目的：探讨我国澳门地区的医疗服务价格管理机制，为大陆地区医疗服务价格管理机制的制订提供参考。方法：从定价

与补偿两个关键性环节，介绍澳门地区的医疗服务价格管理机制。结果与结论：在定价方面，澳门卫生局作为定价主体，采用按边

际成本定价的方式为公立医疗机构制订指导价，侧重于体现医务人员的技术价值及劳务价值，对各类医疗机构分级分档定价。在

补偿方面，补偿主体分为政府、社会保障基金、慈善机构等。政府以向公立医疗机构统一拨款的方式为市民提供定率补偿，侧重于

提高对初级医疗机构的补偿水平；社会保障基金通过向参保患者发放疾病津贴，定额补偿患者；慈善机构通过资助私立医疗机构，

降低其医疗服务价格。经过定价与补偿两个环节最终形成患者实际支付价，这一经验值得大陆地区借鉴。

OBJECTIVE：To explore price management mechanism of medical service in Macau of China，and to provide reference

for the formulation of price management mechanism of medical service in the mainland area of China. METHODS：From two

key links of pricing and compensation，price management mechanism of medical service in Macau was introduced. RESULTS &

CONCLUSIONS：In respect of pricing，Macau Health Bureau as pricing subject set up guide price for public health institutions by

marginal cost pricing，which focused on technology value and labor value of medical staff，and graded pricing for health institutions

at various levels. In respect of compensation，compensation subjects included government，social security funds，charitable organization，

etc. The government provided fixed-rate compensation for citizen by allocating funds for public health institutions，so

as to improve compensation level for primary health institutions. The social security funds extended sick benefit to insured patients，

and compensated patients at fixed rate. Charitable organization subsidized private health institutions to reduce medical service price.

Finally，actual price has been formulated through pricing and compensation links，and the experience is worthy of learning by the

mainland of China.