当前,我国医疗收费项目归集口径尚未完全统一,各地在政策执行过程中形成多版本归集标准,影响跨区域费用类别可比性。本研究梳理了项目归集口径相关政策及各地实践差异,剖析了多版本归集体系与现行医疗服务价格项目立项指南(以下简称“立项指南”）对接过程中存在的主要问题及其成因。在此基础上,本研究提出加快制定规范化、标准化立项指南医疗收费项目归集口径的建议：汇编分批发布的各学科立项指南,统一增加来源于项目归集口径的相关信息;按技术创新程度分类受理新增价格项目申报,明确新设立项目归集口径。

Currently, the aggregation standards for medical charge items in China are not fully unified, and various regions have developed multiple versions of aggregation standards during policy implementation, affecting the comparability of expense categories across regions. This study reviews relevant policies on item aggregation standards and regional differences in practice, and analyzes the main issues and their causes in the process of docking multiple versions of aggregation systems with current item initiation guidelines. Based on this, this study proposes suggestions for accelerating the development of standardized and normalized item initiation guidelines for medical charge item aggregation standards, which includes compiling item initiation guidelines for various disciplines released in batches, uniformly adding relevant information derived from item aggregation standards; classifying and accepting new price item applications based on the degree of technological innovation, and clarifying the aggregation standards for newly established items.