1. Concept: the health services that health service providers are willing and able to provide at a certain price level at a specific time.
2. Components: willingness to supply and ability to supply
3. Classification: individual supply and market supply
4. Determination of the quantity of health service supply (1) actual possession of health resources; (2) efficiency of utilization of health resources; and (3) willingness of providers to provide at a certain price.
Characteristics:
(a) Determinism and uncertainty in the supply of health services
1. Under certain conditions of time and space, the supply of health services is deterministic.
2. For individuals, the supply of health services and uncertainty. Including the supply of time, quantity, items, cost, and even spatial uncertainty. Health services cannot be standardized and regulated mass production like general commodities, and it is difficult for an independent third party to monitor, test and evaluate the quality of health services through effective means.
(ii) Highly specialized technical nature of health service supply
1. All countries in the world have strict academic requirements for health care providers. Mainstream worldwide: 8-year medical education.
2. The Practicing Physicians Law: "Non-health technicians are strictly prohibited from entering health technology positions." Institutions, personnel, technology, and medicines all have access policies, access thresholds.
(3) Monopoly and supply-side dominance of health services
1. Monopoly: technological monopoly, industry monopoly, regional monopoly
2. Supply-side dominance: decision-making by the supplier of health services becomes the key to the ability to rationally select health service programs.
3. Results: low efficiency and poor quality; irrational allocation and utilization of health resources.
(4) Immediacy of health service supply
1. The production and consumption of health service products are inseparable. The production process is both a consumption process, and it is impossible to produce, store, transport, wholesale and retail beforehand.
2. When a patient arrives at a health care facility sick, the supplier must provide the service in a timely manner.
(v) Externalities of health service provision
1. An externality is a production or consumption that produces a benefit to others that does not have to be paid for or a disadvantage for which compensation cannot be claimed.
2. The supply of health services can produce both positive and negative externalities.
3. There are positive externalities of underprovision and underconsumption of health services; and negative externalities of overprovision of health services.
(F) the welfare of health service provision
1. public health care can institutions of public welfare.
2. The shortage type of public **** products.
Non-competitive: one more person does not increase the cost and does not reduce the level of consumption of others. *** Enjoy the possibility of consumption.
Non-exclusivity: you can not take the item for yourself and exclude others from consumption. This means it is difficult to charge for this consumption.
3. "Hitchhiking" phenomenon
The significance of the management of health legal system
Health is an important part of the construction of socialism, the management of health according to law is to realize the rule of law, administration according to law, and the construction of socialist rule of law is an important element of the country. Strengthening the legal construction of health, health supervision and law enforcement work, for the improvement of social and public **** health, improve the level of social health and people's quality of life, protection of productive forces, and promote socio-economic development, and to achieve the goal of building a moderately prosperous society in a comprehensive manner, has a very important significance.
Three, the purpose of China's health service price reform
Improve the combination of government regulation and market regulation, objectively reflecting the market supply and demand situation and changes in the cost of production and service of medical services and drug price formation mechanism.
Four, the significance of China's health technology assessment
Health technology assessment is a relatively young field of study, is a comprehensive form of policy research on the evaluation of the short-term and long-term social outcomes of the use of health technology. Health technology assessment encompasses the comprehensive evaluation of the technical characteristics, safety, efficacy, economics, and ethical and social implications of the drugs, equipment, medical and surgical procedures used in health care and of the supporting systems, such as institutions, information, and management, that provide these services. The scientific basis provided by health technology assessment has become one of the tools for health policy makers and clinical decision makers in evidence-based medicine and evidence-based policy making. Specifically, it can be applied in the areas of clinical diagnosis and treatment guidelines, rational allocation of medical equipment, determination of health insurance reimbursement coverage, setting of prices for health technology services, and access to health technologies and institutions.
With the progress of science, the application of new technologies in medical services is becoming more and more prominent, due to the high and new technology has a positive and negative two-way effect, so it is very important to carry out the assessment and control of the application of health technology.