我国新医疗技术的定价及支付优化策略探讨  

Pricing and Payment Optimizing Strategies for New Medical Technologies in China

作　　者：王海银[1] 丛郦萱 彭颖[1] 王美凤 金春林[1] WANG Haiyin;CONG Lixuan;PENG Ying(Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, 200042, China)

机构地区：[1]上海市卫生和健康发展研究中心(上海市医学科学技术情报研究所),上海200042

出　　处：《中国卫生质量管理》2020年第1期105-108,共4页Chinese Health Quality Management

基　　金：上海市医药卫生体制改革循证决策与政策转化(CMB-CP-14190);上海市公共卫生重点学科建设项目(卫生经济学)(12GWZX0601)。

摘　　要：平衡新医疗技术发展及医疗费用不合理增长是医改需要解决的重要课题。科学适宜的定价及支付机制是重要的影响因素。通过梳理我国新医疗技术的定价及支付机制,分析现行机制存在的问题,基于价值分层和卫生技术评估视角,从定价及支付定义、资源及分层规则、卫生技术评估支撑机制、定价及支付实施、新医疗技术应用和监测、创新生态治理系统等方面提出优化策略。Balancing the development of new medical technology and the unreasonable increase of medical expenses is an important issue to be solved in medical reform.Scientific and appropriate pricing and payment mechanism are important influencingfactors.This paper combed the pricing and payment mechanism of new medical technology in China,andthe problems existing in the current mechanism were analyzed.Based on the perspective of value stratification and health technology assessment,the optimization strategy was proposed from the aspects of pricing and payment definition,resources and layering rules,health technology assessment support mechanism,pricing and payment implementation,new medical technology application and monitoring,and innovative ecological governance systems.

关 键 词：新医疗技术 定价 支付 卫生技术评估 价值 

分 类 号：R197[医药卫生—卫生事业管理]