针对病种全周期诊疗费用动态监测与价格调控的现实需求,本文以A市生育医疗服务项目为对象,探究病种医疗服务价格指数测算。依托专家咨询法筛选127项生育核心医疗服务项目并分配对应权重,完成A市生育价格指数实证测算。测算结果显示,以2021年为基期,2024年A市生育医疗服务价格指数为102.7,涨幅显著低于同期地区GDP、居民人均可支配收入与CPI增速,A市生育医疗服务呈现较强公益属性,具备合理调价空间;对比三种测算模型,赋权篮子项目的指数模型均方差最低,为最优测算模型,建议在区域病种医疗服务价格监测工作中优先推广应用。
Abstract
In response to the practical demand for dynamic monitoring and price regulation of full-cycle medical expenses by disease category, this paper takes maternity medical services in A City as the research object and constructs a measurement framework for the disease-specific medical service price index. The expert consultation method is adopted to screen 127 core maternity medical service items and assign corresponding weights, so as to complete the empirical measurement of the maternity price index in A City. The measurement results indicate that with 2021 as the base year, A City's maternity medical service price index reached 102.7 in 2024. Its growth rate was markedly lower than the growth rates of regional GDP, per capita disposable income and CPI over the same period, demonstrating the strong public welfare attribute of local maternity medical services and leaving reasonable room for price adjustments. Among the three measurement models compared, the weighted basket-item index model has the minimum mean squared error and is identified as the optimal one, which is recommended for priority promotion and application in the regional monitoring of disease-specific medical service prices.
关键词
病种 /
医疗服务价格指数 /
生育
Key words
disease category /
medical service price index /
maternity care
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参考文献
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基金
江西省中医药管理局科技计划项目“江西省中医医疗服务价格指数测算理论模型优化与实证研究”（2024A0100）
