| 引用本文: |
楚天舒,韩雅慧,张晨曦,等.长三角地区医疗服务项目价格结构比较研究*[J].中国卫生经济,2023,42(1):57-61.[点击复制] |
CHU Tian-shu,HAN Ya-hui,ZHANG Chen-xi,et al.Comparing the Price Structure of Medical Service Items in the Yangtze River Delta Region[J].CHINESE HEALTH ECONOMICS,2023,42(1):57-61.[点击复制] |
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| 摘要: |
| 目的：探索长三角地区医疗服务项目价格结构的差异，为推进医疗服务价格的宏观调整提供依据。方法：收集长三角各地2021年医疗服务项目价格目录，筛选300项代表性项目作为研究样本。采用核密度估计和Meta分析方法，纵向比较和分析长三角地区医疗服务项目比价关系的差异。结果：总体上，各地医疗服务项目的价格结构均呈偏态分布，上海市整体价格水平高于其他地区。按类别比较，浙江省综合医疗服务类项目的比价关系相对较大，江苏省医技诊疗类、临床诊疗类项目和上海市中医诊疗类项目的比价关系相对较小。结论：地区间医疗服务整体价格水平差异符合经济发展情况，各地应重视调整医疗服务中比价关系差异较大的项目，保持地区间比价关系一致性。上海市应重点调整中医诊疗类项目，突出中医药重要地位，保障中医药长期高质量发展。 |
| 关键词: 医疗服务价格 核密度估计 Meta分析 长三角地区 |
| DOI： |
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| 基金项目:上海市2021年度“科技创新行动计划”自然科学基金项目(21ZR1458800) |
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| Comparing the Price Structure of Medical Service Items in the Yangtze River Delta Region |
| CHU Tian-shu,HAN Ya-hui,ZHANG Chen-xi,JIN Li-mei,WANG Hai-yin |
| () |
| Abstract: |
| Objective: It explores the differences of medical service pricing structure in the Yangtze River Delta region to provide a basis for promoting the macro adjustment of medical service prices. Methods: The catalogue of medical service items in the Yangtze River Delta in 2021 was collected. 300 representative medical service items were selected as the samples in this study. It vertically compared and analyzed the differences of the medical service price ratio in the Yangtze River Delta region based on the Kernel density estimation and the Meta-analysis. Results: In general，the pricing structure of various medical service items in each province or city shows a skew distribution，and the overall price level of Shanghai is higher than that of other provinces. Compared by different categories，the price ratio of comprehensive medical services projects in Zhejiang Province is comparatively large. The price ratio of medical technology and clinical diagnosis or treatment projects in Jiangsu Province and that of traditional Chinese medicine (TCM) diagnosis or treatment projects in Shanghai are comparatively small. Conclusion: The difference of overall price level among regions keeps pace with the economic development. Provinces should pay more attention to adjusting items with large differences in price ratio and maintain the consistency of price ratio. Shanghai should focus on adjusting the price ration of TCM diagnosis or treatment projects，to highlight important position and ensure the long-term and high-quality development of traditional Chinese hospitals. |
| Key words: medical service price kernel density estimation Meta-Analysis Yangtze River Delta |
