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医疗服务项目技术规范、价格项目立项指南与价格项目规范的比较和对接

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文章比较了医疗服务项目技术规范、价格项目立项指南与价格项目规范的定位、功能与实施现状,梳理了典型地区医疗服务价格项目立项指南、技术规范与价格项目规范对接的主要做法:按价格项目立项指南,整合规范本地现行医疗服务价格项目,测算成本并制定价格;按项目技术规范、价格项目规范和立项指南,审核医院新增医疗服务价格项目合规性、创新性;修订现有医疗服务价格项目要素表述,提高医疗服务价格项目兼容性,回应公立医院的正当收费需求.对各地进一步优化医疗服务价格项目的启示包括:经技术规范确认并符合立项指南精神,纳入创新技术应用对应的新增价格项目申报;按价格项目立项指南,映射、规范整合现有项目,对新项目定价;修订现有医疗服务价格项目要素表述,兼容公立医院改良技术应用,并新增医疗服务价格项目申报事项.
Comparison and Docking among Medical Service Technical Specifications,Price Item Guidelines and Medical Service Price Item Specifications
It compares the positioning,functions and implementation status of technical specifications,item guidelines and price item specifications,and summarizes the main methods of connecting item guidelines,technical specifications and price item specifications in typical areas:according to item guidelines,integrate and standardize the current local medical service price items,measure costs and set prices;review the compliance and innovation of new hospital medical service price items according to technical specifications,price item specifications and item guidelines;revise the existing item element expression of medical service price,improve the item compatibility of medical service price,and respond to the legitimate charging needs of public hospitals. Inspiration for further optimization of medical service price item management:being confirmed by technical specifications and in line with the spirit of the item guidelines,including in the application of innovative technology new price item declaration;mapping,standardizing and integrating the existing items and pricing new items according to item guidelines;revising the existing medical service price item element expression to be compatible with the application of improved technology in public hospitals,and adding new medical service price items to the list of items to be declared.

technical specificationitem guidelinemedical service price item specificationelementdockingcompatible

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

技术规范 立项指南 医疗服务价格项目规范 要素 对接 兼容

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)