基于信息不对称的卫生经济学理论.pdfVIP

《 中国卫生经济》第 卷第 期（总第 期） 年 月 理论研究 29 5 327 2010 5 基于信息不对称的卫生经济学理论 ① ① ① 李 玲 ， 汪 浩 ， 曾 垚 摘 要： 文章从信息不对称的角度出发， 结合我国国情， 对有关的卫生经济学理论进行了整理， 讨论健康市场的 各个特点及其对制度设计的要求。 我们认为， 健康服务的特点使得纯粹的市场机制难以获得理想的结果， 适当的政府 干预可以提高效率， 一个可以考虑的模式是逐步实现由国家直接为全民提供基本医疗卫生服务。 关键词： 信息不对称； 卫生经济； 市场失效； 医疗保险 中图分类号： 文献标识码： 文章编号： （ ） F019.6 A 1003-0743 2010 05-0005-04 Theory of Health Economics Based On Information Asymmetry／ LI Ling ， WANG Hao, ZENG Yao ∥Chinese ， ： Health Economics, 2010 29(5) 05-08 Abstract ： The design of health care system is a complicated and controversial topic. A comprehensive theoretic framework is called for in evaluating various reform schemes in the health care system. This complexity mainly results from the problem of asymmetric information in the health care service, apart from the importance and sensitivity of health care in the society. This paper discusses various theories on health care service and health insurance, and the characteristics of health care sector which play significant roles in market design ， in order to propose a comprehensive reference to the health care reform. This paper concludes that, free market based mechanism of resource allocation can hardly lead to desirable result due to the characteristics of health care service; therefore the design of health care system should keep a balance between the market mechanism and the government intervention. Theoretically ， intervention by the government