医疗服务价格项目规范管理政策演进、实施困境及其突破  

Policy Evolution,Implementation Dilemma and Breakthrough on Medical Service Price Items Normative Management and Its Enlightenment

作　　者：郑大喜[1] Zheng Daxi(Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan,430030,China)

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：《中国卫生经济》2024年第3期20-25,共6页Chinese Health Economics

摘　　要：文章回顾了医疗服务价格项目规范管理相关政策,分析了现行医疗服务价格项目规范的实施困境:全国医疗服务价格项目的“技术规范”色彩较重,未能随技术创新动态调整;省级层面立项准入把关不严,相同价格项目要素不完全统一,影响横向比较。加快完善医疗服务价格项目规范的政策建议包括:以准许应用并明确技术规范的医疗服务作为新增价格项目申报受理审核范围;推进技耗分离,将耗材、试剂纳入除外内容,按服务项目+专用耗材分开计价;优先通过现行价格项目兼容方式,回应医疗技术改良型创新的正当收费需求;对接医疗服务项目技术规范和立项指南,整合现行价格项目,提升项目规范性、兼容性;做好申报新增立项价格项目创新性、经济性评价,把关质量,合理确定增量。It reviewed the policies related to the standardized management of medical service price items,analyzed the current difficulties in the implementation of medical service price regulations:the technical specifications of national medical service price item are heavy and cannot be dynamically adjusted with technological innovation;provincial level item access control is not strict,and the elements of the same price item are not completely unified,affecting the horizontal comparison.The policy suggestions to speed up the improvement of the medical service price item specifications include:medical services that are allowed to be applied and have clear technical specifications are accepted as the scope of new price item declaration;promote the separation of technology and consumption,except for consumables and reagents,which are priced separately according to service items+special consumables;priority should be given to responding to the legitimate demand for medical technology improvement innovations through current price item compatibility;contrast technical specifications and item guidelines,integrating current price items,improving item standardization and compatibility;complete the innovation and economic evaluation of the newly declared item price,check the quality,and reasonably determine the increment.

关 键 词：医疗服务价格项目规范 立项指南 医疗服务项目技术规范 产出 兼容 创新 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R197