我国医疗服务按病种定价理论研究  

Theoretical Research on Disease Pricing for Medical Service in China

作　　者：邹俐爱[1] 龙钊[1] 

机构地区：[1]南方医科大学南方医院卫生经济管理科,广州510515

出　　处：《中国卫生经济》2013年第11期60-62,共3页Chinese Health Economics

基　　金：广东省科技计划项目(2010B080701018)

摘　　要：目的:提出病种定价研究基本思路,为我国推行医疗服务按病种定价工作提供理论和方法借鉴。方法:运用文献研究法和理论演绎法对病种定价理论进行梳理和分析。结果:立足于病种成本核算研究基础上,提出建立病种分组、基准病种和病种价格相对权重等关键定价环节,并且引入风险程度系数和技术难度系数,同时提出考虑线外病例的处理和病种价格定期调整制度。结论:研究具有科学性、前瞻性和创新性。Objective： To propose essential thought for the disease pricing and to provide theoretical and methodological references for promoting disease pricing in China. Methods： Utilizing literature research method and theoretical deduction method are used to comb and analyze the theory of disease pricing theory. Resets： On the basis of the research for disease cost calculation, key process of pricing like disease groups is proposed, benchmark disease and relative weight of diseases price and draws into degree of risk factors and technical difficulties. At the same time, it proposes the manipulation of cases outside the lines and pricing adjustment system. Conclusion： The research is scientific, prospective and innovative.

关 键 词：医疗服务 病种定价 定价模型 

分 类 号：R197.1[医药卫生—卫生事业管理]