健康发展与政策研究2025，Vol.28Issue(2)：163-168,6.DOI:10.12458/HDPR.202501036
安宁疗护医疗服务项目价格测算分析:基于典型安宁疗护机构的实证研究
The calculation for hospice and palliative care services price:an empirical study based on typical hospice and palliative care institutions
摘要
Abstract
Objective To calculate the per-bed-day charging prices for HPC services in medical institutions at different levels,and to provide empirical basis for price policy.Methods The typical institution survey method was chosen to carry out the study in 15 selected HPC institutions in Shanghai.The service frequency,average duration,service team composition,salary income of HPC service projects from 2023 to 2024 were collected.Based on the time coefficient allocation method,the average labor time of the society and the actual time consumption of various services,the direct labor cost of HPC services was identified.Combined with the standardized accounting of inpatient examination fees and graded nursing fees,the price protocol of HPC medical services was finally determined.Results A total of 8 community health service centers and 7 secondary hospitals were investigated.Combining with expert advice,the median of the measured direct labor costs for HPC services items was used as the basis for pricing,HPC services price standards were determined:313 CNY/d at community health service center,and 446 CNY/d at secondary hospital.According to the ratio of hospitalization cost of secondary hospital and tertiary hospital,the price of HPC medical services of tertiary hospital is calculated to be 778 CNY/d.In the calculation of direct labor costs for HPC services,the lowest single-item costs were all for social needs assessment,life review,and end-of-life preparation.The single-item costs of adjuvant therapy,multidisciplinary team meetings,and family meetings in surveyed secondary hospitals were higher than those in community health service centers.Conclusion This study calculates HPC service prices across institutions using direct labor cost,examination fees,and graded nursing fees,providing a scientific basis for policy implementation and standardized HPC development.关键词
安宁疗护医疗服务/价格/直接成本/实证研究Key words
hospice and palliative care services/price/direct cost/empirical study分类
医药卫生引用本文复制引用
范怿,荆丽梅,乔瑾,吴颖,吴玉苗,唐周思淇,叶卓俊,李水静,杨超..安宁疗护医疗服务项目价格测算分析:基于典型安宁疗护机构的实证研究[J].健康发展与政策研究,2025,28(2):163-168,6.基金项目
国家社会科学基金项目(24BRK020) （24BRK020）
