基于手术分级的医疗服务项目定价策略研究  

Study on Pricing Strategy of Medical Service Items Based on Surgical Grading

作　　者：廖宁 张萍[1] 潘惠珍 曹瑾音[1] 陈镇豪 LIAO Ning;ZHANG Ping;PAN Hui-zhen;CAO Jin-yin;CHEN Zhen-hao(The First Affiliated Hospital of Sun Yat-sen University)

机构地区：[1]中山大学附属第一医院

出　　处：《医院管理论坛》2025年第1期50-54,共5页Hospital Management Forum

基　　金：广东省卫生经济学会科研项目,编号:2023-WJZD-12。

摘　　要：目的探索具有激励性和导向性的医疗服务项目定价策略,以优化公立医院医疗收入结构,合理体现医疗技术劳动价值。方法以公立医院为基础,聚焦手术类医疗服务项目,依托现有的手术目录与项目代码匹配字典库,通过整合手术分级标准与项目定价的关键因素,为不同手术项目在基准价格基础上设定合理的调节系数。结果在综合考虑手术级别、项目要素等多重因素的基础上,制定的调节系数能够更为均衡且科学地反映各个手术项目的实际价值,避免价格体系失衡。结论建议建立一套完善且灵活的医疗服务价格动态调整机制,以准确且充分地体现医疗技术劳务价值,为公立医院可持续发展提供支撑。Objective To explore an incentive and guiding pricing strategy for medical service items,in order to optimize the medical revenue structure of public hospitals and rationally reflect the labor value of medical technology.Methods Based on public hospitals,focusing on surgical medical services,relying on the existing surgical directory and item code matching dictionary,by integrating the surgical grading standards and key factors of item pricing,reasonable adjustment coefficients were set for different surgical items on the basis of benchmark prices.Results On the basis of comprehensive consideration of multiple factors such as surgical level and item elements,the adjustment coefficient formulated can reflect the actual value of each surgical item more balanced and scientifically,and avoid the imbalance of the price system.Conclusion It is recommended to establish a complete and flexible dynamic adjustment mechanism of medical service prices to accurately and fully reflect the value of medical technology labor,and provide support for the sustainable development of public hospitals.

关 键 词：医疗服务项目 价格 手术分级 

分 类 号：R197.3[医药卫生—卫生事业管理]