武汉市医疗服务项目价格横向比较研究*

目的：通过比较武汉与国内其他9个同类型城市三级医疗机构的医疗服务项目价格，了解武汉定价水平，并为其价格调整提供依据。方法：利用武汉医疗服务项目收费频次构建权重，计算加权平均价格比较总体价格水平；对综合医疗服务、医技诊疗、临床诊疗、中医及传统民族医诊疗4个大类分别进行比较。结果：武汉现行医疗服务定价整体处于各地区中上水平，各别手术类项目定价显著高于平均水平，综合医疗服务类、医技诊疗类项目定价偏低。且各地医疗服务项目价格与人均可支配收入不相关。结论：医疗服务项目定价需要测算其的成本与价值，并增加对于疾病诊断组价格的监测；构建区域医疗服务价格监测指标，例如价格指数，建立规范的信息系统。

A Horizontal Comparative Study on the Medical Service Item Prices in Wuhan

Objective: To compare the prices of medical service projects in tertiary medical institutions in Wuhan and 9 other similar cities in China, understand the pricing level of Wuhan, and provide a basis for price adjustment. Methods: Using the charging fre- quency of medical service projects in Wuhan to construct weights, calculate the weighted average price and compare the overall price level; compare comprehensive medical services, medical technology diagnosis and treatment, clinical diagnosis and treatment, traditional Chinese medicine, and traditional ethnic medicine diagnosis and treatment. Results: The current pricing of medical services in Wuhan is generally in the middle to upper range of the regions, with significantly higher than average pricing for surgical items by category and lower pricing for comprehensive medical services and medical and technical treatment items. The prices of medical services are not correlated with per capita disposable income across the regions. Conclusion: The pricing of medical service projects requires cal- culating their cost and value, and increasing monitoring of disease diagnosis group prices; establish regional medical service price monitoring indicators, such as price indices, and establish standardized information systems.