医疗服务的市场化导向引出了一系列委托代理关系.本文通过回顾我国医疗卫生体制中公立医院委托代理的类型,总结出公立医院委托代理具有行政化、多层次、复杂性的特征,分析了这一委托代理关系存在的所有者缺位、代理链冗长等问题,在此基础上提出完善公立医院的激励机制、强化监督约束机制等对策建议.
The market-oriented health care leads to a series of principal-agent relationships.This paper reviewes the types of principal-agent relationships in public hospitals,summes up the features of the entrusted agency,such as administrative,multi-layered and complex.Then the principal-agent problems of the lengthy chain of agency,the absence of owners and so on are analyzed.In this article,some suggestions are proposed:the incentive mechanisms of public hospitals,strengthen the supervision and restraint mechanisms and so on should be improved.