在新版医疗服务项目规范下医用耗材打包定价的策略研究

Analysis on the Packaging Pricing Strategy of Medical Consumables under the New Edition of Medical Service Item Regualtion

目的:在国家出台的新版医疗服务项目规范下,对医用耗材打包定价项目进行成本测算,借此客观反映公立医院医疗服务项目的成本,探讨科学定价策略。方法:利用《全国医疗服务价格项目规范(2012年版)工作手册》选择某三级综合医院2013年具有代表性的综合服务类17个项目对照新版规范进行成本测算和分析。结果和结论:通过对17项医疗收费项目的实际发生成本与现行收费标准的测算比对,得出现行收费标准全部低于实际发生成本,亏损达3 733万元;通过17项新版成本与现行收费标准的测算比对,提出了下一步进行医疗服务项目定价中涵盖打包耗材项目价格调整的合理区间,并建议根据物价指数的浮动变化来建立合理的价格动态调整机制。

Objective：Under the new edition of national medical service item regulation, to conduct the cost estimation on thepacking price items of medical consumables which reflected the cost of medical service item in public hospitals, and to discuss thescientific strategy of pricing.Methods： National Medical Service Price Item Regulation（2012 Edition）was applied to select 17 items of representative comprehensive service items in a tertiary general hospital in 2013. The new edition regulation was comparedto conduct the cost estimation and analysis.Results and Conclusion：Through comparing the practical cost of 17 medical chargingitems and the current charging standard, it found that the current charging standard was lower than the practical occurrence cost andthe loss reached to 37.33 million yuan; through comparing 17 new edition cost of the current charging standard estimation, it pro-posed the reasonable pricing adjusting range of packing consumable items in further pricing medical service items and suggested toestablish reasonable price dynamic adjustment mechanism according to the floating changes of pricing items.