care门诊医疗定价.pptVIP

*  Price setting in out-patient health care门诊医疗的定价 Agenda议程 Guiding principles of pricing 定价的指导原则 Costing of health care 医疗保健的成本 Calculation of fees for services 服务费用计算 Calculation of fees for capitation 均摊费用计算 Conclusion 总结 * Guiding principles of pricing定价的指导原则 * Starting point for pricing in statutory health insurance医疗保险法定价格的出发点 actual costs of health care 医疗护理实际成本 contra available funds of a purchaser购买方可利用的资金 solving of a discrepancy解决矛盾 by decreasing costs 降低价格(salaries工资) by reducing range of covered services减少服务范围 by reducing availability减少可利用的能力(capacity of providers提供方的供应能力) * Calculation of tariffs/prices for remuneration计算关税价格来支付酬金 the basic rule for reimbursement can be expressed as follows:? 基础的报销费用的公式表述为下： Reimbursement + Cost sharing + Incentives = Costs + Profit 报销费用+分摊成本+激励办法= 成本+ 利润 * Costing of out-patient health care门诊医疗的成本 * Out-patient care costs门诊护理成本 annual costs per one medical practice每个医疗实践年度费用 (of different specialties不同特征) costing studies based on accounting books 基于会计学的成本研究 costing studies based on standards 基于标准化的成本研究 physicians per one medical practice 内科医生的每个医疗实践 nurses per one medical practice护士的每个医疗实践 support personnel per one medical practice 保障人员的每个医疗实践 standard salaries 标准工资 * Costs per medical practise每个医疗实践的成本 (1) * Non-recurrent costs 非经常费用 Premises楼房 Office equipment 办公设备 Medical equipment 医疗设备 Recurrent costs 经常性费用 Maintenance维护费 Office supplies 办公用品 Communication通信费 Transport交通费 Utilities杂费 Services服务费 Personnel costs 人事费用 Medical material/drugs 医疗材料/药品 Salaries/contributions 工资/出资 Education教育 Costs per medical practice – examples医疗实践成本个例 * Personal costs个人成本 (EUR) ? ? ? Medical personnel GP Position Annual salary Social contributions Unit annual personal costs Number Annual personal costs Doctor of medicine 8 843 3 973 12 815 1,6 20 334 Specialist 10 258 4 609 14 866 0,0 0 Patronage nurse 5 534 2 486 8 021 0,3 2 567 Nurse 4