摘要
公立医院取消药品耗材加成改革已进入收官阶段,当前公立医院医疗服务价格改革的重点逐渐从弥补取消药品耗材加成后的政策性亏损转移到优化调整医疗服务价格的新阶段。对此,不仅需要精细化核算医疗服务项目成本,而且需要从不同项目的替代与选择、成本要素合理纳入、建立对医生的激励性定价等方面,进一步优化调整医疗服务价格。
The reform of canceling the bonus of drug and consumables in public hospitals has entered the closing stage.At present,the focus of the price reform of medical services in public hospitals has gradually shifted from making up for the policy losses after the cancellation of the addition of drug consumables to the new stage of optimizing and adjusting the prices of medical services.In this regard,it not only need to carefully calculate the cost of medical service items,but also need to further optimize and adjust the price of medical services from the aspects of substitution and selection of different items,reasonable inclusion of cost elements,establishment of incentive pricing for doctors and so on.
作者
李永强
朱宏
李兵
姚东明
张笑语
陈永成
LI Yong-qiang;ZHU Hong;LI Bing;YAO Dong-ming;ZHANG Xiao-yu;CHEN Yong-cheng(College of Economics and Management,Jiangxi University of Traditional Chinese Medicine,NanchangJiangxi330004,China;不详)
基金
2019年国家自然科学基金项目(81960616)
2019年江西省高校人文社会科学研究项目(2019JJ115)
2020年度江西中医药大学本科生科研训练计划项目部分成果。
关键词
公立医院
医疗服务价格
优化调整
public hospital
medical service price
optimization and adjustment