中國城市公立醫院民營化的政治經濟學邏輯

Research output: Contribution to journalArticles

Abstract

過去十多年間,很多地方政府在中央政策缺位的背景下採取多種方式進行公立醫院改革。其中最為激進也是飽受爭議的就是民營化模式,或稱“醫院改制”。本文認為,這種改革有著其深刻的政治、經濟、社會、行政原因,用單純的衛生經濟學很難全面解釋。預算軟約束與“甩包袱”是其基本財政動因;地方政府的強勢推動帶來了條塊之間的利益沖撞,在既有的制度框架下,衛生系統和地方政府進行了微妙的互動,再加上利益集團的外在影響,這些因素型塑了公立醫院民營化的全過程。
Over the past decade, several local governments embarked on various reform initiatives seeking a resolution of China’s heavily deteriorated healthcare system. Among others, hospital privatization has been the most radical and controversial. Given the complexities involved, solely relying on the traditional health economics would not arrive at a convincing explanation to these privatization reforms. In short, the load-shedding was the primary fiscal driver. Moreover, the overwhelming drive of the local governments triggered collisions between the local and sectoral interests. Under the given institutional structure, the health authorities and the local governments engaged in strategic interactions; compounding this was the influence of various interest groups which have characterized the hospital privatization reforms in urban China. Copyright © 2010 中國行政管理學會.
Original languageChinese
Pages (from-to)117-121
Journal中國行政管理
Volume2010
Issue number4
Publication statusPublished - 2010

Citation

和經緯(2010):中國城市公立醫院民營化的政治經濟學邏輯,《中國行政管理》,2010(4),頁117-121。

Keywords

  • 政治經濟學
  • 產權改革
  • 公立醫院
  • 民營化
  • Political economy
  • Ownership reform
  • Public hospital
  • Privatization
  • Alt. title: The political economy of the hospital privatization in urban China