公立医院医疗服务价格结构调整策略研究——基于规范医疗行为的视角.pdfVIP

[成本与价格1

卫生经济研究2023年10月第40卷第10期总第438期

公立医院医疗服务价格结构调整策略研究

基于规范医疗行为的视角

阮爱萍1

[摘要】目的：从规范医疗行为的视角,探讨医疗服务价格结构调整策略。方法：以湖北省某三甲公立医院为例，

分析医疗服务价格改革对医院医疗收人和患者医疗费用的影响。结果：取消药品加成和耗材加成后，医院整体弥补率

技诊疗服务类项目收人调减，患者次均检查和化验费用占比增长较快。结论：按照“有保有压、总量控制”的医疗服务

价格结构调整策略，建立“两降低”“两提高”“一增加”的价格结构动态调整机制，实现医疗服务的公平与效率。

[关键词】医疗行为；医疗服务价格；结构调整

中图分类号：R197.3文献标识码：A

StudyontheStrategiesforAdjustingMedicalServicePriceStructureinPublicHospitals

FromthePerspectiveofStandardizingMedicalBehavior

RUANAiping

Abstract:ObjectiveToexplorestrategiesforadjustingmedicalservicepricestructurefromtheperspectiveofstandardizingmedical

behavior.MethodsTakingatertiarypublichospitalinHubeiprovinceasanexample,theimpactofmedicalservicepricereformonhospi-

talmedicalincomeandpatientmedicalexpenseswasanalyzed.ResultsAftercancelingthedrugmarkupandconsumablemarkup,the

overallcompensationrateswere72.38%and57.43%inthehospital,whichwerelowerthanexpectedlevels.Afterthepriceadjustment,the

incomeofcomprehensivemedicalservices,clinicaldiagnosisandtreatment,andtraditionalChinesemedicineandethnicmedicineprojects

increased,whiletheincomeofmedicaltechnologydiagnosisandtreatmentservicesprojectsdecreased.Theproportionofaverageexamina-

tionandlaboratoryexpensesperpatienthasincreasedrapidly.ConclusionAccordingtothestrategyofadjustingthepricestructureof

medicalservicesbasedontheprincipleofmaintaininginsomeareaswhilereducinginothers,controllingthetotalquantity,itisneces-

sarytoestablishadynamicadjustmentmechanismforthepricestructureoftworeductionstwoimprovementsoneincrease,inorder

toachievefairnessandefficiency