【摘 要】
：
本文总结了医疗卫生体制的现有问题,用制度变迁理论从制度需求供给均衡的角度考察了新医改方案制度变迁的动力机制和制度变迁的供需均衡点,在此基础上对新医改方案的可行性和
【机 构】
：
重庆大学贸易与行政学院,重庆,400044
【基金项目】
：
重庆大学研究生科技创新项目;重庆大学研究生科技创新项目
论文部分内容阅读
本文总结了医疗卫生体制的现有问题,用制度变迁理论从制度需求供给均衡的角度考察了新医改方案制度变迁的动力机制和制度变迁的供需均衡点,在此基础上对新医改方案的可行性和有效性做制度预期.研究结论表明:新医改作为强制性制度变迁其"第一行动集团"已经出现,但有效形成"第二行动集团"存在一定的客观障碍.其中,地方政府的制度供给能力值得担忧,而且监管很难;公立医院是矛盾聚焦点,需要切实有力的补偿激励机制;医药产业可能在行业调整中出现一些新问题.同时,新的制度安排可能诱致一些制度逃离行为,使供需均衡点发生偏移而不能完好地达到制度预期,需要防范并增加相应的制度供给.
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