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发展医疗旅游与破解过度医疗问题作用探究——基于制度经济学的分析

Medical Tourism as A Rectification of Over-Treatment:An Perspective of Institutional Economics
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摘要 过度医疗本质上是医疗供给方由于医疗资源和信息的垄断导致的权力腐败。过度医疗虽然同属于道德问题和法律问题。但是,在现实道德诉求和完备的政策和法律法规体系下,多年来却仍然被认为社会的顽疾。为此,可从制度经济学的交易成本分析视角,探寻医疗模式的创新,以破解过度医疗治理难题。医疗旅游作为医疗卫生产业与旅游产业深度融合而生成的一种新业态,是建立在"用脚投票"的制度机制上,它对于打破一定地区医疗资源和信息垄断,破除医疗行为的道德风险,从而消除产生过度医疗的原因有一定作用,因而可以作为破解过度医疗迷局的可行性模式。 Excessive medical treatment is essentially the power corruption caused by the monopoly of medical resources and information asymmetry.It is both a moral and a legal issue.In spite of the realistic moral appeal and the complete system of policies,laws and regulations,it still exists as a chronic social disease. To deal with it,the innovation of medical model can be made from the perspective of transaction cost of institutional economics.Medical tourism,as a new business emerging in the deep integration of healthcare industry and tourism,is based on the institutional mechanism of "voting with feet". It plays a role in breaking the monopoly of medical resources and information in a certain region,thus eliminating the causes of over-treatment.Therefore,it is a feasible mode choice to solve the problem of over-treatment.
作者 李永安 朱中奇 刘倩 LI Yong-an;ZHU Zhong-qi;LIU Qian(Yichun University,Yichun,Jiangxi,336000,China)
出处 《武汉商学院学报》 2020年第5期68-72,共5页 Journal of Wuhan Business University
基金 教育部人文社科项目(项目编号:20YJAZH060)。
关键词 过度医疗 医疗腐败 医疗旅游 制度经济学 交易成本 over-treatment medical corruption medical tourism institutional economics transaction cost
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