A Research With Unspoken Role Perspective On The Existing Medical And Health System In China

Since the process of Reform and Opening up, A series of reforms were taken on themedical system. Including the decentralization of government and the marketization ofmedical industry, the pharmaceutical tendering system and national essential drugsprotection. But unfortunately, Increasing reform did not bring the rise of level ofmedical services that masses enjoy. The complain of the difficulty and the high expenseof see a doctor is so much, This article would research the medical system from theperspective of the unspoken rules, show you our country’s health care system in anotherperspective.First, the article use the content of the New Institutional Economics, Carried outthe definition and classification of the unspoken rules on institutional economics,Analyzing the feature of unspoken rules, Then, the article reviews the medical systemon the beginning of the country and show us four reform of medical system. Analyzingthe advantages and the shortages of the existing medical system with the vision of theprocess and the focus of the reform.Secondly, the article considerate the meaning of the unspoken rules on InstitutionalEconomics, Then contacts the behavior selection of economic agents in our existinghealth care system. Come to the conclusion that our health care system will give birth tothe unspoken rules, Finally, the paper also compares our health care system to thethree different typical health system and gives the corresponding comments andsuggestions. The detail is organized as follows.On the base of chapter1and chapter2, the third chapter is an overview of theunspoken rules, as the unspoken rules is an emerging term, the first section of thischapter is about the origin and the meaning of unspoken rules. Next, the second partclassify the unspoken rules from the perspective of institutional economics system,. Thefinal of the chapter shows fundamental features of unspoken rules on the basis of theprevious text.The fourth chapter is an introduction on China’s existing health system, the firstpart introduce the perspective on reaching our existing health care system, Section IItells the story of the development of China’s medical and health undertakings history,How the early days of China’s medical and health system goes over to the existing health care system, Section III compares health system in the major countries of theworld, treat the Germany, the U.S., the UK, as an example, Compare the system withour one, Pointed out that the differences between China and other countries. The fifthchapter which is on the basis of Chapters II and III analysis of the generation of theunspoken rules in the existing health system. Based on the assumption of rational man,this part analysis utility functions of various economic entities, Section I describes thegeneration of medical unspoken rules, the next section tells the reason.Chapter VI is the model analysis, electing red envelope case and kickbacks from avariety of unspoken rules in the medical industry, Analysis the reasons, the basis forstability of the existence of these unspoken rules, Section I is a model for analyzing thephenomenon of red envelopes, Section II is a Evolutionary Game Analysis ofphenomenon kickbacks.Chapters VII and VIII are on the basis of the previous chapters, Chapter VIIevaluate the economic efficiency of our existing health system，Section one reviews theimpact of our institutions, Section II is compaction of the country’s institutional systemwith three typical ones, come to the difference, Chapter VII is the recommendations tothe lack of institutional.