公立医院复杂型医疗服务项目价格形成与动态调整  

Price Formation and Dynamic Adjustment of Complex Medical Service Items in Public Hospitals

作　　者：郑大喜[1] ZHENG Da-xi(Tongji Hospital,Tongji Medical College,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,武汉市430030

出　　处：《现代医院管理》2024年第2期67-71,共5页Modern Hospital Management

摘　　要：目的比较各地医疗服务价格动态调整实施方案和主要做法,结合存在的问题,提出完善公立医院参与复杂型医疗服务价格形成与调整机制的政策建议。方法利用文献研究法、比较分析法,回顾国家复杂型医疗服务价格形成与动态调整政策,梳理调价进展和面临的主要问题。结果部分地区医疗服务价格形成与动态调整机制设计缺乏可操作性,各地区价格动态调整机制实质性运行的进度差异较大。典型地区设置公立医院参与复杂型医疗服务价格形成与动态调整规则,分步、分批次启动价格动态调整。结论建议完善复杂型医疗服务价格形成与动态调整机制的具体规则,推进复杂型医疗服务价格形成与动态调整机制实质性运行。Objective:In order to compare the implementat ion plans and the main practices of the dynamic adjustment of medical service prices in different regions,some policy suggestions on the existing problems have been put forward to improve the mechanism of public hospitals participating in the formation and adjustment of complex medical service prices.Method:By using literature research method and comparative analysis method,this paper reviewed the formation and dynamic adjustment policies of complex medical service prices in China,and sorted out the progress of price adjustment and the main problems faced.Result:The price formation and dynamic adjustment mechanism design of medical service in some regions lack operabilityand the progress of the substantive operation of the dynamic adjustment mechanism of price in different regions is quite different.Typical areas have set up public hospitals to participate in the formation and dynamic adjustment rules of complex medical service prices,and started the dynamic adjustment of prices step by step and in batches.Conclusion:It is suggested to improve the specific rules of the pricing formation and dynamic adjustment mechanism of complex medical services,and promote the substantive operation of the pricing formation and dynamic adjustment mechanism of complex medical services.

关 键 词：复杂型医疗服务项目 成本测算 技术劳务价值 价格形成 动态调整 

分 类 号：R197[医药卫生—卫生事业管理]