诊查类医疗服务价格动态调整机制建立与实施进展  

Progress in the Mechanism Establishment and Implementation of Dynamic Adjustment for Consultation Category Medical Service Prices

作　　者：郑大喜[1] 代霄 Zheng Da-xi;Dai Xiao(Tongji Hospital,Tongji Medical College of HUST,Wuhan,Hubei,430030,China;不详)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《中国卫生经济》2024年第8期34-40,共7页Chinese Health Economics

摘　　要：诊查费被纳入服务均质化、标准化程度、患者认知度、临床使用频率均相对较高,公立医院普遍开展的是通用型项目目录。在梳理部分省份诊查费价格项目要素基础上,总结典型地区诊查费价格动态调整触发条件设置、规则方法、实质性启动诊查费价格动态调整进展,比较部分省份诊查费水平,分析其诊查费收费面临的问题:诊查类价格项目内涵和计价说明不统一,影响区域间比较;部分省份长期未进行动态调整,与相邻地区比价关系不协调。完善诊查费价格动态调整机制的政策方向和操作建议包括:整合诊查类价格项目要素,提高价格标准化水平,推广典型地区经验,各地区需经过评估,启动诊查类项目价格动态调整。Consulation fees are included in the service homogenixation,standardization,patient awareness,relatively high frequency of clinical use,and the general project catalog commonly carried out by publie hospitals.On the basis of sorting out the elements of consultation fee price items in some provinces,this paper summarizes the setting of trigger conditions and rules for dynamic adjustment of consultation fee prices in typical regions,and the progress of substantive start-up of dynamic adjustment for consultation fee prices.It compares the level of consultation fees in some provinces,and analyzes the problems faced by consultation fee fees.Some provinces have not dynamically adjusted the exarmination fee for a long time,and the price comparison relationship with neighboring regions is not coordinated.The policy direction and operational suggestions for improving the dynamic adjustment mechanism of consultation fee price inelude:Integrating the elements of consultation price items and improving the price standardization level;Popularize the experience of typical areas,after evaluation,start the dynamic price adjustment of consultation items.

关 键 词：诊查费 通用型项目 收费 成本 比价关系 协调 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R197