[1]张华军,贾明谦,崔 晟.基于RBRVS的相对价值在医疗服务价格调整中的应用研究[J].卫生经济研究,2026,43(01):89-92.
 ZHANG Huajun,JIA Mingqian,CUI Sheng.Research on the Application of Relative Value Based on the RBRVS in Medical Service Price Adjustment[J].Journal Press of Health Economics Research,2026,43(01):89-92.
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基于RBRVS的相对价值在医疗服务价格调整中的应用研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年01期
页码:
89-92
栏目:
卫生服务价格
出版日期:
2026-01-06

文章信息/Info

Title:
Research on the Application of Relative Value Based on the RBRVS in Medical Service Price Adjustment
作者:
张华军1贾明谦1崔 晟2
1.山东第一医科大学附属省立医院,山东 济南 250021
2.中国航空工业集团公司济南特种结构研究所,山东 济南 250031
Author(s):
ZHANG Huajun JIA Mingqian CUI Sheng
Provincial Hospital Affiliated to Shandong First Medical University, Jinan Shandong 250021, China
关键词:
RBRVS医疗服务价格相对价值价格调整
Keywords:
RBRVS medical service price relative value price adjustment
分类号:
R197
文献标志码:
A
摘要:
目的:探讨基于RBRVS的相对价值在医疗服务价格调整中的应用路径。方法:构建医疗服务项目价值评估模型,对样本医院1 595项医疗服务项目进行Pearson相关性分析,基于RBRVS价格点值指数,筛选需要进行价格调整的项目。结果:医疗服务价格与RBRVS基准点值呈中度正相关(相关系数=0.627,P<0.001);RBRVS价格点值指数显示,心脏外伤修补术价值被低估,而浅表器官超声价格偏高,应予以相应的价格调整。结论:RBRVS通过量化技术难度和风险程度,能够解决传统定价中“重成本轻劳务”的问题,为医疗服务价格改革提供了理论与实践参考。
Abstract:
Objective To explore the application pathway of relative value based on the Resource-Based Relative Value Scale (RBRVS) in medical service price adjustment. Methods A medical service value assessment model was constructed. Pearson correlation analysis was performed on 1 595 medical service items from a tertiary first-class hospital in Shandong Province. The medical service items requiring price adjustment were identified based on the RBRVS price point value index. Results There was a moderate positive correlation between medical service prices and RBRVS benchmark point values(Pearson correlation coefficient=0.627, P<0.001). The RBRVS price point value index indicated that cardiac repair procedures were undervalued, while superficial organ ultrasounds were overpriced, and corresponding price adjustments should be made. Conclusion By quantifying technical difficulty and risk level, the RBRVS can address the issue of "emphasizing cost and neglecting labor" in traditional medical service pricing, providing theoretical and practical references for the reform of medical service prices.

参考文献/References:

[1] 李美坤,张建华.基于针灸医疗服务项目评价的中医医师工作量相对价值研究[J].卫生经济研究,2023,37(09):61-65.
[2] 林倩,王冬.影像医学项目医师劳务价值相对值表的研制[J].中国医院管理,2019,39(10):49-52.
[3] 吕兰婷,王虎峰.公立医院医疗服务价格调整难点及推进策略[J].中国医院管理,2015,35(07):1-4.
[4] 李风芹,田立启,季金凤.医疗服务价格改革对公立医院收入结构影响研究——以青岛市公立医院改革为例[J].价格理论与实践,2021(07):79-82,164.
[5] 邹伟能,焦之铭,陈芳菲.我国医疗服务项目定价机制改革现状、问题与对策[J].卫生软科学,2022,36(03):13-17.

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更新日期/Last Update: 2026-01-06