醫(yī)療服務(wù)價(jià)格結(jié)構(gòu)性調(diào)整助力貴州醫(yī)改

羅陶

[摘要] 醫(yī)療服務(wù)價(jià)格結(jié)構(gòu)性調(diào)整是公立醫(yī)院推行醫(yī)療體制改革的重要抓手，醫(yī)療服務(wù)價(jià)格一直是醫(yī)改中最敏感的話題，又是現(xiàn)在醫(yī)改不得不面對(duì)的問(wèn)題。貴州醫(yī)療服務(wù)價(jià)格結(jié)構(gòu)性調(diào)整推行與變革相對(duì)滯后，2003版《貴州省醫(yī)療服務(wù)價(jià)格條目》雖應(yīng)用廣泛，但已無(wú)法滿足貴州醫(yī)療事業(yè)的快速發(fā)展。國(guó)家對(duì)于調(diào)整醫(yī)療服務(wù)價(jià)格高度重視，已先后出臺(tái)多個(gè)相關(guān)文件，督促指導(dǎo)各地公立醫(yī)院推動(dòng)醫(yī)療服務(wù)價(jià)格結(jié)構(gòu)性調(diào)整，北京、深圳等地的調(diào)整方案初見(jiàn)成效。以“調(diào)整結(jié)構(gòu)、控制總量、升降有序、循序漸進(jìn)”為總方針策略，緊隨國(guó)家醫(yī)改政策，借鑒北京、深圳等地豐富的醫(yī)療服務(wù)價(jià)格結(jié)構(gòu)性調(diào)整經(jīng)驗(yàn)，結(jié)合貴州醫(yī)療行情，逐步調(diào)整貴州省醫(yī)療服務(wù)價(jià)格，理順醫(yī)療比價(jià)關(guān)系，讓醫(yī)療機(jī)構(gòu)回歸公益性，減輕人民群眾經(jīng)濟(jì)負(fù)擔(dān)，改善就醫(yī)體驗(yàn)。

[關(guān)鍵詞] 醫(yī)療服務(wù)價(jià)格;結(jié)構(gòu)性調(diào)整;貴州醫(yī)改;公立醫(yī)院

[中圖分類號(hào)] R7 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）02（c）-0119-03

[Abstract] Structural adjustment of medical service prices is an important starting point for public hospitals to implement medical reforms. Medical service prices have always been the most sensitive topic in medical reforms， and they are the problems that medical reforms must now face. The structural adjustment and implementation of medical service prices in Guizhou are relatively lagging behind. Although the 2003 edition of the "Guizhou Province Medical Service Price Entry" is widely used， it cannot meet the rapid development of medical services in Guizhou. The state attaches great importance to the adjustment of medical service prices， and has issued a number of relevant documents to urge and guide public hospitals around the country to promote structural adjustment of medical service prices. The adjustment programs in Beijing and Shenzhen have achieved initial results. Based on the overall policy of “adjusting the structure， controlling the total amount， orderly lifting， and gradual progress”， following the national medical reform policy， drawing on the rich experience of structural adjustment of medical service prices in Beijing， Shenzhen， and other places， combining with the medical market in Guizhou， gradually adjusting Guizhou Provincial medical service prices， rationalize the medical parity relationship， return medical institutions to public welfare， reduce the financial burden on the people， and improve medical experience.

[Key words] Medical services price; Structural adjustment; Medical reform in Guizhou; Public hospotal

醫(yī)療服務(wù)價(jià)格一直是醫(yī)改中最敏感的話題，又是現(xiàn)在醫(yī)改不得不面對(duì)的問(wèn)題。2016年7月1日，國(guó)家衛(wèi)生計(jì)生委、發(fā)改委、財(cái)政部、人社部多個(gè)部門聯(lián)合發(fā)布了《推進(jìn)醫(yī)療服務(wù)價(jià)格結(jié)構(gòu)性調(diào)整的意見(jiàn)》（〔2016〕1431號(hào)），要求各地從調(diào)整結(jié)構(gòu)、控制總量、升降有序的目標(biāo)，制定改革具體實(shí)施方案，扶正醫(yī)療行業(yè)不合理的收入結(jié)構(gòu)，建設(shè)科學(xué)合理的醫(yī)療補(bǔ)償機(jī)制[1];國(guó)務(wù)院辦公廳于2019年5月23日發(fā)布了關(guān)于改革醫(yī)藥衛(wèi)生體制的重要通告（國(guó)辦發(fā)〔2019〕28號(hào)第21條），秉承“調(diào)整結(jié)構(gòu)、控制總量、升降有序、循序漸進(jìn)”的戰(zhàn)略規(guī)劃[2]，督促指導(dǎo)各地公立醫(yī)院推動(dòng)醫(yī)療服務(wù)價(jià)格結(jié)構(gòu)性調(diào)整，此舉利于優(yōu)化收入結(jié)構(gòu)、理順比價(jià)關(guān)系。……