我国医疗服务按病种定价模型的构建与实证分析.pdfVIP

口卫生服务价格 我国医疗服务按病种定价模型的构建与实证分析 龙钊①，谢金亮①， 熊瑶②，王晓佳③，王秀英①，邹俐爱① 摘要目的：构建科学、合理的病种定价模型。推动我国医疗服务按病种付费制度改革。方法：运用经济学原理提出相 关理论假设。同时应用静态分析和动态分析相结合、定性分析和定量分析相结合的方法，构建病种定价模型并进行实证分析。 结果：确定影响病种价格的决定因素。首次提出相对技术难度线和相对风险程度线等核心概念，进而提出病种定价模型的数学 形式。并在该模型下实证分析了3个样本病种的价格水平。结论：利用该模型得到的价格能确保补偿病种的资源消耗；同时， 低技术。低风险的病种价格将进一步得到控制。而高技术、高风险的病种价格将得到更充分体现。该定价模型符合医疗服务的 价值规律。 关键词按病种付费；病种价格；定价模型 D0l 中图分类号R1—9；F045．3文献标志码A文章编号1003—0743(2015)05—0055—03 Constructionand ResearchofDisease ModdforMedicaIServiceinChina／LONGZhao．XIEJin-li- Empirical Pricing alJ／ChineseHealth Yno，et Economics，2015,34(5)：55—57 ang，X10NG the of Abstract constructthescientificandreasonablemodelforthediseaseSOthatto reform Objective：To pricing promote Diag． Related forChinesemedicalservices．Methods：Relatedtheoretical Was forwardbasedoneconom— nosis Groups(DRGsl assumptionput iCtheories．Staticand werecombinedwhile and combinedtoconstructthe analysisdynamicanalysis qualitativequantitativeanalysis modelandmake thedeterminantfactorofdisease confirmed．andsimultaneous． pricing empiricalanalysis．Results：With pricebeing core likeRelative LineandRelativeRiskLinefirst mathematicalformofCost一7rech． 1y，the concept Technology beingproposed，the ModelWas levelof3 of was forward，and，the diseases nology-RiskPricing put price samples analyzed resource ofdiseasescouldbe the ca]culatedthe the oflOWtech． consumption compensatedthroughprice by pricingmodel；whileprice andriskdiseasewouldbefurtherunder