浅析我国医疗服务收费标准的合理性.pdfVIP

中国热带医学2006 年第 6 卷第 11 期　CHINA TROPICAL MEDICINE Vol6 No11 November 2006 　　　　　　　　　　　　　　　 2069 [ 公共卫生] 浅析我国医疗服务收费标准的合理性 1 1 2 黄文瑶 ,王莹雪 , 陈进宇 摘要 : 　从文献资料的分析中可知 ,我国医疗服务价格存在着明显的不合理性。与医务人员劳务和技术关系密 切的项目 ,特别是常规诊疗、护理、手术项目 , 以及一般医用设备检查项目,成本回收率都很低。这类项目的服务量都 不可能太小 ,表明这部分项目收费标准绝对低下。大型医用检查设备项目并不具有高额利润 ,这类项目的高收费是 这类设备资源配置效率低下所致。检验项目总体上有较大盈余 , 以主要依赖设备的检验项目为甚 ,并呈现明显的规 模效益 ;而以技术或劳务为主的项目或总体资源配置上必备的项目则亏损明显。政府应弄清“价格”所赖以形成的基 础 —价值以及对社会平均成本产生直接影响的服务量 , 以避免调价过程中的主观性和盲目性,制订出一种合理的“指 导”性的政府指导价。 关键词 :医疗服务项目 ;成本回收率 ;收费标准 ( ) 中图分类号:R1971 　　文献标识码 :B 　　文章编号 :1009 - 9727 2006 11 - 2069 - 03 Discussion on the rationality of medical service charge criteria in China. HUANG Wen - yao , WANG Ying - xue , CHEN ( ) Jin - yu. Luohu District Hospital of Shenzhen City , Shenzhen 518001 , Guangdong , P. R. China Abstract : 　It was shown from a variety of documents that the charging scales for medical services were unreasonable. Firstly , the cost recovery rates (CRR) for labor - depending services such as routine consultation and treatment , nursing , operation , as well as general examination with equipment , were extremely low. The work load of these services being impossibly low , the charge scale for them should be absolutely low. Secondly , there was no extravagant profit from expensive equipment examination. Overcharging was due actually to the low efficiency in allocation of these equipment. Thirdl