【作者】 宁佐俊；

【导师】 谌贻庆；

【作者基本信息】 南昌大学 ， 数量经济学， 2007， 硕士

【摘要】 本文主要研究医疗市场中大医院拥挤不堪，小医院门可罗雀的现象，通过定义医生荣誉感，典型医生，并且将医疗市场供给者——医院划分为两个不同的档次（小医院和大医院），利用信息经济学相关知识，提出一个解释典型医生选择医院就职，患者根据对医生治疗水平的预期选择医院的双向选择模型。本文的结论表明，患者的就医行为受健康水平发展路径，病情初始严重程度s₀的制约，同时也受对医生期望治疗水平的影响；而典型医生对医院的选择也受患者对档次不同医院选择的影响。本文的分析表明，提高医疗可及性，提高患者对小医院医生期望治疗水平的信任，关键在于改变医生面临的激励机制，改变医生职业荣誉感的重要组成部分：发展机会差值；反过来，典型医生就职选择行为的改变又影响到患者就医选择行为的改变。文章得出的结论与现实基本吻合，同时也对改革我国目前的医疗体制，为改善大医院拥挤不堪，小医院门可罗雀的现象有借鉴意义。更多还原

【Abstract】 In this passage, we mainly study the phenomenon that there are so manypatients hospitalizing in big hospitals while much less in small ones. Through givingthe definitions for doctors’ professional glory, typical doctors, and dividing thehospitals into two different types: big ones and small ones, we put forward a modelto explain the mutual choice when doctors are deciding which hospital to take job inand the patients are considering whether to go to see a doctor or which hospital to goto. In conclusion, patients’ hospitalizing behavior is affected by their health state, theseverity of their illness at the beginning and their expectation on the doctors’ treatinglevel; while the doctors’ choice are also affected by the patients’ choice to differenthospitals. Through analysis, we think that in order to improve the feasibility of themedical, promote the patients’ trust to doctors in small hospitals, the key points areto change the bestirring mechanism the doctors are facing and change the importantconstitute of their professional glory which means the difference in the developingopportunity; On the contrary, typical doctors’ choice when taking jobs also affect thepatients’ hospitalizing behavior. In all, the conclusion here still accords the reality, itcan be used for reference to the reform on current medial treatment mechanism inour country and also to improve the phenomenon that there are so many patientshospitalizing in big hospitals while much less in small ones.更多还原