江苏省妇幼健康类医疗服务项目比价研究  

Price Comparative Study of Maternal and Child Health Care Services in Jiangsu Province

作　　者：王子晴 杨雪 张敏 杨月华 周健 WANG Ziqing;YANG Xue;ZHANG Min;YANG Yuehua;ZHOU Jian(Jiangsu Health Development Research Center,National Health Commission Key Laboratory of Contraceptive Vigi-lance and Fertility Monitoring,Jiangsu Provincial Medical Key Laboratory of Fertility Protection and Health Tech-nology Assessment,Nanjing,Jiangsu,210036)

机构地区：[1]江苏省卫生健康发展研究中心、国家卫生健康委避孕药具警戒与生育力监测重点实验室、江苏省生育力保护与卫生技术评估重点实验室,江苏南京210036

出　　处：《江苏卫生事业管理》2024年第6期757-762,共6页Jiangsu Health System Management

基　　金：江苏省科教能力提升工程(ZDXYS202210);江苏省妇幼健康科研项目(F202172)。

摘　　要：目的:了解江苏省妇幼健康类医疗服务项目价格水平,比较和筛选价格不合理的项目,为动态调整医疗服务价格提供参考。方法:构建标化价值模型,测算服务项目价值,根据价格价值差和比值法筛选优先调价项目。结果:共测算江苏省妇幼健康类医疗服务项目72项。31项(43.06%)现行价格低于标化价值且构成比比值低于1(妇科类20项、产科类8项、计划生育类2项、康复类1项),8项(11.11%)高于标化价值且构成比比值高于1(妇科类7项、产科类1项)。筛选建议优先调升价格项目22项,调低价格项目8项。结论:比值法简洁高效。江苏省部分妇幼健康类医疗服务项目价格及比价关系不合理,建议分步分批调整,建立价值数据库,健全价格监测与动态调整机制,将医疗服务价格动态调整与DRG/DIP医保支付方式改革相结合。Objective:To understand the price level of maternal and child health care services in Jiangsu Province,compare and identify projects with unreasonable prices,provide suggestions for adjusting health care service prices.Methods:Construct a standard⁃ized value model,calculate project values,analyze price levels and comparisons,and prioritize projects for adjustment.Results:72 ma⁃ternal and child health care service projects in Jiangsu were assessed.31 projects(43.06%)have prices lower than standardized values and composition ratios below 1(20 in gynecology,8 in obstetrics,2 in family planning,1 in rehabilitation).8 projects(11.11%)have prices higher than standardized values and composition ratios above 1(7 in gynecology,1 in obstetrics).Recommended adjustments:in⁃crease prices for 22 projects,decrease for 8 projects.Conclusion:The“ratio method”is practical.Some maternal and child health care service projects in Jiangsu have unreasonable prices.Suggested phased adjustments and establishment of a comprehensive value data⁃base and monitoring mechanism for health care service prices in Jiangsu.Combine the dynamic adjustment of health care service pric⁃es with the reform of DRG/DIP medical insurance payment methods.

关 键 词：妇幼健康 医疗服务价格 比值法 

分 类 号：R197.3[医药卫生—卫生事业管理]