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要建立既能与市场经济相适应,又能促进医疗服务事业运转与发展的医疗服务价格体系,必须转换医疗服务价格的形成机制;而医疗服务价格形成机制转换的前提条件是以医疗服务价格管理体制的改革制度作保证。医疗服务价格管理体制在实际运行中,融决策与监督于一体。在管理范围上,尽管中央政府早把医疗服务收费的定价权、调整权下放到省级物价部门,但从全国的情况看,在宏观价格改革的整体推进中,这种由省级物价部门统管的格局仍然没有发生大变化。省级物价部门对医疗服务收费仍然实行项目管理,管理范围相当广泛,几乎无所不包,管理项目基本上都在3000多项以上,有的多达5000项以上。
To establish a medical service pricing system that can adapt to the market economy and promote the operation and development of the medical service business, it is necessary to change the formation mechanism of the medical service price; and the prerequisite for the conversion of the price formation mechanism of medical services is the price management of medical services. The institutional reform system guarantees. In practice, the medical service price management system integrates decision-making and supervision. In terms of management, despite the fact that the central government has decentralized pricing and adjustment of medical service charges to the provincial-level price departments, from the perspective of the entire country, the overall price of the macro-economic reforms is controlled by the provincial-level price departments. The pattern has not yet undergone major changes. The provincial-level price departments still implement project management for medical service charges. The scope of management is quite extensive, and almost everything is covered. The management projects are basically more than 3,000, and some are as many as 5,000 or more.