摘要
目的:为促进医保、医疗、医药协同发展,通过分析医疗服务价格指数,进一步提高山东省调整医疗服务价格科学化水平。方法:收集2018—2022年山东省9大类医疗服务项目价格,计算编制价格总指数及结构性指数,并与居民消费价格指数(CPI)进行比较,分析指数变动的影响因素及影响程度。结果:医疗服务价格总体指数变化呈上升趋势,除2020年增长幅度高于CPI增长幅度外,其他年度增长幅度均低于山东省CPI增长幅度,且医疗服务价格分类指数差异较大。结论:建立医疗服务价格调整的联动机制、成本精算机制、“削峰填谷”清单机制、医耗分离管理机制。
Objective:In order to promote the coordinated development and governance of medical insurance,medical treatment and medicine,and further improve the scientific level of price adjustment through the analysis of medical service price index.Methods:Based on the price base of 9 categories of medical service projects in Shandong from 2018 to 2022,the total price index and structural index were calculated to compare with the consumer price index,so as to analyze the influencing factors and degree of index changes.Results:The overall index of medical service prices showed an upward trend,except for the increase rate in 2020 that was higher than the CPI growth rate,the other annual growth rates were lower than the CPI growth rate of the province,and the sub-index of medical service prices varied greatly.Conclusion:It needs to establish a linkage mechanism for medical service price adjustment,a cost actuarial mechanism,a peak-shaving and valley-filling list mechanism,and a medical consumption separation management mechanism.
作者
王凤明
WANG Feng-ming(Shandong Health Care Security Administration,Jinan 250001,China)
出处
《中国卫生经济》
北大核心
2023年第4期50-52,共3页
Chinese Health Economics
