湖北省6市州医疗服务价格与经济发展水平的协调性研究  

Study on the Coordination Between Medical Service Prices and the Level of Economic Development in Six Cities and States in Hubei Province

作　　者：李雪 王瑞[1,2] 徐陆欣怡 毛宗福[1,2] 崔丹 LI Xue(School of Public Health,Wuhan University,Wuhan,Hubei,430071,China)

机构地区：[1]武汉大学公共卫生学院,湖北武汉430071 [2]武汉大学全球健康研究中心,湖北武汉430072

出　　处：《医学与社会》2024年第12期26-31,共6页Medicine and Society

基　　金：比尔及梅琳达·盖茨基金会资助“完善中国医保制度项目”,编号为OPP1199760。

摘　　要：目的:研究湖北省6市州医疗服务价格与经济发展水平间的协调性,为推动区域经济协调发展提供参考。方法:基于可比性纳入武汉、咸宁、荆门、襄阳、十堰和恩施展开研究;采用描述性统计方法分析6个市州的医疗服务项目平均价格、可比项目情况,利用改进CRITIC法构、耦合协调模型分析区域内医疗服务价格与经济发展水平间的耦合协调性。结果:三次医疗服务价格改革后,武汉医疗服务价格与经济发展水平的耦合协调度逐渐升高,协调等级为极高协调;荆门和襄阳整体处于中级协调;十堰、咸宁和恩施经调价后由初级转为中级协调。2021年各地医疗服务价格水平与经济发展水平的耦合协调度由高到低为武汉(0.96)、襄阳(0.80)、十堰(0.76)、荆门(0.77)、恩施(0.73)、咸宁(0.73)。结论:湖北省医疗服务价格目录可比性较好,区域医疗服务价格与经济间的耦合协调度总体呈上升趋势,但存在区域差距,今后应加强省内医疗服务价格衔接,逐步形成区域协调新格局。Objective:To study the coordination between medical service prices and economic development level in six cities and states in Hubei province,so as to provide references for promoting the coordinated development of regional economy.Methods:Based on comparability,Wuhan,Xianning,Jingmen,Xiangyang,Shiyan and Enshi were included in the study.Descriptive statistics method was used to analyze the average price of medical service items and comparable items in the six cities and states,and the improved CRITIC method was used to construct and analyze the coupled coordination model between the price of medical services and the level of economic development in the region.Results:After three medical service price reforms,the coupling coordination degree between medical service price and economic development level in Wuhan gradually increased,and the coordination level was in high coordination.Jingmen and Xiangyang were in intermediate coordination as a whole.Shiyan,Xianning,and Enshi turned from primary to intermediate coordination after the price adjustment.The coupling coordination degree of medical service price level and economic development level of each region in 2021 was from high to low for Wuhan(0.96),Xiangyang(0.80),Shiyan(0.76),Jingmen(0.77),Enshi(0.73),and Xianning(0.73).Conclusion:The price catalogue of medical services in Hubei province is comparable,and the coupling and coordination between regional medical service prices and the economy is generally on the rise,but there are regional gaps.The price convergence of medical services in the province should be strengthened in the future to gradually form a new pattern of regional coordination.

关 键 词：医疗服务价格 改革 经济发展 协调性 

分 类 号：R-05[医药卫生] R197.1