Analysis on division of specialists and general practitioners in China：From the perspective of Labor Division theory
10.3969/j.issn.1674-2982.2015.02.002
- VernacularTitle:分工视角下的全科与专科医学服务分化研究
- Author:
Ju HUANG
;
Tao DAI
- Publication Type:Journal Article
- Keywords:
General practitioners;
General practice;
Theory of labor division
- From:
Chinese Journal of Health Policy
2015;(2):8-12
- CountryChina
- Language:Chinese
-
Abstract:
The division of specialists and general practitioners is the important of the establishment of a GP system. According to the theory of labor division, the study analyzes the evolution mechanism on the division of spe-cialists and general practitioners and discusses the main factors influencing the division in China. It is found that transaction costs of general practices are not much lower than that of specialist medical care, which encourages outpa-tients to visit specialists in hospitals. Additionally, transaction costs of referral are much higher than profits. There-fore, while there is no division of specialists and general practitioners, it has been difficult to address competition between them and the quality and the efficiency of general practice care in community health centers. Moreover, the income gap does not attract medical students to work in general practices, which has worsened the quality and effi-ciency of general practices. Finally, the transaction costs of general practices have continually increased. This vicious cycle has hindered the division of specialists and general practitioners in China.
