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中文摘要: 目的：了解江苏省妇幼健康类医疗服务项目价格水平，比较和筛选价格不合理的项目，为动态调整医疗服务价格提供参考。方法：构建标化价值模型，测算服务项目价值，根据价格价值差和比值法筛选优先调价项目。结果：共测算江苏省妇幼健康类医疗服务项目72项。31项（43.06%）现行价格低于标化价值且构成比比值低于1（妇科类20项、产科类8项、计划生育类2项、康复类1项），8项（11.11%）高于标化价值且构成比比值高于1（妇科类7项、产科类1项）。筛选建议优先调升价格项目22项，调低价格项目8项。结论：比值法简洁高效。江苏省部分妇幼健康类医疗服务项目价格及比价关系不合理，建议分步分批调整，建立价值数据库，健全价格监测与动态调整机制，将医疗服务价格动态调整与DRG/DIP医保支付方式改革相结合。
Abstract:Objective：To understand the price level of maternal and child health care services in Jiangsu Province，compare and identify projects with unreasonable prices，provide suggestions for adjusting health care service prices. Methods：Construct a standardized value model，calculate project values，analyze price levels and comparisons，and prioritize projects for adjustment. Results：72 maternal and child health care service projects in Jiangsu were assessed. 31 projects（43.06%）have prices lower than standardized values and composition ratios below 1（20 in gynecology，8 in obstetrics，2 in family planning，1 in rehabilitation）. 8 projects（11.11%）have prices higher than standardized values and composition ratios above 1（7 in gynecology，1 in obstetrics）. Recommended adjustments：increase prices for 22 projects，decrease for 8 projects. Conclusion：The “ratio method” is practical. Some maternal and child health care service projects in Jiangsu have unreasonable prices. Suggested phased adjustments and establishment of a comprehensive value database and monitoring mechanism for health care service prices in Jiangsu. Combine the dynamic adjustment of health care service prices with the reform of DRG/DIP medical insurance payment methods.
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基金项目:江苏省科教能力提升工程（ZDXYS202210）；江苏省妇幼健康科研项目（F202172） 江苏省科教能力提升工程（ZDXYS202210）；江苏省妇幼健康科研项目（F202172）
引用文本：
王子晴,杨 雪,张 敏,杨月华,周 健*.江苏省妇幼健康类医疗服务项目比价研究△[J].江苏卫生事业管理,2024,35(6):757-762.
WANG Ziqing,YANG Xue,ZHANG Min,YANG Yuehua,ZHOU Jian*.Price Comparative Study of Maternal and Child Health Care Services in Jiangsu Province△[J].Jiangsu Health System Management,2024,35(6):757-762.
王子晴,杨 雪,张 敏,杨月华,周 健*.江苏省妇幼健康类医疗服务项目比价研究△[J].江苏卫生事业管理,2024,35(6):757-762.
WANG Ziqing,YANG Xue,ZHANG Min,YANG Yuehua,ZHOU Jian*.Price Comparative Study of Maternal and Child Health Care Services in Jiangsu Province△[J].Jiangsu Health System Management,2024,35(6):757-762.
