基于卫生制度改革的需要,澳大利亚在全国范围内推行以活动为基础的筹资(activity based funding,ABF)付费方式,并于2011年设立独立医院定价管理局作为具体执行机构。ABF付费方式的主要内容包括医疗服务定价、医疗服务分类、临床数据收...
详细信息
基于卫生制度改革的需要,澳大利亚在全国范围内推行以活动为基础的筹资(activity based funding,ABF)付费方式,并于2011年设立独立医院定价管理局作为具体执行机构。ABF付费方式的主要内容包括医疗服务定价、医疗服务分类、临床数据收集和服务成本核算。该方式对我国公立医院资金拨付过程中的支付方式顶层设计、医疗服务分类系统完善、医疗服务项目及价格动态调整、信息化和信息标准化建设等,有一定借鉴意义。
For mixed apheresis procedures [plasma (PMA) and platelets (PLTs) as products], six cost-accounting methods are described for apportioning the unit procedure cost ($156.02;representative example) to the two products. ...
详细信息
For mixed apheresis procedures [plasma (PMA) and platelets (PLTs) as products], six cost-accounting methods are described for apportioning the unit procedure cost ($156.02;representative example) to the two products. The methods are derived from clinical/scientific apheresis principles, but provide a wide range of unit PLT costs ($14.10, 19.7 1, 34.37, 42.06, 43.82 and 52.00) which relate inversely to the corresponding unit PMA costs ($73.84, 63.01, 34.36, 19.37, 15.94 and 0.00). Two of the methods appear particularly appropriate, depending upon whether the procedure is driven by PLTs predominantly or by PMA+PLTs equally. The paper encourages apheresis physicians and scientists to debate the relative attributes of the methods, develop refinements of the same, and determine through dialogue that mixed apheresis costing models properly account for the clinical science of the service provided.
暂无评论