Policy Evolution,Implementation Dilemma and Breakthrough on Medical Service Price Items Normative Management and Its Enlightenment
- VernacularTitle:医疗服务价格项目规范管理政策演进、实施困境及其突破
- Author:
Daxi ZHENG
1
Author Information
1. 华中科技大学同济医学院附属同济医院 武汉 430030
- Keywords:
medical service price item norms;
project guidelines;
technical specifications for medical service items;
output;
compatibility;
innovation
- From:
Chinese Health Economics
2024;43(3):20-25
- CountryChina
- Language:Chinese
-
Abstract:
It reviewed the policies related to the standardized management of medical service price items,analyzed the current difficulties in the implementation of medical service price regulations:the technical specifications of national medical service price item are heavy and cannot be dynamically adjusted with technological innovation;provincial level item access control is not strict,and the elements of the same price item are not completely unified,affecting the horizontal comparison.The policy suggestions to speed up the improvement of the medical service price item specifications include:medical services that are allowed to be applied and have clear technical specifications are accepted as the scope of new price item declaration;promote the separation of technology and consumption,except for consumables and reagents,which are priced separately according to service items+special consum-ables;priority should be given to responding to the legitimate demand for medical technology improvement innovations through cur-rent price item compatibility;contrast technical specifications and item guidelines,integrating current price items,improving item standardization and compatibility;complete the innovation and economic evaluation of the newly declared item price,check the quality,and reasonably determine the increment.
