在中国准市场化的医疗保健体系中,医生-病人责任的转变
1School of Sociological Studies, Politics and International Relations, The University of Sheffield, Sheffield, United Kingdom. haoyangliu1009@gmail.com.
International journal for equity in health
|November 13, 2025
概括
中国的准市场化医疗保健系统增加了医生和患者在获得,协调和资助医疗保健方面的责任. 这种由市场机制驱动的转变,在系统内增加了更多的个人负担.
科学领域:
- 医疗保健系统分析 医疗保健系统分析
- 卫生社会学 卫生社会学
- 机构理论 机构理论
背景情况:
- 中国的医疗保健系统经历了改革,创造了一个准市场化的结构.
- 该系统将国家监管与市场机制相结合,改变了医生与患者之间的责任.
- 机构理论被用来分析这些转变.
研究的目的:
- 分析在中国改革的医疗保健系统中塑造医生-病人责任的制度因素.
- 了解市场化对医疗保健提供者和消费者之间的职责分配的影响.
- 探索医疗私有化影响医生与患者关系的维度.
主要方法:
- 使用主题分析进行定性研究.
- 半结构面试对中国各地的28名医生和患者进行.
- 有目的的抽样确保从各种医疗保健环境中捕捉到多样化的经验.
主要成果:
- 私有化的三个方面出现了:医疗保健的获取,护理协调和融资.
- 市场化显著增加了个体医生和患者的责任.
- 医生在分散的服务中面临压力;患者在访问,协调和成本方面进行导航.
结论:
- 制度理论有效地解释了医生和患者在医疗保健中的责任转移.
- 监管,规范和文化认知层面塑造了这些责任.
- "私有化责任"的概念为分析准市场化效应提供了一个镜头.
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