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本文将信任品市场理论与我国医疗市场的现实制度背景相结合,分析了非营利医院与营利性医院在医疗服务供给行为上的主要差异和根本成因,并以此为基础讨论了营利性医院的市场进入对我国医疗市场绩效的影响。结果表明,受非对称价格管制政策的影响,营利医院的进入使得医疗市场均衡呈现出分化特征:均衡时,营利医院将在事前价格承诺的基础上向病人提供有效率的诚实治疗,而过低的诊疗收费价格管制则迫使非营利医院对患者进行过度治疗;患者则根据患重症概率的高低选择就诊医院。与只存在非营利医院的垄断型医疗市场相比,营利性医院的市场进入对社会福利的积极效应体现在患者医疗费用的降低、更有效率的医疗服务以及对非营利医院过度治疗的抑制和医保运行效率的提高。
This article combines the theory of trust market with the actual institutional background of medical market in our country, analyzes the main differences and fundamental causes of non-profit hospitals and for-profit hospitals in the supply of medical services, and based on this, The Impact of Market Entry on the Performance of China ’s Medical Market. The results show that under the influence of asymmetric price control policies, the entry of for-profit hospitals makes the balance of the medical market show the characteristics of differentiation: when the balance is equalized, the profit-making hospitals will provide the patients with efficient and honest treatment based on the prior price promises, Of the medical treatment fee regulation forced the non-profit hospital over-treatment of patients; patients according to the severity of the severity of the choice of hospital. The positive effect of for-profit hospital market entry on social welfare compared to monopoly-only medical markets that have only non-for-profit hospitals is evidenced by lower patient care costs, more efficient medical services, and inhibition of over-treatment in nonprofit hospitals Health insurance to improve efficiency.