医疗服务项目成本测算政策回顾、实施难点及解决办法分析  

Analysis of Policy Review,Implementation Difficulties and Breakthrough on Cost Calculation of Medical Service Price Items

作　　者：郑大喜[1] 付华 

机构地区：[1]华中科技大学同济医学院附属同济医院,武汉430030

出　　处：《中国医疗保险》2023年第4期31-40,共10页China Health Insurance

摘　　要：目的:比较分析各地医疗服务项目成本测算办法、主要做法和存在的问题,提出优化新增医疗服务价格项目管理的政策建议。方法:利用文献研究法、比较分析法,回顾国家医疗服务项目成本测算政策,梳理各地实施进展和困难。结果:各地医疗服务项目的成本构成与计算口径各异,影响区域间数据比较;各地并未完全依据成本测算结果调动公立医院参与价格调整的积极性。结论:完善医疗服务项目成本测算顶层设计,提高公立医院参与价格形成与调整深度;优化公立医院医疗服务项目成本测算,以可靠数据支撑价格形成与调整。Objective:By comparing the cost calculation methods,main practice and problems of medical service items in different regions,this paper puts forward some policy suggestions to optimize the management of newly-added medical service price items.Methods:By means of literature research and comparative analysis,this paper reviews the national cost calculation policies of medical service items,and presents the implementation progress and difficulties in various regions.Results:The cost composition and calculation criteria of medical service item varies in different regions,which affects the comparison of data between regions.Local governments have not motivated the public hospitals to participate in price adjustments based on cost calculation results.Conclusions:We should improve the top-level design of cost calculation for medical service items,and encourage public hospitals to participate in price formation and adjustment.Public hospitals should participate the cost calculation of medical service items and support the price formation and adjustment suggestions with reliable data.

关 键 词：医疗服务价格项目 成本测算 技术劳务价值 价格合理形成 

分 类 号：F840.684[经济管理—保险] C913.7[社会学]