摘 要

　　本文采用文献研读法、案例分析法等研究方法，通过阅读相关书籍和文献，从经济学角度对医患纠纷进行分析，认为医疗服务与产品市场具有半公共物品的性质，并具有正外部性，使得医疗资源无法于市场经济条件下实现有效最优配置，因为医患双方在信息、地位等方面的不对称性，医患关系通过各自的经济行为经“正反馈”机制作用不断恶化，造成严重的社会问题。通过对柳州市医患纠纷的案例分析，针对医患纠纷发生以处理过程中凸显的具体问题，基于医疗服务与产品市场的经济学性质，结合我国国情和社会现状，提出对策及建议。

关键词：医患关系；外部性；信息不对称；反馈机制；案例分析

Abstract

This article takes the form of discussing specific problems as examples with the economic experiment.Through reading books and papers, from the perspective of economics to analyze doctor-patient dispute, the medical service and the product market is half the nature of public goods, and have positive externalities, prevented medical resources in a market economy under the conditions of effectively the optimal configuration, because both doctors in information,status of asymmetry, the doctor-patient relationship through their worsening economic behavior by the positive feedback mechanism, cause serious social problems. Through the analysis of Liuzhou doctor-patient dispute case, for medical disputes happened to highlight the specific problems in processing, based on the medical service and economic nature of the product market, combined with China’s national conditions and social status, and puts forward countermeasures and suggestions.

Key Words：The doctor-patient relationship; externality; Information asymmetry;

feedback mechanism; Case analysis

目录

第1章 绪论.................................................................................................................1

1.1研究的目的和意义.......................................................................................................1

1.2国内外对医患纠纷问题的文献综述....................................................................................1

1.3我国医患关系现状.....................................................................................................2

1.3.1医患纠纷屡发不止....................................................................................................3

1.3.2暴力伤医案件层出不穷................................................................................................3

第2章 医患双方在经济学上的理论分析...................................................................................4

2.1医疗服务与产品的性质...................................................................................................4

2.1.1非纯粹的公共物品....................................................................................................4

2.1.2正外部性............................................................................................................4

2.2医患主体的有限理性经济人假定.........................................................................................5

2.3医患双方的不对称性.....................................................................................................5

2.3.1医患关系形成前后信息不对称........................................................................................5

2.3.2医患纠纷发生前后地位不对称.........................................................................................6

2.4医患关系恶化是正反馈机制的副作用..................................................................................7

第3章 案例分析.............................................................................................................8

3.1柳州市F医院医患纠纷案例叙述...........................................................................................8

3.2案例分析...............................................................................................................8

第4章 对策及建议..........................................................................................................10

4.1完善解决医患纠纷的制度依据............................................................................................10

4.2建立第三方调解机制...............................................................................................10

4.3医务人员切实履行医疗告知义务........................................................................................10

4.4纠正媒体报道的错误倾向...................................................................................................11

4.5放开医疗机构开展高端服务项目的限制..........................................................................11

第5章 结论与展望..........................................................................................................13

参考文献..................................................................................................................14

附录......................................................................................................................15

致谢......................................................................................................................17