构建医疗服务价格评价指标体系的研究

目的设计与制订医疗服务价格评价指标,构建一套对医疗服务价格的制订、执行结果进行完整评价的指标体系,为政府部门提供医疗服务价格管理和决策工具。方法运用了医学、经济学、统计学、价格学和循证医学的理论与方法,通过德尔菲(Delphi)法,建立评价模型设计和制订医疗服务价格评价指标体系。结果本研究建立的医疗服务价格评价指标体系能够基本反映在医疗服务价格形成和执行过程中,对政府的管理目标、医院的医疗服务质量、工作效率、成本控制、经济效益和居民的参与及满意度进行测评。结论建立健全一套医疗服务价格评价指标体系势在必行,此研究建立的评价指标体系基本能够满足现阶段医疗服务价格评估的需要。

Developing a framework of price evaluation indexes for medical services

Objective To design and formulate price evaluation indexes for medical services and develop a framework of indexes for the comprehensive evaluation of price formulation and implementation for medical services so as to provide government departments with management and decision-making tools with regard to prices for medical services.Methods The theories and methods of the sciences of medicine,economics,statistics,prices,and evidence-based medicine were used to develop by means of the Delphi method an evaluation model and a framework of price evaluation indexes for medical services.Results The framework developed could well evaluate the following items in price formulation and implementation for medical services: the management goals of the government,the quality of medical services in the hospital,work efficiency,cost control,economic benefits,and the involvement and satisfaction of the citizens.Conclusion It is absolutely necessary to develop a framework of price evaluation indexes for medical services.The framework developed in the present study is able to meet the current needs of price evaluation for medical services.