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以本次调查所得标准成本结合现场回顾性调查所得之实际成本同上海卫生局公布的相应的大型医疗设备收费标准进行分析比较,并探讨收费标准与标准成本、实际成本之间的关系,提出制定合理收费标准的依据。本次研究结果表明,目前所实行的收费价格体系与标准成本相比存在一定的差异,现行价格体系中收费标准总体偏低,卫生技术人员劳务价值有待进一步提高。建议卫生行政部门在进一步调整价格体系时,可以通过一些有效的行政手段、医学审计等各种宏观控制及微观方法的引进加强管理,既能有效控制医疗费用的上涨,又能使医院获得正常的补偿。
Based on the standard cost obtained from this survey combined with the actual cost of retrospective surveys conducted on the site, it is compared with the corresponding large-scale medical equipment charging standards announced by the Shanghai Health Bureau, and the relationship between the charging standards and the standard costs and actual costs is discussed. The basis of reasonable fees. The results of this study indicate that there is a certain degree of difference between the currently implemented fee pricing system and the standard cost. In the current price system, the overall charging standard is low, and the value of labor services for health technicians needs further improvement. It is suggested that when the health administrative department further adjusts the price system, it can strengthen management through various effective macro-controls and micro-methods such as effective administrative measures and medical audits, which can not only effectively control the increase in medical expenses, but also enable hospitals to get normal make up.