长三角地区医疗服务项目横向价格比较研究

Comparison of Medical Service Price in the Yangtze River Delta Region from the Perspective of Horizontal Level

目的:梳理长三角地区医疗服务项目价格管理现状,为长三角地区合理定价及调整提供依据。方法:收集上海市、江苏省、浙江省、安徽省各地发布的最新“医疗服务项目规范”及“医疗服务价格汇总表”,运用Excel建立数据库并抽样,进行定量和定性分析。结果:长三角地区医疗服务项目总体价格水平存在显著性差异(P<0.05)。不同类别价格水平和离散程度均存在差异,中医诊疗类和综合服务类较诊疗类价格偏低。医疗服务价格水平与经济发展水平呈正相关(R^(2)=0.49)。上海市除中医诊疗类外各类别价格均为最高,江苏省相对经济发展水平而言医疗服务项目价格总体偏低。结论:长三角地区医疗服务价格存在较大差异,总体比价关系趋于合理。建议统一医疗服务价格规范,提升中医诊疗类医疗服务项目定价的科学性,提高体现技术和劳务价值的医疗服务价格,并按照经济发展水平对价格进行优化调整。

Objective:To analyze the current situation of price management of medical service in The Yangtze River Delta Region,and to provide basis for reasonable pricing and adjustment in the Yangtze River Delta Region.Methods:The latest medical service project specifications and price summary tables issued by Shanghai,Jiangsu Province,Zhejiang Province,Anhui Province were collected to establish and sample the database,and conduct the quantitative and qualitative analysis based on EXCEL 2016 Software.Results:There are significant differences in the overall price level of medical service in the Yangtze River Delta Region(P<0.05).There are differences in price level and dispersion degree among different types of medical services.The price of Traditional Chinese medicine treatment and comprehensive service is lower than that of diagnosis and treatment.Medical service price level is positively correlated with economic development level(R2=0.49).The prices of all kinds of medical services in Shanghai are the highest except for traditional Chinese medicine treatment.The prices of medical services in Jiangsu province are generally low compared with the level of economic development.Conclusion:There are great differences of medical service price in the Yangtze River Delta Region,and the overall price comparison relationship tends to be reasonable.It is suggested to unify the price standard of medical services,make the pricing of TCM medical services more scientific,raise the price of medical services reflecting the value of technology and labor,and optimize and adjust the price according to the level of economic development.