长江三角洲地区中医医疗服务项目计价单位与价格分析

Analysis of medical service units and prices of traditional Chinese medicine in the Yangtze River Delta

目的比较分析长江三角洲地区(以下简称长三角)4省份中医医疗服务项目计价单位与价格,为长三角地区中医医疗服务项目设置和价格协同发展提供参考。方法获取长三角4省份相关部门官方网站发布的医疗服务价格项目规范(数据更新至2022年3月),提取项目名称和计价单位等数据,比较各省份中医医疗服务项目计价单位和价格,采用Jevons指数法分析可比中医医疗服务项目价格。结果上海、江苏、浙江和安徽的中医医疗服务项目数量分别为113项、146项、117项和198项,计价单位种类分别为15种、24种、13种和12种,计价单位设置存在差异,尤其是分解项目较多的针刺与灸法类。长三角总体医疗服务价格均值为中医医疗服务价格均值的9.81倍。4省份可比中医医疗服务项目价格存在差异,以安徽省为基准,除中医推拿类外的其他类别中医医疗服务项目的省际Jevons指数均小于1.00。结论长三角4省份的中医医疗服务项目计价单位和价格存在较大差异,其中安徽省与其他3个省份的差距较大;中医医疗服务项目价格整体偏低。

Objective To compare and analyze the pricing units and prices of traditional Chinese medicine(TCM)medical services in 4 provinces of the Yangtze River Delta,for reference for the integrated development of TCM medical service project setting and price coordination in the Yangtze River Delta region.Methods The medical service price project specifications published on the official websites of relevant departments in 4 provinces of the Yangtze River Delta(updated to March 2022)were obtained to extract data such as project names and pricing units.The pricing units and prices of TCM medical service projects in each province were compared and analyzed;The Jevons index method was used to analyze comparable project prices.Results The numbers of TCM medical service projects in Shanghai,Jiangsu,Zhejiang,and Anhui were 113,146,117,and 198,respectively.The types of pricing units were 15,24,13,and 12,respectively.There were differences in the setting of pricing units,especially in acupuncture and moxibustion,which had more decomposition projects.The average price of overall medical services in the Yangtze River Delta was 9.81 times that of TCM medical services.There were differences in the prices of comparable TCM medical service projects among the four provinces.Based on Anhui province,the inter provincial Jevons index of other categories of TCM medical service projects except for TCM massage were all less than 1.00.Conclusions There were significant differences in the pricing units and prices of TCM medical service projects in the four provinces of the Yangtze River Delta,with Anhui province having the most significant difference compared to the other three provinces;The overall price of TCM medical service projects was relatively low.