医疗服务价格动态调整如何实现共赢?——基于风险防控视角的实践探索

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中国医疗保险 ›› 2025, Vol. 0 ›› Issue (8) : 95-100.

中国医疗保险 ›› 2025, Vol. 0 ›› Issue (8) : 95-100. DOI: 10.19546/j.issn.1674-3830.2025.8.011
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医疗服务价格动态调整如何实现共赢?——基于风险防控视角的实践探索

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How to Achieve the Win-Win Situation Through Dynamic Adjustment of Medical Service Prices?——Practice and Exploration from the Perspective of Risk Prevention and Control

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摘要

目的: 分析医疗服务价格动态调整对多方的影响及执行风险,提出防范策略。方法: 结合赣州实践,评估调价对患者、医疗机构、医保基金的影响,识别触发机制、总量调控等环节的风险。结果: 调价需平衡各方承受能力,聚焦技术劳务价值提升;存在患者负担增加、基金压力加大等风险。结论: 建议树牢基金安全意识、兼顾特殊群体承受能力、引导医疗机构参与,实现多方共赢。

Abstract

Objective: The paper analyzes the impact of dynamic adjustments in medical service prices on multiple parties and the implementation risks, and proposes preventive strategies. Method: Based on the practice in Ganzhou City of Jiangxi Province, the paper evaluates the impact of price adjustments on patients, medical institutions, and medical insurance funds, identifies risks in triggering mechanisms and total quantity regulation. Result: Price adjustment needs to balance the affordability of all parties and focus on enhancing the value of technology and labor services. There are risks such as increased patient burden and fund pressure. Conclusion: It is recommended to strengthen the awareness of fund security, take into account the affordability of special groups, guide medical institutions to participate in the process, and achieve a win-win situation for all parties.

关键词

医疗服务价格 / 调价 / 风险防控

Key words

medical service price / price adjustment / risk prevention

引用本文

导出引用
纪文河. 医疗服务价格动态调整如何实现共赢?——基于风险防控视角的实践探索[J]. 中国医疗保险. 2025, 0(8): 95-100 https://doi.org/10.19546/j.issn.1674-3830.2025.8.011
How to Achieve the Win-Win Situation Through Dynamic Adjustment of Medical Service Prices?——Practice and Exploration from the Perspective of Risk Prevention and Control[J]. China Health Insurance. 2025, 0(8): 95-100 https://doi.org/10.19546/j.issn.1674-3830.2025.8.011
中图分类号: F840.684    C913.7   

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