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目的:利用定性的方法测量北京市医疗服务市场的竞争强度,并分析竞争对医疗费用带来的影响;方法:从门诊、住院以及住院手术等三方面,利用“市场集中度”指标测算1990～2005年北京市医疗服务市场的竞争强度;结果:北京市医疗服务市场在测算的15年间都经历着较强的竞争,而且竞争强度在2000年后有逐渐增强的趋势;结论:缺乏竞争不能成为医疗费用高的主要原因,从医疗装备竞赛理论的角度理解,激烈的竞争反而促进了费用的剧烈上升。
OBJECTIVE: To measure the intensity of competition in Beijing’s medical service market by using qualitative methods and to analyze the impact of competition on medical expenses. Methods: From the three aspects of outpatient, inpatient and inpatient operation, using “Market Concentration” Results: The medical service market in Beijing experienced strong competition in the 15 years of evaluation, and the intensity of competition gradually increased after 2000. Conclusion: The lack of competition Can not become the main reason for high medical costs, from the medical equipment competition theory point of view, the fierce competition but hastened the dramatic increase in costs.