日本诊疗费用定价方式对我国的启示

The Enlightenment of Japanese Medical Expenses Pricing Method to China

国务院颁布的《＂十三五＂深化医药卫生体制改革规划》中明确指出：逐步建立以成本和收入结构变化为基础的医疗服务价格动态调整机制,目前我国尚处在探索阶段。相比之下,日本历经长期探索与积累已形成成熟的诊疗费用定价方式（Diagnosis procedure combination/Per-Diem Payment System,DPC/PDPS）。本文梳理了日本诊疗费用定价方式建制沿革,具体分析DPC/PDPS方式中的诊断群分类点数的设定方法,以期为今后完善我国医疗服务价格核算方式设定提供借鉴。

Japan has experienced long-term exploration and accumulation, and has formed a mature diagnosis and treatment pricing method（Diagnosis procedure combination/Per-Diem Payment System,DPC/PDPS）. In China, the reform of the public welfare of the medical industry, the low cost of medical treatment, and the pricing of medical service prices are still under investigation. This paper aims to review the evolution of the pricing method for medical expenses in Japan, and specifically analyze the setting method of the diagnostic group classification points in the DPC/PDPS method, so as to provide reference for improving the pricing of medical service price accounting in China.