新增医疗服务价格项目定价研究及实践应用——基于广州市新增医疗服务价格项目定价改革实践探索

Research and Practical Application of Pricing for Newly Added Medical Service Items——Based on the experience and exploration of pricing reform for newly added medicol service items in Guangzhou

随着“三医”改革的不断深入,省级政府部门下放了部分医疗服务项目定价权限。医疗机构实施自主定价,需谨慎采用恰当的定价方法,制定公平合理的项目价格。对于普通的新增医疗服务价格项目,医疗机构可以通过判断项目属性、结合项目类型进行直接定价;对于价格关系复杂、涉及不可单独收费高值耗材的新增医疗服务价格项目,医疗机构可以通过建立合理的比价关系对相关的不同新增项目、与现行项目类似的新增项目进行定价,通过合理的打包收费方式进行定价。建议进一步建立健全自主定价项目价格管理制度;提升医疗机构定价决策能力及水平;加强新增医疗服务项目监测分析;监管部门要加强对医疗机构收费行为的监管,提升价格监督指导能力和水平。

With the continuous deepening of the reform of the“Three Medical Systems”,the government has delegated pricing authority to some medical service projects.Medical institutions implementing autonomous pricing needs to care-fully adopt appropriate pricing methods and establish fair and reasonable project prices.For ordinary new medical service pricing items,medical institutions can directly price them by judging the project attributes and combining them with the pro-ject type;For new medical service price items with complex price relationships and with high value consumables that cannot be charged separately,medical institutions can establish reasonable price comparison relationships to price different new items and new items similar to current projects,and price them through reasonable packaging and charging methods.Suggestions are made:Further establish and improve the pricing management system for self pricing projects;Enhance the pricing decision-making ability and level of medical institutions;Strengthen monitoring and analysis of new medical service projects;Regulatory authorities should strengthen the supervision of medical institution fee behavior and improve the ability and level of price supervision and guidance.