ABSTRACT
On the basis of principal-agent theory,this paper analyzed the reasons of doctor-patient problems from the perspective of patients and hospitals,hospitals and physicians,and patients and physicians.It included asymmetric medical information,ethical risks of physicians,incomplete contracts between physicians and patients,and uncertainty of medical results.Aimed at these problems,this paper put forward relevant suggestions.In the view of recognition,patients are supposed to get a rational idea in the process of selecting hospitals and try making a contract with general practitioners.In the view of improvement,the pattern of performance assessment to physicians should be developed.In the view of system,the corresponding management measures of health service should be improved so as to better serve patients.
ABSTRACT
<b>Objective: </b>Many studies on patient satisfaction are conducted in community pharmacies. In contrast, the present study assess the community pharmacy function and to the best of our knowledge, appears to be the first to evaluate the professional functions of pharmacists.<br><b>Methods: </b>In September 2010, in 1 week, we conducted a survey that focused on pharmacists’ professional abilities. I subjected the responses to factor analysis and covariance structure analysis.<br><b>Results: </b>We obtained 2,506 effective responses (appropriately completed and returned questionnaires) of the 4,633 questionnaires originally distributed. Data of seven dimensions were obtained for factor analysis. In all, the various information provision services rendered by a pharmacist were not significant. According to the covariance structure analysis, “safety” (a pharmaceutical management item) and “responsiveness” (a complimentary element) were significant factors. Differences in the degree of influence were confirmed for each parameter in the analysis, depending on the parameter. In addition, the information provision services were significant during the acute period.<br><b>Conclusion: </b>Because the information provision services were not significant, the influence of “asymmetric information” warrant further analysis according to the specialty. I believe that it is necessary to examine asymmetric information in greater detail in the future. In addition, I think that an interventional study that is based on these results is also necessary.
ABSTRACT
Because of the medical industry valla,the medical market is in a state of oligopoly.Hospitals and patients are in a state of asymmetric information in the medical market,which could lead to moral hazard,adverse selection,and low social and medical efficiency.Based on the gaming model,we analyze the gaming process and equilibrium between hospitals and patients under the circumstances of asymmetric information.The analyzing result suggests that asymmetric information in the medical market is harmful for patient's benefit and the development of medical market as well.Therefore,it's necessary to strengthen the entire social medicare,set up an opening system of medical information and strengthen the national health education so as to relieve the asymmetric information between hospitals and patients,and improve the efficiency of medical market.