion: as the problems with the cosmopolitan and 1 杨国利，男，1965 年生，肿瘤学硕士，副主任医师。北京市垂杨柳医院医学社会部主任，100022. 主要研究方向：儒学，生命伦理学，儒学生命伦理学 电子邮件地址：y321012@ 手机 universality in the medical-health-care system, it demonstrates that it needs innovations in