医疗卫生服务定价:基于价值定价转型方法学初探

Pricing of Healthcare Services:An Initial Exploration of Value-Based Pricing Transformation Methodology

目的:相较于依据投入价值的定价,依据产出定价更能激励服务结果趋向于预期,进而提升投入产出效率.探讨以结果价值为导向的医疗卫生服务定价路径,为医疗卫生服务的价值定价提供理论基础.方法:梳理价值定价的概念、方法和国际经验.结果:将医疗卫生服务领域中依据结果的定价划分为效果和效用两种,并依据不同医疗卫生服务效果、效用的侧重点将其分为4类.结论:重效果的服务可以借鉴医疗技术领域的质量调整生命年量化结果,重效用的服务需要开发新的服务效用量表.

Objective:Compared to pricing based on input value,pricing based on output can better motivate service outcomes towards expectations and enhance input-output efficiency.The path of outcome value-oriented pricing for healthcare services is explored to provide a theoretical foundation for the value-based pricing of healthcare services.Methods:The concepts,methods and international experience of value pricing are sorted out.Results:Outcome-based pricing in healthcare services is divided into effect and utility,and is classified into four categories based on the different emphasis on the effect and utility of healthcare services.Conclusion:Services with a strong emphasis on effectiveness can draw inspiration from the Quantified Quality of Life(QALY)results in the medical technology field,while services with a strong emphasis on utility may require the development of new utility scales for service evaluation.