【摘要】 医疗服务价格项目立项指南的发布是深化医疗服务价格改革的重要内容，也是统一规范医疗服务价格项目的重大举措。文章以《护理类医疗服务价格项目立项指南（试行）》（以下简称《护理类立项指南》）为例，介绍《护理类立项指南》编制思路、框架结构设计和项目要素变化，梳理典型省份《护理类立项指南》对接落实进展并进行比较，获得对其他地区加快立项指南落地实施的启示：临床、价格专家参与，按立项指南做好新旧项目映射、要素规范整合；综合运用成本定价、参考定价和价值定价，核定规范整合后项目价格；以规范整合后新项目定价、调价与医保支付政策协同，形成正向叠加效应；制定可单独收费耗材清单，做好产品注册与价格医保政策之间的衔接；加强宣传培训，更新信息系统，监测服务量，跟踪价格政策执行效果。更多还原

【Abstract】 The release of the medical service price item guide is an important content of deepening the reform of medical service price,and is also a major measure to unify and standardize the medical service price item. Taking the Nursing Medical Service Price Item Proposal Guide(hereinafter referred to as the Nursing item Proposal Guide) as an example,it introduces the preparation ideas,framework structure design and item element changes of the nursing item proposal guide, sorts out the progress of docking and implementation of the Nursing Item Proposal Guide in typical provinces,and makes comparisons to obtain inspiration for accelerating the implementation of the item proposal guide in other regions:ensure the participation of clinical and price experts,mapping old and new items and integrating elements according to item guidelines;comprehensive use of cost pricing,reference pricing and value pricing,check and standardize the integrated item price;to standardize the integration of new item price adjustment and medical insurance payment policy coordination, forming a positive superposition effect; make a list of consumables that can be charged separately, and do a good job in the connection between product registration and price medical insurance policies; strengthen publicity and training,update information systems,monitor service volume,and track the effect of price policy implementation.更多还原