基于价值定价的服务激励模型初探:以基层整合型健康服务为例

Exploring a Value-Based Pricing Service Incentive Model:Taking Primary Integrated Primary Healthcare Services as an Example

目的:以基层医疗卫生机构慢性病整合型健康服务为例,探究基于价值定价的基层整合型健康服务经济激励模型,提出实践需求依据和落地建议.方法:借助卫生技术评估框架,提出整合型健康服务可通过服务效果与服务效用进行定价的方法,基于以患者为中心的创新医疗服务激励模型,开发以价值定价为核心的经济激励模型,包括筹资、支付、考核、分配,结合我国基层整合服务的需求与实际提出可行建议.结论与建议:基于价值定价的整合健康服务经济激励模型有助于为基层卫生服务功能转型、提升服务动力提供理论依据,是我国在价值导向下服务购买战略的一部分.

Objective:Using primary care chronic disease management as a case,it aims to explore an economic incentive model for integrated primary healthcare services based on value pricing.Additionally,practical needs and implementation recommendations are proposed.Methods:With the help of the health technology assessment framework,it proposes that integrated health services can be priced through service effectiveness and service utility,and develops an economic incentive model with value pricing at its core based on the patient-centered incentive model for innovative healthcare services,including financing,payment,appraisal,and distribution,and puts forward feasible suggestions in the light of the needs and actuality of primary integrated services in China.Conclusion and Recommendation:The value-based pricing model for integrated health services serves as a theoretical foundation for the transformation of primary healthcare service functions and the enhancement of service dynamics,aligning with China's value-oriented service procurement strategy.This research contributes to the academic discourse by providing localized insights and a scholarly tone,contributing to the advancement of knowledge in the field.