医疗服务提供者与患者对中医服务价格改革的认知：来自中国东北地区的证据
Provider and patient perceptions of traditional Chinese medicine service pricing reform: evidence from Northeast China.
摘要(中文译文)
2025年，中国发布了《中医医疗服务价格项目立项指南》，旨在推动中医服务向价值导向定价转变。本研究考察了中国东北地区提供方、患者和管理者对中医价格改革的认知。在吉林省和辽宁省开展了一项调查，共获得399份有效问卷，其中250份来自医疗卫生专业人员，125份来自患者，24份来自医疗保障和医疗行政管理人员。医疗卫生专业人员数据采用多因素回归分析，患者数据用于描述需求侧认知和陈述性定价偏好，管理者数据提供背景性证据。在医疗卫生专业人员中，专业职称（β = -0.129，P = 0.017）和医保支付限制（β = -0.236，P = 0.000）与定价及支付满意度呈负相关，而医院管理支持与满意度呈正相关（β = 0.396，P = 0.000）。实施障碍模型的解释力较低，按探索性结果解读。患者对价格项目或计费变化的直接知晓程度有限，但报告了可负担性与服务价值之间的张力：54.0%倾向于适度降低价格，39.5%支持在服务质量提升的前提下适度涨价，37.9%支持分级定价。Logistic分析未发现明确的受访者层面预测因素。管理者强调了成本核算的复杂性以及价格改革与医保支付之间协调薄弱的问题。中医服务价格改革是一个涉及提供方激励、患者可负担性、医保支付和公平可及性的卫生系统协调问题。研究结果支持价值导向的成本核算、分级定价与可及性机制、改善患者价值沟通以及更紧密的价格—医保协调。
Abstract
In 2025, China issued the Guidelines for the Establishment of Pricing Items for TCM Medical Services, aimed at shifting TCM services toward value-based pricing. This study examined provider, patient, and administrator perceptions of TCM pricing reform in Northeast China. A survey was conducted in Jilin and Liaoning provinces, yielding 399 valid questionnaires, including 250 from healthcare professionals, 125 from patients, and 24 from healthcare security and medical administration staffs. Healthcare professional data were analyzed using multivariate regression, patient data described demand-side perceptions and stated pricing preferences, administrator data provided contextual evidence. Among healthcare professionals, professional title ( = -0.129, = 0.017) and medical insurance payment restrictions ( = -0.236, = 0.000) were negatively associated with pricing and payment satisfaction, while hospital management support was positively associated with satisfaction ( = 0.396, = 0.000). Implementation-barrier models had low explanatory power and were interpreted as exploratory. Patients showed limited direct awareness of pricing item or billing changes, but reported tension between affordability and service value: 54.0% favored moderately lower prices, 39.5% supported moderate price increases with better service quality, and 37.9% supported tiered pricing. Logistic analyses identified no clear respondent level predictors. Administrators highlighted cost-accounting complexity and weak coordination between pricing reform and insurance payment. TCM service pricing reform is a health system coordination issue involving provider incentives, patient affordability, insurance payment, and equitable access. The findings support value-based cost accounting, tiered pricing and access mechanisms, improved patients value communication, and closer pricing-insurance coordination.
如何引用
AMA
Fazheng Zhao, Yichi Chen, Ruoxin Wang, Xinyi Wu, Xin Tong. Provider and patient perceptions of traditional Chinese medicine service pricing reform: evidence from Northeast China.. Frontiers in public health. 2026; doi:10.3389/fpubh.2026.1846076.
APA
Fazheng Zhao, Yichi Chen, Ruoxin Wang, Xinyi Wu, Xin Tong (2026). Provider and patient perceptions of traditional Chinese medicine service pricing reform: evidence from Northeast China.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1846076
GB/T 7714
Fazheng Zhao, Yichi Chen, Ruoxin Wang, Xinyi Wu, Xin Tong. Provider and patient perceptions of traditional Chinese medicine service pricing reform: evidence from Northeast China.[J]. Frontiers in public health, 2026 doi:10.3389/fpubh.2026.1846076.
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