以病种历史费用为基础的单病种定价方法实证研究

目的:主要探讨在当前支付制度改革的热点下,如何在保证医疗服务质量的前提下,制定出合理的病种费用,即能有效控制医疗费用的快速增长,又能保证患者的生命安全、降低医疗支出负担。方法:采用回顾性调查方法,采用线性多元回归进行统计分析,将实际发生的病种费用和测算出的费用进行综合比较。结果:通过调整病种费用增长趋势,选择制定一个符合医保、医院、患者三方利益的单病种付费标准。结论:为了规范医院行为,减轻患者负担,以历史费用为基础制定的单病种的收费标准是符合目前医疗现状的一套行之有效的、相对合理、切实可行的办法。

The Study of Pricing Method Based on the practical disease charge for Single Disease

Objective:To mainly discuss the current payment system reform,how to guarantee the quality of medical services under the premise,formulate the reasonable expenses of specific diseases,which can not only effectively control the rapid growth of medical costs,but also can ensure the life safety of patients and reduce the medical expense burden to explore a set of consistent with current pricing method.Methods:The retrospective investigation and Multiple Linear Regression method were employed in the study to compare the practical average disease charge with the average disease charge calculated by the Multiple Regression Equation to work out the rational pricing method for single disease.Results:By adjusting the disease expenditure growth trend,the reasonable price for single disease is made to conform to government,medical insurance department and hospitals’ interest.Conclusion:In order to establish the medical practice standardized and lighten the economics burden of patients.The payment standard of disease model should be made on the basis of the practical disease charge,which is consistent with the current health status of a set of effective,relatively reasonable, practical approach.