[1]蒋 婷,王朝辉,蒋昌松,等.典型医疗服务项目价格水平的国际比较[J].卫生经济研究,2024,41(06):68-71,77.
 JIANG Ting,WANG Chaohui,JIANG Changsong,et al.International Comparison of Price Levels of Typical Medical Service Items[J].Journal Press of Health Economics Research,2024,41(06):68-71,77.
点击复制

典型医疗服务项目价格水平的国际比较
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年06期
页码:
68-71,77
栏目:
他山之石
出版日期:
2024-05-30

文章信息/Info

Title:
International Comparison of Price Levels of Typical Medical Service Items
作者:
蒋 婷12王朝辉23蒋昌松2祁 鹏2郭 丹2李 娜2张礼亮12
1.首都医科大学公共卫生学院,北京 100069
2.首都医科大学国家医疗保障研究院,北京 100037
3.四川大学华西公共卫生学院,四川 成都 610041
Author(s):
JIANG Ting WANG Chaohui JIANG Changsong QI Peng GUO Dan LI Na ZHANG Liliang
School of Public Health, Capital Medical University, Beijing 100069, China
关键词:
医疗服务项目相对价格比价关系国际比较
Keywords:
medical service items relative price price comparison relationship international comparison
分类号:
R19
文献标志码:
A
摘要:
目的:以国际比较的视角,分析我国医疗服务价格水平,为价格调整提供参考。方法:收集我国及5个发达国家的10个典型医疗服务项目价格,并标化为可比价格,与我国对应项目价格进行比较。结果:相比发达国家,我国医疗服务相对价格总体不低,高于德国和韩国;特别是物耗类项目相对价格普遍高于发达国家,但技术劳务类项目相对价格普遍较低。结论:我国医疗服务价格结构和比价关系不合理问题较突出,建议对技术劳务类项目价格进行动态调整,对物耗类项目调降价格。
Abstract:
Objective To evaluate the price level of medical services in China from the perspective of international comparison, and to provide reference for price adjustment. Methods The prices of 10 typical medical service items in China and 5 developed countries were collected and standardized into comparable prices, and compared with the prices of corresponding items in China. Results Compared with developed countries, the relative price of medical services in China was not low in general, higher than that of Germany and South Korea. In particular, the relative price of material consumption items was generally higher than that of developed countries, but the relative price of skilled labor items was generally lower. Conclusion The unreasonable price structure and price comparison relationship of medical services in China are more prominent. It is necessary to dynamically adjust the prices of skilled labor items, and reduce the prices of material consumption items.

参考文献/References:

[1] 刘露.医疗服务价格调整对尿毒症儿童家庭疾病经济负担的影响研究[D].重庆:重庆工商大学,2022.
[2] 朱磊,罗红芬,鲁惠颖.医疗服务价格联动改革对公立医院运行的影响研究[J].医院管理论坛,2022,39(07):15-18,76.
[3] 李雪辉.取消药品与医用耗材加成相关政策对公立医院经济的影响[J].中国医院,2019,23(04):15-17.
[4] 蒋昌松,蒋婷,祁鹏,等.医疗服务价格动态调整触发机制研究——基于“SET”三要素[J].卫生经济研究,2022,39(06):8-11,16.
[5] 国家医保局,国家卫生健康委,国家发展改革委,等.关于印发《深化医疗服务价格改革试点方案》的通知[EB/OL].[2023-09-08].https://www.gov.cn/zhengce/zhengceku/2021-09/01/content_5 634738.htm.
[6] 姚奕婷,邹俐爱,张远妮.省域内物理治疗与康复类医疗服务项目价格水平研究——基于广东省21个地市的比较分析[J].卫生软科学,2023,37(03):63-67.
[7] 徐陆欣怡,孙奕萱,尹适成,等.省域内各地区医疗服务价格的对比研究——以湖北省6个州市为例[J].卫生经济研究,2022,39(08):64-67,72.
[8] 韩雅慧,楚天舒,张晨曦,等.长三角地区医疗服务项目横向价格比较研究[J].中国卫生经济,2022,41(12):59-61.
[9] 张圣和,徐伟,贾佳佳,等.江苏省中医类医疗服务项目价格水平研究——基于六省市的比较分析[J].卫生经济研究,2021,38(05):55-58.
[10] 高楠,徐伟,江欣禅.公立医院医疗服务价格水平的对比研究[J].卫生经济研究,2018(04):7-9.
[11] NHS.National tariff payment system documents, annexes and supporting documents[EB/OL].(2023-03-10)[2023-08-30].https://www.england.nhs.uk/publication/national-tariff-payment-system-documents-annexes-and-supporting-documents/#heading-5.
[12] KBV.Arztgruppen-EBM[EB/OL].(2023-06-10)[2023-08-15]. https://www.kbv.de/html/arztgruppen_ebm.php#content2403.
[13] Medicare.Procedure price lookup[EB/OL].(2023-03-10)[2023-08-25].https://www.medicare.gov/procedure-price-lookup/cost.
[14] Marion health. Hospital price transparency[EB/OL].(2023-08-20)[2023-08-20].https://www.marionhealth.com.
[15] 厚生労働省.令和4年度診療報酬改定について. (2022-03-04)[2023-08-26].https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/00 00188411_00037.html.
[16] HIRA ????(??/???) ??[EB/OL].(2023-06-11)[2023-08-26].https://opendata.hira.or.kr/op/opc/olapDiagBhvInfoTab1.do.
[17] 李娜,蒋婷,高一瑞,等.中医类医疗服务价格省域差异测算方法研究[J].中国医疗保险,2023(06):20-25.
[18] 王海银,金春林.我国医疗服务价格与经济水平协调发展研究[J].中国医疗保险,2022(10):23-26.
[19] 张迎春,丁俊杰,马光辉.考虑货币购买力的省域综合医疗服务价格差异分析[J].卫生经济研究, 2021,38(08):66-69.
[20] 高楠,徐伟,江欣禅.公立医院医疗服务价格水平的对比研究[J].卫生经济研究,2018(04):7-9.
[21] 蒋昌松,蒋婷,王鑫,等.复杂型医疗服务项目价格调整方法——基于模拟市场机制设计[J].中国医疗保险,2022(10):5-10.
[22] Tang W,Xie J,Lu Y,et al.Effects on the medical revenue of comprehensive pricing reform in Chinese urban public hospitals after removing drug markups:case of Nanjing[J].J Med Econ,2018,21(04):326-339.
[23] Liu M,Jia M,Lin Q,et al.Effects of Chinese medical pricing reform on the structure of hospital revenue and healthcare expenditure in county hospital:an interrupted time series analysis[J].BMC Health Serv Res,2021,26,21(01):385.
[24] Zhu D,Shi X,Nicholas S,et al.Impact of China's healthcare price reforms on traditional Chinese medicine public hospitals in Beijing:an interrupted time-series study[J].BMJ Open,2019,10,9(08):e029646.
[25] 文礼朋,张济轩.医疗服务特性对医疗服务价格水平的影响研究 ——基于鲍莫尔-富克斯假说的分析[J].价格理论与实践,2018(08):73-76.

相似文献/References:

[1]李利平,张永庆,吴振献,等.估时作业成本法在医疗服务项目成本测算中的应用[J].卫生经济研究,2016,(08):36.
[2]陈 民,王瑞云.基于作业成本法的医疗服务项目盈亏分析[J].卫生经济研究,2016,(10):39.
[3]易颜新,陆稼天,黄莉媛,等.基于ABC-DRGs的公立医院病种成本研究[J].卫生经济研究,2018,(03):44.
[4]方福祥.医疗服务价格改革机制和路径探析[J].卫生经济研究,2018,(07):23.
[5]谭华伟,张培林,姚 旭,等.公立医院医疗项目作业成本核算方法实践研究[J].卫生经济研究,2018,(10):41.
 TAN Hua-wei,ZHANG Pei-lin,YAO Xu,et al.Practical Research on Operation Cost Accounting Methods of Public Hospital Medical Projects[J].Journal Press of Health Economics Research,2018,(06):41.
[6]陈良将.时间驱动作业成本法在医疗服务项目成本核算中的应用[J].卫生经济研究,2019,(05):46.
 CHEN Liang-jiang.Application of Time-Driven Activity-Based Costing in Cost Accounting of Medical Service Projects[J].Journal Press of Health Economics Research,2019,(06):46.
[7]何 然,左艺梦,李嘉仪.医疗服务项目精细化成本管理探究[J].卫生经济研究,2019,(07):67.
 HE Ran,ZUO Yi-meng,LI Jia-yi.Research on Refined Cost Management of Medical Service Projects[J].Journal Press of Health Economics Research,2019,(06):67.
[8]王海银,金春林.国际医疗服务项目支付优化策略及启示[J].卫生经济研究,2019,(08):16.
 WANG Hai-yin,JIN Chun-lin.Enlightenment and Strategy of International Medical Service Project Payment Optimization[J].Journal Press of Health Economics Research,2019,(06):16.
[9]郑 函,韩 昱,许 涛,等.北京市医耗联动综合改革对公立医院经营状况的影响及对策[J].卫生经济研究,2019,(11):29.
 ZHENG Han,HAN Yu,XU Tao,et al.The Influence of Comprehensive Reform of Medical Expenditure in Beijing on the Operation Status of Public Hospitals and Its Countermeasures[J].Journal Press of Health Economics Research,2019,(06):29.
[10]张圣和,徐 伟,贾佳佳,等.江苏省中医类医疗服务项目价格水平研究——基于六省市的比较分析[J].卫生经济研究,2021,38(5):55.
 ZHANG Sheng-he,XU Wei,JIA Jia-jia,et al.Study on the Price Level of TCM Medical Service Items in Jiangsu Province——Based on the Comparative Analysis of Six Provinces and Cities[J].Journal Press of Health Economics Research,2021,38(06):55.

更新日期/Last Update: 2024-05-30