Preliminary exploration of medical service price reform based on choice behavior motivation
10.3760/cma.j.cn111325-20211209-01117
- VernacularTitle:基于选择行为激励的医疗服务价格改革初探
- Author:
Ping ZHANG
1
;
Jie LIN
;
Zhuangfei WANG
;
Min CHEN
;
Xiaochun ZHANG
;
Qing XU
Author Information
1. 浙江大学公共管理学院，杭州 310058
- Keywords:
Medical service price;
Doctor′s diagnosis and treatment behavior;
Charge by service item;
Free space from medical service utilization;
Medical and pharmac
- From:
Chinese Journal of Hospital Administration
2022;38(3):168-172
- CountryChina
- Language:Chinese
-
Abstract:
Medical service pricing system is the basic system of health economics, which has a profound impact on physicians′ medical behavior and the running mode of hospital. Rui′an City, Wenzhou City, Zhejiang Province, freed up the cost space of drug and consumables based on the reasonable diagnosis and treatment behavior of doctors and selection of drug and consumables in the hospital procurement link. 68% of the free space was used to improve the price of medical services. 248 medical service items with obvious cost inversion were selected, such as nursing, traditional Chinese medicine, diagnosis, etc., and the price adjustment range was determined according to the agreed free space limit. Meanwhile, the credit mechanism of Alipay was applied to synchronously implement " vacating space and adjusting structure" , so as to solve the game problem between medical treatment and medical insurance, broaden the path of the " translation compensation method" of medical service price reform, and produce policy superposition and linkage effect with the reform of medical insurance payment mode.
