通用型医疗服务价格项目比价关系研究——以诊察费为例  

A Study on the Price Comparison Relationship of General Medical Services——Taking Examination Fees as an Example

作　　者：蒋昌松 蒋婷 王朝辉 祁鹏 郭丹 李娜[1] 赵曦萌 

机构地区：[1]首都医科大学国家医疗保障研究院,北京100037 [2]首都医科大学公共卫生学院,北京100069 [3]四川大学华西公共卫生学院,成都610041

出　　处：《中国医疗保险》2024年第3期5-10,共6页China Health Insurance

基　　金：国家医疗保障局“医疗服务价格改革试点操作手册修订和实施保障”项目资助(JCSZCHT-2023)。

摘　　要：目的:为各地动态调整通用型医疗服务价格提供指导和参考,以最受关注的诊察费为例,分析区域间、项目间比价关系。方法:区域间比价关系方面,采用描述性统计分析方法;项目间比价关系方面,采用其他诊察费与主治医师门诊诊察费的比价系数中位数或中间值来确定合理的比价系数。结果:区域间比价关系不够合理,一半以上的省份项目价格与价区不匹配,部分诊察费项目省际间价格差异系数较大。项目间比价关系也不够合理,其他诊察费与主治医师门诊诊察费间的比价系数区间范围较大。结论:对于区域间、项目间比价关系不合理的诊察费项目,建议各地基于建议价区,合理设置主治医师门诊诊察费价格基准,采用项目间合理比价系数同步调整其他诊察费项目价格。Objective:The paper attempts to provide guidance and reference for dynamically adjusting the prices of general medical services in various regions,and taking the most concerned examination fee as an example,to analyze the price comparison relationship between regions and items.Methods:In terms of price comparison between regions,descriptive statistical analysis methods are used.In terms of the price comparison relationship between items,the median or median value of the price comparison coefficient between other examination fees and the outpatient examination fees of attending physician is used to determine a reasonable price comparison coefficient.Results:The price comparison relationship between regions is not reasonable enough,and more than half of the provincial item prices do not match the price range.Some examination fee items have a large coefficient of price difference between provinces.The price comparison relationship between items is not reasonable enough,and the range of price comparison coefficient between other examination fees and outpatient examination fees of attending physicians is relatively large.Conclusion:For examination fee items with unreasonable price comparisons between regions and items,it is recommended that each region reasonably set the price benchmark for outpatient examination fees of attending physicians based on the suggested price zone,and use the reasonable price comparison coefficient between items to synchronously adjust the prices of other examination fee items.

关 键 词：医疗服务价格 通用型项目 比价关系 门诊诊察费 

分 类 号：F840.684[经济管理—保险]