如何对医疗机构和医务人员进行付费,是所有国家和地区医疗保险制度设计的核心问题之一。对于我国来说,这一问题突出反映在医疗服务价格管理和医务人员薪酬管理两项长期任务上。本文试图从理论和实践两个层面,探讨医疗服务价格和医务人员薪酬各自的决定机制,旨在为国家医保支付改革和公立医院薪酬改革提供决策参考。

How to pay for hospitals and physicians is one of the key questions in the design of healthcare security system in all countries. For China, it is reflected in two long-term tasks of medical service price management and medical staff salary management. This paper attempts to discuss the decision mechanism of medical service price and medical staff salary from two aspects of theory and practice, so as to provide decision-making reference for national healthcare security payment reform and public hospital salary reform.