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为了提高医疗市场的效率,需要建立医疗内部市场,将市场力量从医疗供给方转移到购买方,从而促进医疗机构之间的竞争。文中通过一个基本空间竞争模型,分析得出在医疗内部市场中,按病种分类的预付机制能够有效控制医疗费用,竞争则有利于提高医疗质量,降低医疗机构的信息租金;而分散的地理布局会为医疗机构获取地域租金提供机会。因此,公共代理机构在确定医疗偿付制度与医疗质量时,应当同时考虑医疗机构的信息租与地域租。
In order to increase the efficiency of the medical market, it is necessary to establish a medical internal market and transfer market power from the medical provider to the purchaser, so as to promote competition among medical institutions. Through a model of basic space competition, this paper shows that in the medical internal market, the prepaid mechanism classified according to the disease can effectively control the medical expenses, and the competition is conducive to improving the quality of medical care and reducing the information rent of medical institutions. However, the scattered geographical distribution Will provide opportunities for medical institutions to obtain geographical rents. Therefore, in determining the medical pay system and quality of medical care, public agencies should also take into consideration the information and geographical rent of medical institutions.