Establishing a dynamic adjustment mechanism for medical service prices and substantially coordinating and operating the mechanism is a key task of deepening the medical reform. As a matter of people's livelihood, it is closely related to policies, with high social attention and various stakeholders, which is difficult to coordinate. This paper systematically summarizes the content and implementation progress of dynamic adjustment plans of medical service prices in typical areas, and analyzes the effect of reform and its impact on hospitals, medical insurance and patients. On the whole, after the dynamic adjustment of medical service prices in typical areas, the operation of public hospitals is generally stable, and the income structure of hospitals, the medical burden of patients, and the expenditure of medical insurance funds are balanced, reaching the expected goal. In order to further improve the dynamic adjustment mechanism of medical service prices, it is suggested to set quantitative evaluation indicators of trigger mechanism according to the classification of general and complex items, improve the quotation rules, rationally allocate adjustment space to selected items, and monitor the reform operation, track and evaluate the effect of price adjustment with the help of cost price information platform.
Key words
medical service price /
dynamic adjustment /
price comparison relation /
value of technical services
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 吕兰婷,蒋昌松,胡邱铷,等.医疗服务价格管理现状、问题及发展建议[J].中华医院管理杂志, 2023,39(7):486-492.
[2] 王滢,杨练,孙群,等.新医改以来我国医疗服务调价政策研究[J].中华医院管理杂志,2017, 33(9):641-644.
[3] 杨婷婷,张建华.公立医院医疗服务价格的政策梳理及问题探讨[J].中国卫生经济,2015, 34(12):66-68.
[4] 吴静娴,何荣鑫,王雪,等.“三医”联动视角探究我国公立医院医疗服务价格改革[J].中国卫生经济,2016,35(7):44-46.
[5] 张静,崔兆涵,王虎峰.“三医”联动视角下的医疗服务价格动态调整[J].中国卫生经济,2018, 37(1):28-32.
[6] 国家医疗保障局.突围！深化医疗服务价格改革试点扩面在即[EB/OL].(2024-03-18)[2024-05-22].http://www.nhsa.gov.cn/art/2024/3/18/art_14_12195.html.
[7] 国家医疗保障局.国家医疗保障局相关负责同志就《深化医疗服务价格改革试点方案》答记者问[EB/OL].(2021-08-31)[2024-05-22].http://www.nhsa.gov.cn/art/2021/8/31/art_105_6576.html.
[8] 蒋昌松,蒋婷,祁鹏,等.医疗服务价格动态调整触发机制研究——基于“SET”三要素[J].卫生经济研究,2022,39(6):8-11.
[9] 许坦,祁旺,黄晓春,等.医疗服务价格动态调整机制调查研究[J].中国卫生经济,2017,36(01):67-69.
[10] 王海银,房良,王晓昕,等.我国医疗服务项目价格动态调整机制实践进展及发展策略思考[J].中国卫生经济,2021,40(12):60-63.
[11] 三明市卫生健康委.2023年12月三明市公立医疗机构运行情况[EB/OL].(2024-01-26)[2024-05-22].https://www.sm.gov.cn/zw/ztzl/shyywstzgg/ygyxbb/202401/t20240126_1997999.htm.
[12] 邸金平,刘春雨,徐龙彪,等.医疗服务价格动态调整三阶段模型研究[J].中国医疗保险, 2022(10):19-22.
[13] 蒋帅.基于DEMATEL法的医疗服务价格动态调整影响因素分析[J].中国卫生经济,2024, 43(1):49-52.
[14] 蒋婷,蒋昌松,吕兰婷,等.医疗服务价格改革机制的评估指标体系构建[J].中华医院管理杂志,2023,39(7):480-485.
[15] 邵丽娜,孙晓桐,吴晶,等.我国通用型医疗服务项目价格空间聚集性及影响因素分析[J].中国医疗保险,2023(05) :71-77.
[16] 蒋昌松,蒋婷,王鑫,等.复杂型医疗服务项目价格调整方法——基于模拟市场机制设计[J].中国医疗保险,2022(10):5-10.
[17] 马原,杨胤清,杨练,等.基于机制设计理论的复杂型医疗服务项目定价模型研究[J].中国卫生经济,2022,41(06):1-4.
[18] 肖蕾,张媚.面向决策应用的公立医院成本核算机遇、挑战及策略研究[J].中国卫生经济, 2023,42(1):73-76.
[19] 潘敏,黄茂娟,吴颖敏,等.医疗服务价格水平差异对公立医院财务状况影响的实证分析[J].中国卫生经济,2016,35(8):65-68.
[20] 谭爱忠,姚奕婷,邹俐爱.医疗服务价格管理区域协调机制相关问题探讨[J].中国卫生经济, 2018,37(4):46-49.
[21] 游茂.医疗服务价格信息化管理探讨[J].中国卫生经济,2013,32(2):35-37.
[22] 王海银,王美凤,程文迪,等.美国识别和调整不合理医疗服务价格的机制、实践及启示[J].中国卫生经济,2019,38(6):94-96.
[23] 喻星旻,周婷,朱远华.医疗服务价格动态调整效果评估指标体系构建[J].中华医院管理杂志,2019,35(10):803-806.
[24] 王海银,金春林.我国医疗服务价格与经济水平协调发展研究[J].中国医疗保险,2022(10):23-26.
