医疗服务价格形成机制与医保支付标准研究

发布时间：2018-04-18 01:13

本文选题：医疗服务 + 医保支付　；参考：《首都经济贸易大学》2017年硕士论文

【摘要】：政府价格管制政策扭曲医疗医药价格体系,表现在医疗行业的资源配置扭曲和医院医生的行为扭曲,最终造成“看病难”、“看病贵”的困境。我国围绕医疗服务价格与费用控制的医疗服务体制改革,始终没能解决好这一问题,不利于百姓的身心健康,影响社会的和谐发展。解决好这一问题,是我国医药卫生体制改革的关键。本文基于主观经济学理论,从奥地利经济学视角分析,政府行政管制的无效性及应在竞争性市场过程中形成医疗服务价格与医保支付标准;实证研究我国医疗服务价格政策、现行医疗服务价格形成机制存在的问题及根源,地方医保支付方式探索及国际医疗体制改革的趋势。在理论与实证研究的基础上,提出医疗服务价格形成机制与医保支付标准的改革路径。运用理论分析、案例与比较研究的方法。最终得出结论:一是,政府放弃行政管制;二是,破除公立医院的垄断局面,促成医疗服务领域的完全竞争;三是,在消除这一垄断的过程中,完善社会医保机构治理机制;四是,发展医疗保险,改革医保支付方式。
[Abstract]:The government's price control policy distorts the medical and pharmaceutical price system, which is manifested in the distortion of medical industry's resource allocation and the distortion of hospital doctors' behavior, which ultimately leads to the dilemma of "difficult to see a doctor" and "expensive to see a doctor".The reform of medical service system around the price and cost control of medical services in our country has not been able to solve this problem, which is not conducive to the physical and mental health of the people and affects the harmonious development of society.To solve this problem well is the key to the reform of Chinese medical and health system.Based on the theory of subjective economics and from the perspective of Austrian economics, this paper analyzes the ineffectiveness of government administrative regulation and the formation of medical service price and medical insurance payment standard in the process of competitive market, and empirically studies the price policy of medical service in China.The problems and root causes of the current medical service price formation mechanism, the exploration of the local medical insurance payment mode and the trend of the international medical system reform.On the basis of theoretical and empirical research, the paper puts forward the reform path of medical service price formation mechanism and medical insurance payment standard.The method of theoretical analysis, case study and comparative study is used.The final conclusions are as follows: first, the government should give up the administrative control; second, the monopoly of public hospitals should be broken to promote the complete competition in the field of medical service; third, in the process of eliminating this monopoly, the governance mechanism of social medical insurance institutions should be improved.Fourth, develop medical insurance, reform medical insurance payment method.
【学位授予单位】：首都经济贸易大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1;F842.684

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