江苏省医疗服务价格调价总量测算模型研究

Research on the Calculation Model of the Total Price Adjustment of Medical Services in Jiangsu Province

目的:分析江苏省医疗服务价格调整影响因素,探索建立影响江苏省医疗服务调价总量的测算模型,以期为我国建立系统的、量化的、可持续的医疗服务价格管理总量调控机制提供参考。方法:在梳理其他地区调价总量测算经验基础上,选择地区生产总值增速、医保筹资总额增幅等作为主要影响因素,对2016—2020年5年数据进行模型分析。结果:影响医疗机构医疗收入增速的主要因素包括地区生产总值增速、上一年人口城镇化率及医保筹资增幅。结论:在具体实践中,将影响调价总量测算的因素分为非协商因素和协商因素,上述3个因素作为非协商因素,综合考虑协商因素的基础上合理确定调价总量。

Objective:To analyze the factors influencing the price adjustment of medical services in Jiangsu Province,and to establish a model for measuring the total price adjustment of medical services in Jiangsu Province,so as to provide references for the establishment of a quantitative and sustainable mechanism for regulating the total price of medical services in China.Methods:On the basis of combing the experience and practice of total price adjustment measurement in other regions,the gross regional product growth rate,the increase of total medical insurance financing are selected as the main influencing factors to analyze the five-year data from 2016 to 2020.Results:The main factors affecting the growth of medical income of medical institutions include the growth of gross regional product,the urbanization rate of the population in the last year,and the growth of medical insurance financing.Conclusion:In practice,the factors that affect the calculation of the total price adjustment should be divided into non-negotiation factors and negotiation factors.The seabove three factors are regarded as non-negotiation factors,and the total price adjustment should be reasonably determined on the basis of comprehensive consideration of negotiation factors.