摘要
政府卫生投入方向存在供方或需方两种投入路径,如何进行路径选择是不同医改方案争论的焦点之一。对我国政府卫生投入的制度变迁分析发现,坚持供方和需方共同投入有利于建立均衡的医疗服务和医疗保障制度,同时这也是传统投入方式路径依赖的结果。对不同投入路径的公共经济分析表明,供方路径和需方路径并不是不可调和的,而是公共产品混合提供模式下的两种不同方式。新一轮医疗卫生体制改革应将供方路径和需方路径有机结合起来进行政府卫生投入,同时要完善两种投入路径的相关制度设计。
There are two kinds of approaches of health input from government： supply-side and demand-side, and the approach choice is the focus of disputing in different proposals about health service reform. The historical analysis with institutional change theory from new institutional economics found that the approaches of both supply-side and demand-side are helpful to keep equilibrium of health service and health security systems, and it is also the result of path dependence. The analysis with the theory of public economics made clear that the supply-side and demand-side approaches are the two kinds of accesses in mixed way for providing public goods or service, so they are not opposite to each other. Therefore, both of the supply-side and demand-side approaches should be adopted in governmental heath input and their related system should be established in the new reform of health system.
出处
《武汉大学学报（哲学社会科学版）》
CSSCI
北大核心
2009年第2期201-212,共12页
Wuhan University Journal：Philosophy & Social Science
基金
国家自然科学基金项目(70673026)
关键词
政府卫生投入
制度变迁
路径选择
需方路径
供方路径
governmental health input
institutional change
approach choice
supply-side approach
demand-side approach
