安宁疗护自主服务项目按服务单元定价研究  

Study on pricing of initiative hospice and palliative care services by service unit

作　　者：楚天舒 许艺帆 荆丽梅 李雪莹 张小雨 邓君梅 CHU Tian-shu;XU Yi-fan;JING Li-mei;LI Xue-ying;ZHANG Xiao-yu;DENG Jun-mei(School of Public Health,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;School of Public Health,Fudan University,Shanghai 200032,China;School of Public Health,Shanghai Jiaotong University,Shanghai 200025,China;West China Fourth Hospital,Sichuan University,Chengdu Sichuan 610000,China)

机构地区：[1]上海中医药大学公共健康学院,上海201203 [2]复旦大学公共卫生学院,上海200032 [3]上海交通大学公共卫生学院,上海200025 [4]四川大学华西第四医院,四川成都610000

出　　处：《中国卫生政策研究》2025年第2期47-52,共6页Chinese Journal of Health Policy

基　　金：国家社会科学基金(24BRK020)。

摘　　要：目的:针对我国安宁疗护定价和收费制度不完善问题,开展按服务单元定价研究。方法:结合理论与实证研究,分析自主服务项目的价格机制,探索建立分级、分类定价策略,并基于典型地区36家试点机构的真实世界数据开展实证研究。结果:研究构建激励规制视角下以价值为基础的安宁疗护自主服务项目分级、分类定价策略,提出按服务单元定价方案,住院床日费为459~606元或459~1102元,居家访视费为89~264元。结论和建议:本研究提出以技术劳务价值为基础、梯度波动的按服务单元定价方案,形成一套经济技术可行性较高的价格标准,为解决安宁疗护的定价问题提供科学参考。此外,仍需构建多层次的激励补偿机制,激励各级、各类机构与医务人员的从业积极性,促进安宁疗护高质量、可持续发展。Objective:To conduct a study on pricing by service unit to address the problems of hospice and palliative care pricing and fee system in China.Methods:Combining theoretical research and empirical evidence,this study organized the pricing mechanism of initiative hospice and palliative care services and established a graded and categorized pricing strategy.Empirical research was conducted based on real-world data from 36 pilot institutions in typical areas.Results:This study developed a comprehensive pricing framework for value-based classification price standard of initiative hospice and palliative care services from the perspective of incentive regulation.We proposed a pricing plan based on service units,with inpatient bed fee ranging from 459 to 606 yuan or 459 to 1102 yuan,and home visit fee ranging from 89 to 264 yuan.Conclusions and suggestions:This study proposes a pricing scheme based on the technique and service value with a gradient fluctuation by service unit,and forms a set of price standards with high economic and technical feasibility,which can provide scientific evidences for solving the pricing problem of hospice care.In addition,there is still a need to establish a multi-level incentive compensation mechanism to motivate all levels and types of organisations and healthcare provider,and to promote the high-quality and sustainable development of hospice and palliative care.

关 键 词：安宁疗护 自主服务项目 服务价格 按服务单元定价 

分 类 号：R197[医药卫生—卫生事业管理]