本文运用信息不对称、委托代理、道德风险和逆向选择等信息披露理论工具分析医患纠纷产生的原因,包括:医患之间信息不对称,供给诱导需求现象严重;医患双方利益不一致;医患双方道德风险并存;逆向选择导致医疗服务质量下降等.结合医疗信息披露的现状探讨基于医患纠纷管理需求的医疗信息披露对策:落实信息披露责任;建设医患互评披露平台;披露违规行为,杜绝违规收益;引入竞争机制,完善信息披露;建构信息披露的导向性文化.

OBJECTIVE:To put forward suggestions for rectifying the unbalance of the mechanism for coordinating interests in medicine circulation. METHODS:From three aspects of the expression,game and balance of interests,the interest group theory was used to analyze the unbalance of the mechanism for coordinating interests in medicine circulation as well as the cause of the un-balance,and rectification suggestions were put forward. RESULTS&CONCLUSIONS:At present,the mechanism in medicine cir-culation in China is unbalanced,including mechanism for interest expression,for interest game,for interest balance,etc. Corre-sponding rectifications should include perfecting legislation,effectively giving play to the role of media,defining the legal status of the interest group,strengthening organizational building of the vulnerable group,adjusting the interest pattern of the strong and weak groups and strengthening legal and social morality construction.

Public hospital's public property is mainly reflected in providing people with equitable access, quality and efficiency of basic medical services. However, due to lack of understanding in importance of the medical services positive and negative externalities, lead to the dilution of commonweal of public hospital. Meanwhile, externalities caused by transaction costs and unclear property rights in medical services activities further exacerbate welfare fade. The government should take effective measures to protect and encourage positive externalities, prevent and control the negative externali-ties, and, by way of reducing transaction costs, clear property rights to resolve external effects, as far as possible to pro-tect the public interest in public hospitals.

通过分析研究医疗服务市场的交易成本与医疗信息不对称的关系,以及医疗信息披露制度在控制医疗服务的交易成本降低搜寻成本、控制信息成本、优化约束成本的作用等,以加强促进医疗信息披露制度的实施,进而有效控制交易成本的产生.同时也分析指出了医疗信息披露制度控制交易成本在规范医疗服务市场中的作用:改善患者信息劣势地位,帮助患者理性就医,构建和谐医患关系;控制药价,提升医院公益性;维护医疗秩序,促进公平竞争,提高医疗质量.

From the perspective of social regulation, public hospitals'public welfare desalination can be attributed to two related issues, one is asymmetric information, another is externality.The most effective treatment methods are social regulation measures, including medical quality management system, medical security system,emergency rescue mechanism, medical information disclosure system, patient rights protection sys-tem.By implementing these social regulation measures can effectively solve the problems of welfare dilution, to fully protect the public welfare in public hospitals.

The authors analyzed the negative impacts on hospital public welfare performance,caused by such organizational elements imbalances of public hospitals,as objective structure,allocation of rights and responsibilities,and budget resources.In view of these setbacks,they proposed countermeasures for timely solution of such imbalances and maxim optimal combination,for the purpose of more effective reform of such hospitals.

Through the understanding of the process of the hospital's losing welfare responsibility, analysis of the public obstacle that the hospital have suffered has done,and the corresponding solutions are tried to put forward from the point of view of system design,hospital governance mode,government regulators and supporting system.