Study on the Construction of Rationality Evaluation Index System of Medical Service Price Item
Objective:To construct a set of rationality evaluation index system of medical service price items,so as to provide references and tools for improving the mechanism of finding abnormal medical service price items and the mechanism of monitoring and evaluating medical service price items.Methods:Literature Review,focus group discussion,Delphi method and Analytic Hierarchy Process were used to determine the evaluation indexes and their weights.Results:The rationality evaluation index system of medical service price items included 5 primary indexes,10 secondary indexes and 22 third-level indexes.According to the weight,primary indexes were cost compensation(0.253),clinical use(0.227),price comparison relationship(0.225),reform guidance(0.164)and technical evaluation(0.131).The positive coefficient of experts,1evel of authority and coordination of opinions were confirmed.The items whose specific single index score was zero or whose total score was below the threshold were considered as abnormal items.Conclusion:It constructed a set of rationality evaluation index system of medical service price items,which has high scientificity and reliability.Due to the prerequisites for obtaining the basic data required for the evaluation,it is recommended that a pilot project be carried out in the pilot areas of deepening the reform of medical service prices for the purpose of further verifying and optimizing the index system.
medical service price itemrationalityindex systemDelphi methodAnalytic Hierarchy Process
NETL
NSTL
万方数据
