管窥国有医院商业化倾向论医疗腐败及其治理-MPA专业论文.docxVIP

摘要 摘要 现代化国有医院提供的医疗服务呈现多样性。从新古典经济学角度看，多样 化的医疗服务可分为公共产品、福利产品、混合产品和私人产品，应分别由政府 或市场来供给。由于存在“政府失灵”和“市场失灵”，国有医院接受政府委托， 半志愿、半强制地选择不以营利为目的地提供公共医疗服务，因其具有纠正政府 和市场双重失灵的功能使国有医院的存在成为必要。 在政府财政扶持式微和市场竞争加剧的压力下，国有医院除了要体现福利性 的特征，其本身还有一个谋求生存、追求效益和可持续发展的问题，因此，越来 越多的国有医院都表现出生产、经营等商业化经营倾向。国有医院的福利性和收 益性的双重目标的实质是实现公平和效率的一致。为了提高效率，国有医院选择 商业化经营是正当并可取的，但必须正视商业化经营的风险和困境。 在商业化经营的背景下，国有医院医务及其他人员具有的垄断权力、任意决 定权和日渐缺失的责任心使医疗腐败成为医疗行业中危害极大且又屡禁不绝的 顽症。为免千里之堤溃于蚁穴，医疗腐败的治理尤显重要。 针对目前医疗腐败的治理现状，本文认为，医疗腐败的治理过程是实现国有 医院福利性和收益性双赢的过程，应当运用立体思维，从战略的高度。对治理措 施进行创新。 关键词：国有医院；商业化倾向：医疗腐败：治理 中图分类号：R197．32 AbstractMedical Abstract Medical services provided by modem state·owned hospitals show a tendency towards diversification．According to new—classic economics．diversified medical services are divided into public goods、merit goods、mixed goods and private goods． And all these products should be provided respectively by government or market． However,because of“Government Failure’’and‘Market Failure”．state—owned hospitals．entrusted by govermnent，choose to provide non-profit public services half voluntarily and half compulsorily．Because state—owned hospitals have the function of correcting double failure，its existence turns into necessary． WiⅡl the decrease of government financial support and increase of market competition，state—owned hospitals face problems of surviving，enhancing performance as well as sustainable development apart from reflecting characteristics of welfare．Therefore，more and more state—owned hospitals show the tendency of commercialization in their production and management．The essence of state—owned hospitals’dual targets(namely,welfare and profit)is to realize the consistence between equity and efficiency．In order to improve efficiency，the commercialized operation by state—owned hospitals is appropriate and viable as long they face up to risks and predicaments caused by commercialized operation． Against the background of commercialized operation，the monopoly power、the willfu】decision—making power and the