摘要
在中国,长期以来公共医疗资源投入严重不足,加上配置不合理,这种不合理性主要表现在医疗资源"上大下小"与医疗需求"上小下大"之间的供需矛盾,因而,受到社会的广泛批评。为此,自2012年底以来,浙江省推进实施了"双下沉、两提升"工程。送医下基层是政府对社会的回应,所以,有必要从政府回应性的视角来讨论。基于经验研究,本文指出"送医"不能真正解决公共医疗资源的问题,这主要是因为送医的过程中政府回应本身有局限性,即没有区分需求和需要,使医疗资源错配给了不需要的人。其结果一是资源浪费,二是塑造出不满足的群众,将问题的解决无限延后。事实上,对政府回应而言,其作用的发挥是有条件的,这个条件就是在回应中须区分需要和需求,以满足需要为前提,抑制需求。
It has long been discussed in China that medical resource is seriously inadequate and unreasonably allocated, which mainly refers to the mispairing of supply and demand. In order to adjust this mispairing, the project of the "sending medical resource to local communities"(Shuang Xia Chen, Liang Ti Sheng) has been launched in Zhejiang Province since the end of 2012, which can be regarded as government’s response to society. Therefore, it is proper to employ the perspective of government responsiveness into this paper. Based on empirical research, this article points out that "sending medical resource to local communities" cannot really solve the problem that people are facing mainly because of the limitation in government response itself. When the government responds to the society, it can barely distinguish "needs"(which refers to a kind of objective needs) from "demands"(which refers to a kind of subjective needs) and leads to the mispairing of medical resource, which in practice, results firstly in the waste of resources, and secondly producing the unsatisfied masses and putting the resolution of the problem further back. In fact, the role of government’s response is conditional. It can only succeed when objective needs are satisfied and subjective demands are curbed.
作者
郎友兴
薛晓婧
Lang Youxing;Xue Xiaojing(School of Public Affairs,Zhejiang University,Hangzhou 310058)
出处
《浙江社会科学》
CSSCI
北大核心
2019年第1期59-65,157,共8页
Zhejiang Social Sciences
基金
浙江大学文科专项课题"‘实验主义治理’框架下中国社区治理的机制创新:浙江省社区治理和服务创新实验之研究"的部分研究成果
关键词
医疗下基层
政府回应
需要
需求
sending medical resource to local communities
government's response
demands
needs
