关于公立医院医疗服务实施弹性收费机制的探讨

Discussion on Flexible Charging Mechanism for Medical Treatment in Public Hospitals

随着医药卫生体制改革的不断深化,医疗技术劳务价值逐步凸显,国家对于建立医疗服务价格调整体系提出了更高要求,并明确指出应逐步提高技术劳务收入占比。该研究基于医疗价格改革"优化结构,有升有降"的原则,借鉴马克思价格与价值理论,并且结合医疗服务产品的特殊性,以医疗质量差异化因素为切入点,提出医疗服务弹性收费机制,旨在顺应国家医改精神与公立医院发展方向,探索优化医疗服务收费机制,最终提出完善医疗保障配套政策、建立科学评价体系等相关建议。

With the deepening reform of health care system, the value of technical treatment was becoming more and more important. Based on the principle of ＂optimizing the price＂ structure, referring to Marxist theory of market value and particularity of medical service, it explored the characteristics of medical service products, considered the differences of medical quality, and put forward the opinions on flexible charging mechanism, which designed to conform to the national spirit of the reform and to improve the medical charging mechanism. It finally proposed suggestions on improving medical insurance policy and establishing scientific evaluation system.