| Success or failure of health care reform is a major event related to the people's livelihood. It related to the health of people, related to the vital interests of the people.Although the reform and opening up, reform our health care system has achieved some success, but with China's rapid economic development and people's living standards improved, the test of medical and health services also continue to strengthen, at the same time exposed a lot of problems. For example: a doctor is difficult and expensive, tension between doctors and patients, doctors receiving kickback serious, medical ethics being questioned, irrational allocation of health resources, public hospitals, public sex is replaced by the market, monopoly serious, private medical institutions to survive there threats, drug market disruption, health insurance coverage is low, there is no proper role to play, etc.Now need is to work with the simultaneous development of our economy, matching the medical system, from an economic point of view of the characteristics of health services to analyze, from the supply-side view.First, the medical services with public goods and quasi-public goods, property, basic medical services that the properties of quasi-public goods can not be fully felt by the market to determine prices, while the government can not buy and pricing, the government and the market should be shared basic medical The cost of services required, for non-basic medical services, should be provided by the market, the Government arising from the phenomenon of market failure need to be adjusted indirect means.Second, the supply of medical services with the characteristics of externalities, so the need for government intervention and regulation, otherwise there will be a market in the medical industry has a positive externality of products in short supply, with negative externalities of excessive supply of products.Third, if the market over, medical services, supply-side characteristics of the two-sided, because of benefits or reduce the motivation of induced demand, leading to over-treatment. Cong demand-side perspective, demand for medical services are due to the lack of medical expertise in the health care provider does not recognize the quality of services and can not be right to choose the most suitable for their own doctors and treatments, so insurance is the protection of the interests of the demand sideThe best way, but also adverse selection and moral harm. Asymmetric informa tion exists in a wide range among the health care industry, both supply-side or demand side have been very seriously affected. This paper argues that conflicts caused by the medical industry the main reason for the absence of government functions, the market has brought into our medical system hindered the loss of power of the pharmaceutical market regulation and the interests of medical workers did not receive due protection. Public hospitals of medical institutions account for more than 90% of medical institutions, dominated, public hospital management and internal governance has yet to mature, become increasingly prominent, thus solving the problem of property rights in public hospitals is the focus of reform our health care system, Successful reform of public hospitals is a direct impact on our health care system reform process.This property right reform for public hospitals had detailed analysis, and the reform of public hospital response, the focus of reform there is the need to establish comprehensive health care system, public health service system, basic medical service system and the pharmaceutical market Reform, through the game model analysis shows the importance of establishing credibility of the mechanism. The purpose of this is to make medical and health services to better serve our citizens, improve our health care system, suffering from side to meet the needs of health services and improve the health of our citizens. |
