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经济体制改革促进了人民生活水平的提高,但同时也拉大了城市居民的贫富差距。本文从卫生服务的三个性质(功德产品、正的外延性、信息不对称)出发从理论上探讨了政府在卫生服务中应承担的责任,尤其是对城市贫困人口。但目前政府对医疗机构的投入尚不能有效地解决贫困人口的卫生服务,因此,建议政府可通过建立平(贫)民医院或对贫困人口的医疗保险给予补贴等渠道来从体制上解决城市贫困人口的医疗救助问题。
The reform of the economic system has promoted the improvement of people’s living standards, but it has also widened the gap between the rich and the poor. This article starts with a theoretical discussion of the responsibilities of the government in health services, especially for the urban poor, based on the three natures of health services (products of merit, positive extension, and information asymmetry). However, currently the government’s investment in medical institutions cannot effectively solve the health services of the poor. Therefore, it is suggested that the government can solve urban poverty through institutional channels such as setting up a (poor) people’s hospital or subsidizing medical insurance for the poor. The problem of medical assistance to the population.