目的: 梳理医疗服务价格改革试点情况,为后续试点地区的政策制定和实践提供参考。方法: 从总量调控、分类形成、动态调整、监测考核四大核心机制入手,系统梳理试点城市实践经验与创新亮点,提出参考建议。结果: 试点城市基本形成适应当地实际情况的医疗服务价格改革制度政策框架和运行模式。调价总量均依据历史基数与增长系数的乘积确定,但在具体定义以及所涵盖的指标方面却有所不同;已设立相应的调价启动评估指标及阈值,加强了对公立医疗机构医疗服务价格和成本的监测等。结论: 建议其他地区借鉴试点城市实践经验,合理制定总量,积极引导定价,分类动态调整,持续监控评估,协同医保支付,稳定调价预期。

Objective: The paper summarizes the situation of medical service price reform pilots to provide a reference for policy formulation and practice in subsequent pilot areas. Methods: The paper systematically reviews the experience and innovative highlights of pilot cities from the core mechanisms of total quantity control, classification formation, dynamic adjustment, and monitoring and assessment, and makes suggestions. Results: The pilot cities have basically formed a policy framework and operational model for medical service price reform that adapts to the local situation. The total amount of the price adjustment is based on the product of historical base and growth coefficient, but there are differences in specific definitions and indicators covered. Corresponding evaluation indicators and thresholds for the price adjustment have been established, and monitoring of medical service prices and costs in public medical institutions has been strengthened. Conclusions: It is recommended that other regions learn from the experience of pilot cities, reasonably formulate the total amount, actively guide pricing, dynamically adjust classification, continuously monitor and evaluate the effectiveness, and collaborate with medical insurance payments to stabilize the price adjustment expectations.