单病种收费在宏观预测和控制医疗费用、降低医疗保险机构管理难度、为医疗质量评估提供可比较的分类方法等方面产生了众多有益的影响。但与按项目收费相比,单病种收费在展现其优势的同时还是出现了缺陷。文章通过对单病种收费在中国的发展历程及存在问题的阐述,提出了相应的建议。 Single-disease charges have had many beneficial effects in terms of macro-predicting and controlling medical costs, reducing the difficulty of administering health insurance institutions, and providing comparable classification of medical quality assessments. However, compared with the project-based fee collection, the single-disease fee shows its advantages at the same time there are still flaws. The article puts forward corresponding suggestions through elaborating the history and existing problems of single disease fee in China.