医学检验项目定价“技耗分离”:内涵、难点和路径  

“Technology-Consumption Separation” in Pricing of Medical Testing Programs: Connotation, Difficulties and Paths

作　　者：王瑶莹 牛亚冬 付晓丽[1] 吴建[1] 苗豫东 杨银梅 叶贝珠 陈悦 井润阳 徐琳 Wang Yaoying;Niu Yadong;Fu Xiaoli(College of Public Health,Zhengzhou University,Zhengzhou,Henan,45000l,China;不详)

机构地区：[1]郑州大学公共卫生学院,河南郑州450001 [2]河南省息县中心医院,河南息县464300

出　　处：《中国卫生经济》2025年第1期47-49,共3页Chinese Health Economics

基　　金：国家社会科学基金项目(21BGL222);河南省医院管理创新研究课题(HNYGCX-2023-03A)。

摘　　要：医学检验项目定价“技耗分离”指医学检验项目在定价过程中将技术成本和耗材成本分开核算,这是检验试剂进行大规模集采的基础,对于规范医学检验项目开展,降低医学检验项目费用至关重要。文章对医学检验项目定价“技耗分离”的内涵进行了深入剖析,认为医学检验项目定价“技耗分离”实施过程中的主要难点在于成本核算难、专用试剂使用测定难、政策执行难,从按照“现价”减“专用试剂成本”来定价、基于大数据测算专用试剂损耗和适当提高定价水平3个方面提出了医学检验项目定价“技耗分离”的实施路径。“Technology-consumption separation”in pricing of medical testing programs,refers to the medical testing programs in the pricing process will be the cost of technology and consumables cost accounting separately,this is the basis for large-scale centralized procurement of test reagents,for the standardization of medical testing programs to carry out,reduce the cost of medical testing programs is critical.The medical testing programs pricing“technology and consumption separation”of the connotation is deeply analyzed.It is considered that the main difficulties in the implementation of the“technology-consumption separation”in the pricing of medical testing programs are the difficulty of costing,the difficulty of calculating the use of special reagents,and the difficulty of policy implementation.The implementation of the“technology-consumption separation”in the pricing of medical testing programs are proposed from“pricing according to the current price minus the cost of specialized reagents”,“based on big data to measure the loss of specialized reagents”and“appropriate increase in the pricing level”.

关 键 词：医学检验项目 技耗分离 医疗服务价格 支付方式 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R197