关于我国医疗服务价格项目规范的思考

介绍了我国医疗服务价格项目规范的研究现状,描述了<全国医疗服务价格项目规范>在卫生改革中的作用,提出要进一步完善医疗服务价格体系:①"按项目付费"是其他医疗支付方式的基础;②加强各省的师资培训,确保<项目规范>的正确实施;③建立特殊医疗消耗用品目录,加强耗材使用管理;④制定全国统一的医疗服务项目价格系数;⑤深入开展符合我国国情的医疗付费方式研究;⑥制定各学科临床诊疗规范;⑦建立与国际接轨的编码体系.

Norms of medical service items pricing in China

An introduction to the contemporary studies on the norms of medical service items pricing in China, and the regulatory role to be played by the Norms of Medical Service Items Pricing in China in the health reform. The paper comes up with the following recommendations for improving the existing pricing system of medical services as follows: 1) "Item-based pricing" is the basis for other medical payments; 2) Training of the trainers in the provinces to ensure correct implementation of the Norms; 3) Establishment of a catalogue for special medical consumables to enhance consumables management; 4) Establishment of a nationwide indexing system for medical service items pricing; 5) In-depth study on the medical payment models satisfying China's specifics; 6) Establishment of clinical treatment norms for individual disciplines; 7) Establishment of a coding system compliant with international standards.