Theoretical And Positive Analysis Of Medical Care Price Regulation

Since the middle 80's in the last century, a series of thought-provoking changes have occurred in the field of health service. People are confronted with many prominent obstacles in the medical care field such as inconvenient access to medical care and expensive medical care expenditure. Consequently the problems resulted from the physicians and hospitals as well as medicines are nothing less significant than the issues of Agriculture Rural Area and Peasants. The medical care field is faced with series of inevitable challenges and unsolved difficulties. In nowadays, the residents, government and society are wholly focused on the medical care cost. As a result, the control for medical care price and cost which has been far beyond the bounds of medical care service has connected directly with the economy and the health status of residents. In the nearly 20 years of medical care systems reform process, the major part revolves the control for medical care price and expenditure. However, the reform never touches the deep contradiction in the medical care systems. In fact, all the reform is not only irregular but also lacks the corresponding measures. Although the reform hasn't failed completely, it actually more or less has hindered the reform advancement; Objectives: Based on the theory of modern economical regulation and current process of medical care price regulation, the paper discusses the elementary theory and model of regulation, the method of medical care regulation, the physician behavior character and methods of payment of medical care cost. Furthermore, the paper not only makes a research on the problems and contradictions which appeared in the course of regulation and adjustment for medical care service, but also explores the factors for medical care expenditure. Eventually, on the base of theoretical and positive analysis, the paper thoroughly analyzes the policies for medical care systems reform and provides policy suggestions to improve the reform of national medical care price and systems. Methods: By the report forms and spot data, the SPSS database is established. With an application of elementary theory and model in the fields of manageing, the politics, sociology and statistics etc, the qualitative and quantities methods in economics, management and statistics are used. The result is that goals of medical care price reform have not attained aiming to control medical care fees ' rise through "structure adjust",furthermore,price adjust make it worse because of lacking the corresponding measures .The main conclusion is: The medical care price exists serious structure deficiency; Government is absent in medical care fields; The medical care price is the representative, but the reform of medical care system is basic; The medical care price regulation should manifest the Formal-play-chess among the Interest group; The medical care price reform is a complex systems engineering.The main policy suggestions are: To clear the goal of medical care price reform; To establish the principle of medical care price reform; To set up the transformation mechanism ofmedical care systems; To establish restraint mechanism of medical care cost; To improve the surveillance management system of medical care price; To provide the measures for medical care payment systems reform; To introduce the competitive managed care system; To advance the medical care system reform; To make reference to the experience from international medical care systems reform..