公立医院医疗服务价格动态调整模型构建与应用  

Construction and application of a dynamic adjustment model of medical service price in public hospitals

作　　者：仲原 田红[2] 江其玟[3] 赵双鹏 Zhong Yuan;Tian Hong;Jiang Qiwen;Zhao Shuangpeng(Department of Finance,Hospital for Jiangsu Provincial Offices,Nanjing 210024,China;Chief Accountant′s Office,Hospital for Jiangsu Provincial Offices,Nanjing 210024,China;School of Economics and Management,Southeast University,Nanjing 210000,China)

机构地区：[1]江苏省省级机关医院财务科,南京210024 [2]江苏省省级机关医院总会计师办公室,南京210024 [3]东南大学经济管理学院,南京210000

出　　处：《中华医院管理杂志》2022年第2期81-86,共6页Chinese Journal of Hospital Administration

摘　　要：构建科学、规范、合理的医疗服务价格动态调整模型对于公立医院医疗服务价格动态调整具有重要参考作用。作者结合国内外现状分析了医疗服务价格动态调整的影响因素,并基于此,借鉴以资源为基础的相对价值比率理论构建了医疗服务项目价格动态调整模型。该模型充分考虑不同医疗服务项目所需的基本人力消耗及耗时、技术难度和风险程度测算项目的内在价格,并综合考虑各地区的经济发展状况和物价水平来测算其外在价格。以某院的清创(缝合)术项目为例,采用该模型进行实证研究。经测算,清创(缝合)术(小)的外在价格为54.82元,清创(缝合)术(中)为104.34元,清创(缝合)术(大)为142.93元,实际价格与测算价格的差值依次为10.18元、-26.34元和-51.93元。该模型有助于理顺比价关系,更好地体现医务人员的技术劳动价值。Constructing a scientific,standardized and reasonable dynamic adjustment model of medical service price has important reference value for the dynamic adjustment of medical service price in public hospitals.In view of the current situation at home and abroad,the authors analyzed the influencing factors of such adjustment,and constructed a dynamic adjustment model of medical service price,referring on the resource-based relative value scale theory.This model could calculate the intrinsic price of individual medical services,taking into full account the basic human resource consumption and time consumption,as well as the technical difficulty and risk degree of such services.On such basis,the economic development and price level of individual regions were integrated into the model to calculate the extrinsic price of these services.Taking the debridement(suture)service of a hospital as an example,this model was used for empirical research.It was estimated that the extrinsic price of a debridement(suture)(small)service was 54.82 yuan,that of a debridement(suture)(medium)service was 104.34 yuan,and that of a debridement(suture)(large)was 142.93 yuan.The price gap between the actual price and these estimated prices was 10.18 yuan,-26.34 yuan and-51.93 yuan respectively.This research proved that the model could be helpful to sort out the price ratio relationship and better reflect the technical labor value of medical workers.

关 键 词：医院 公立 按诊疗收费计划 医疗服务价格 价格动态调整 模型构建 

分 类 号：R197.32[医药卫生—卫生事业管理]