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我国县乡医疗体制改革改变了原有计划经济体制下医疗卫生服务供给低效率和数量短缺的局面。我国县乡医疗市场正在出现新的、医政联合的垄断格局。县乡垄断医疗市场短期与长期均衡形成及持续是各方力量博弈的结果,垄断医疗机构从中获得巨额垄断利润,而农民却支付巨额成本。在模型分析结论基础上,提出了建立准入性竞争医疗体系、提升农民的组织和谈判能力、变革政府职能和完善公共卫生政策三大破除县乡医疗市场垄断均衡的对策性思考。
The medical system reform in counties and townships in our country has changed the inefficiency and shortage of medical and health services in the original planned economy. China’s county and township medical market is emerging new, medical and administrative monopoly. The formation and persistence of the short-term and long-term equilibrium of the monopoly medical market in county and township are the result of the game of strength between the parties. Monopoly medical institutions have obtained huge monopoly profits from them, while peasants have to pay huge costs. Based on the conclusion of the model analysis, this paper puts forward some countermeasures to break the monopoly balance between county and township medical market by establishing a competitive access medical system, improving the capacity of farmers to organize and negotiate, reforming government functions and improving public health policies.