[1]熊 琨,蔡战英.儿童医疗服务价格加收政策与DRG支付政策的协同性研究[J].卫生经济研究,2026,43(05):39-43.
　XIONG Kun,CAI Zhanying.Study on the Synergy Between the Price Surcharge Policy for Pediatric Medical Services and the DRG Payment Policy[J].Journal Press of Health Economics Research,2026,43(05):39-43.
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儿童医疗服务价格加收政策与DRG支付政策的协同性研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年05期
页码:
39-43
栏目:
卫生服务价格
出版日期:
2026-04-24

文章信息/Info

Title:
Study on the Synergy Between the Price Surcharge Policy for Pediatric Medical Services and the DRG Payment Policy
作者:
熊 琨1; 2; 蔡战英1
1.温州医科大学附属第二医院，浙江 温州 325024
2.温州市康复医院，浙江 温州 325024
Author(s):
XIONG Kun;  CAI Zhanying
The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou Zhejiang 325024, China
关键词:
儿童医疗服务; 价格加收政策; DRG支付政策; 医疗服务价格政策; 协同性
Keywords:
pediatric medical services;  price surcharge policy;  DRG payment policy;  medical service pricing policy;  synergy
分类号:
R197.1
文献标志码:
A
摘要:
目的：探讨儿童医疗服务价格加收政策与DRG支付政策的协同性。方法：以F医院儿科28 332例“<17岁”DRG组的出院患者为样本，分析儿童加收政策对医疗费用的补偿情况，并采用变异系数和多元线性回归，分析儿童加收政策对医疗费用和DRG超支结余的影响。结果：儿童加收政策对6岁及以下儿童的医疗费用补偿率为8.68%（各DRG组补偿率为4.17%~19.42%），儿童加收政策的执行提高了“<17岁”DRG组的总体变异系数（0.004）；医疗费用补偿率每提升1%，例均医疗费用增加54.65元，DRG超支结余下降69.44元。结论：儿童加收政策对儿科医疗服务有一定的补偿作用，但尚未在DRG支付政策中得到体现；应进一步细化DRG相关分组，提升DRG支付政策与医疗服务价格政策的协同性。
Abstract:
Objective To explore the synergy between the price surcharge policy for pediatric medical services and the DRG payment policy. Methods Using a sample of 28 332 discharged patients from the pediatric department of F Hospital who were in the "<17 years old" DRG group, the compensation of medical expenses under the pediatric surcharge policy was analyzed. Coefficient of variation and multiple linear regressions were employed to assess the impact of the surcharge policy on medical expenses and DRG overspending balance. Results The price surcharge policy compensated 8.68% of medical expenses for children aged 6 years and younger(compensation rates ranged from 4.17% to 19.42% across DRG groups). Implementation of the price surcharge policy increased the overall coefficient of variation for the "<17 years" DRG group(0.004). For every 1% increase in the medical expense compensation rate, the average medical expense increased by 54.65 yuan, and the DRG overspending balance decreased by 69.44 yuan. Conclusion The price surcharge policy provides some compensation for pediatric medical services, but this has not yet been reflected in the DRG payment policy. It is necessary to further refine the DRG-related groupings and enhance the synergy between the DRG payment policy and medical service pricing policy.

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更新日期/Last Update: 2026-04-24