在我国深化医疗服务价格改革的背景下,自2021年起,国家医疗保障局陆续颁布了一系列《医疗服务价格项目立项指南》,旨在指导各地区统一和规范医疗服务价格项目,增强医疗服务的可比性和公平性,进一步提升医疗服务质量,推动我国医疗卫生体系的高质量可持续发展。本文采用政策文件分析与案例研究相结合的方法,系统梳理了《立项指南》在整合项目、明确计价、突出产出、体现技术难度和鼓励创新等方面对公立医院运营与管理的影响。在此基础上,提出了构建精细化成本核算体系、强化院内培训、完善信息化管理和推动技术创新等对策建议。研究的创新点在于从医院运营视角,对《立项指南》的实施效果进行多维度剖析,并提出具有可操作性的应对路径。研究局限性在于缺乏更大规模的量化数据支持,仅基于部分案例进行分析,研究结论的普适性仍需进一步验证。

Against the backdrop of deepening the reform of medical service prices in China, since 2021, the National Healthcare Security Administration has issued a series of medical service price project approval guidelines to guide the unified and standardized medical service price project in various regions, enhance comparability and fairness of medical service, further improve the quality of medical services, and promote the high-quality and sustainable development of China’s healthcare system. This study adopts a combined approach of policy document analysis and case studies to examine the guidelines’ impacts on the operation and management of public hospitals, focusing on project integration, standardized pricing, emphasis on service outputs, recognition of technical complexity, and support for innovation. Based on these findings, the paper proposes countermeasures such as refined cost accounting, strengthened staff training, improved information management, and promotion of technological innovation. The study’s novelty lies in analyzing the guidelines from the perspective of hospital operations and offering actionable strategies. However, the lack of large-scale quantitative data and reliance on limited cases may affect the generalizability of its conclusions.