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价值医疗寻求在一定成本内获得更好医疗质量及健康结局，是近年来在全球范围内引起重视的医疗模式。本文介绍了价值医疗的概念，回顾其在美国出现的背景，梳理美国从按项目支付向价值医疗导向型支付方式转型的进展，并分析其面临的挑战，进而讨论了对我国医疗服务提供者进行价值医疗实践的启示，以期为我国医务工作者参与建设高价值医疗体系提供借鉴。“,”Value-based medicine is a healthcare delivery mode with the objective of obtaining better medical quality and health outcomes at a certain cost. The authors introduced the concept of value-based medicine, reviewed its background in the United States, described the transformation of payments from fee-for-service to value-based modes of the Centers for Medicare and Medicaid Services in the United States, and analyzed current challenges of value-based payment. Then the authors discussed the implications for China′s medical service providers to carry out value-based medical practice, in order to provide reference for China′s medical workers to participate in the construction of high-value medical system.