[1]谭华伟,焦培峻,王彩云.高值医用耗材医保准入与支付机制的 国际经验与中国实践[J].卫生经济研究,2021,38(3):44-49.
　TAN Hua-wei,JIAO Pei-jun,WANG Cai-yun.International Experience and Chinese Practice of Medical Insurance Access and Payment Mechanism for High Value Medical Consumables[J].Journal Press of Health Economics Research,2021,38(3):44-49.
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高值医用耗材医保准入与支付机制的 国际经验与中国实践
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年3期
页码:
44-49
栏目:
医保天地
出版日期:
2021-02-25

文章信息/Info

Title:
International Experience and Chinese Practice of Medical Insurance Access and Payment Mechanism for High Value Medical Consumables
作者:
谭华伟1; 2; 焦培峻3; 王彩云4
1. 重庆市医院成本管理研究中心，重庆 400700
2. 重庆市第九人民医院（西南大学附属医院），重庆 400700
3. 重庆市中医院，重庆 400011
4. 重庆市红十字会医院（重庆市江北区人民医院），重庆 400020
Author(s):
TAN Hua-wei; JIAO Pei-jun; WANG Cai-yun
Based on a systematic review of the medical insurance access，price formation and medical insurance payment of high value medical consumables in Japan，South Korea，Australia and Canada，this paper focuses on analyzing the practice path of centralized purchas
关键词:
高值医用耗材; 医保准入; 价格形成机制; 支付方式
Keywords:
high value medical consumables; medical insurance access; price formation mechanism; payment method
分类号:
R19
文献标志码:
A
摘要:
在系统综述日本、韩国、澳大利亚、加拿大四国高值医用耗材医保准入、价格形成、医保支付的基础上，重点分析我国高值医用耗材集中采购和带量采购实践路径，提出健全医保目录和编码标准化体系、建立医保分类准入路径和标准、建立以功能属性为基础的价格形成机制三条治理路径，以期为我国制定高值医用耗材医保准入与支付政策提供参考。
Abstract:
Chongqing Hospital Cost Management Research Center，Chongqing 400700，China

参考文献/References:

[1] Jung-Sook Kim. South Korea:Medical Devices & Diagnostics[EB/OL].(2014-09-01)[2020-08-01].https://tools.ispor.org/HTARoad Maps/S-KoreaMD.asp.
[2] 日本厚生劳动省.特定保险医疗材料料及材料价格（材料价格基准）一部改正件[EB/OL].(2019-10-01)[2020-08-01]. https://www.mhlw.go.jp/content/12400000/000545486.pdf.
[3] Special subcommittee of ISPOR-AC Inc. Australia:Medical Services（Devices）[EB/OL].(2016-06-01)[2020-08-02].https://tools.ispor.org/HTARoadM.aps/AustraliaMDD.asp#11.
[4] Canadian Agency for Drugs and Technologies in Health.Canada:Medical Devices& Diagnostics[EB/OL].(2014-02-01)[2020-08-02].https://tools.ispor.org/htaroadmaps/CanadaMDD.asp.
[5] Department of Health.Prostheses Benefit Setting Framework [EB/OL].(2017-05-01)[2020-08-02].https://www1.health.gov.au/internet/main/publishing.nsf/Content/91F15D60EEA07381CA2581670001 4675/$File/Prostheses-Benefit-Setting-Framework-2017.docx.
[6] Sang-Soo Lee, Eugene Salole.Medical Device Reimbursement Coverage and Pricing Rules in Korea: Current Practice and Issues with Access to Innovation[J].Value in Health,2014(17):476-481.
[7] Makoto Tamura,Shohei Nakano,Takuma Sugahara.Reimbursement pricing for new medical devices in Japan: Is the evaluation of innovation appropriate?[J].Int J Health Plann Mgmt,2019(34):583-593.
[8] Husereau D, Arshoff L, Bhimani S,et al.Medical device and diagnostic pricing and reimbursement in Canada[R].Institute of Health Economics,2015.
[9] 傅鸿鹏,胡宗铃.高值医用耗材的政策框架和管理体系[J].卫生经济研究，2019,36（7）：3-5.
[10] 常欢欢，周海龙，于丽华.建立我国医用耗材分类编码体系的设想与思考[J].中国卫生经济，2018,37（6）：59-61.

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更新日期/Last Update: 2021-02-25