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通用型、复杂型医疗服务项目价格动态调整机制建立与落实比较

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全面落实医疗服务价格动态调整,需要各地明确触发机制、调价周期、总量预算、项目遴选、调整幅度测算、调整效果跟踪评估等关键问题.文章在梳理典型省份、试点城市通用型、复杂型医疗服务项目价格调整触发机制与调价规则,监测评估、掌握价格动态调整执行效果要求的基础上,介绍了典型地区实施通用型、复杂型医疗服务项目价格动态调整进展,提出了推广典型地区动态调整价格经验的建议,包括:根据通用型、复杂型医疗服务项目特点,完善医疗服务价格动态调整分类触发机制;统一医疗服务项目成本测算口径,方便公立医院按规则参与复杂型医疗服务项目报价;监测识别成本和价格严重偏离的医疗服务项目,遴选调整医疗服务价格项目、确定项目价格水平升降幅度,并评估调价落地效果.
Comparison on the Establishment and Implementation of Dynamic Price Adjustment Mechanism for Universal Type and Complex Type Medical Service Items
The full implementation of the dynamic adjustment of medical service prices depends on key issues such as the clear trigger mechanism,price adjustment cycle,total budget,item selection,adjustment range measurement,adjustment effect tracking and evaluation. On the basis of sorting out the trigger mechanism and price adjustment rules of general and complex items in typical provinces and pilot cities,monitoring and evaluating,and grasping the requirements of the implementation effect of dynamic price adjustment,it introduces the progress of implementing dynamic price adjustment of general and complex items in typical areas,and puts forward suggestions for promoting the experience of dynamic price adjustment in typical areas,including improving the trigger mechanism of dynamic adjustment of medical service prices based on the characteristics of general and complex items;unifying cost measurement of medical service items to participate in the quotation of complex items in public hospitals according to rules;monitoring and identifing items with significant cost and price deviations,selecting adjustment items and ranges,evaluating the effect of price adjustment.

medical service pricedynamic adjustmentuniversal typecomplex typeprice comparison relationtechnical service value

郑大喜

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华中科技大学同济医学院附属同济医院 湖北 武汉 430030

医疗服务价格 动态调整 通用型 复杂型 比价关系 技术劳务价值

2024

中国卫生经济
中国卫生经济学会,卫生部卫生经济研究所

中国卫生经济

CSTPCDCHSSCD北大核心
影响因子:1.524
ISSN:1003-0743
年,卷(期):2024.43(12)