新华社西安８月３日电（记者石志勇）在县级公立医院综合改革全面展开的基础上，陕西省从８月１日起正式启动了县级公立医院药品“统一采购、统一价格、统一配送”制度，县级综合医院、中医院、妇保院今后均不得采购、使用“三统一”目录外药品。

    The xinhua news agency xian (August 3（Reporter ShiZhiYong）In the public hospital comprehensive reform started basis，Shaanxi province on August 1,, from the official start at the county level public hospital drugs“Unified purchase、Unified price、Unified distribution”system，Comprehensive hospital at the county level、hospital、FuBao court shall not purchase in the future、use“Three unified”Directory the drug。

    陕西省要求县级公立医院要按照药品零加成销售政策，执行统一的药品零差率销售价格，其他县级非盈利性医疗机构逐步实行零差率销售。对于抢救危重病人、特殊人群、特殊病种、医学科研项目等确实需要的目录外药品，可按照有关规定实行备案采购，但不得超过本院用药品种１５％，并实行统一配送，零差率销售。陕西省实施“三统一”制度后，对县级公立医院取消药品加成所减少的合理收入，将按照“取消多少，补偿多少”的原则，由省、市、县三级政府按比例给予足额补助。

    Shaanxi province at the county level public hospital in accordance with requirements to drug zero bonus sales policy，Implement uniform drug zero rate differential sales price，At the county level and other nonprofit medical institutions shall gradually zero rate differential marketing。To save critically ill patient、Special groups、Special disease、Medical research projects really need the directory of drugs，But according to the relevant provisions and a filing purchasing，But not exceeding the 15% drug varieties，And unified distribution，Zero rate differential sales。Shaanxi province to implement“Three unified”System after，At the county level public hospitals to cancel the drug addition reduced reasonable income，Will be in accordance with the“How many cancel，How much compensation”principle，By the province、city、County level 3 government in proportion to give full specified amount subsidies。

    因突发公共卫生事件等需要急救等特殊用途药品，可临时采购使用，并按规定及时备案。国家实行特殊管理的药品和中药材、中药饮片，仍从原有渠道采购配送。

    For emergent public health event and first aid, and other special purposes to drugs，But temporary purchasing use，And in time according to provisions for the record。Countries in the management of special drug and Chinese traditional medicine、Chinese medicine yinpian，From the original purchase distribution channels are still。

    据了解，陕西省县级公立医疗机构药品“三统一”工作８月全面启动后，将从１０月１日起全面实施。届时全省县级公立医疗机构将实行药品统一采购、统一价格、统一配送。其他县级非营利性医疗机构（包括中西医结合医院、专科医院、康复医院等）实行统一采购和统一价格。

    According to understand，At the county level public medical institutions in shaanxi province of drugs“Three unified”The work started on August comprehensive，From October 1,, comprehensive implementation。When the county level public medical institution will be unified purchase drugs、Unified price、Unified distribution。At the county level and other nonprofit medical institutions（Including medicine hospital、Specialized subject hospital、Rehabilitation hospital etc）Unified purchase and unified price。

    市级以上医疗机构药品暂不实行统一配送。县级综合医院的药品由本辖区基层医疗卫生机构的药品配送企业实行统一配送；县中医医院、县妇幼保健院的药品配送由各市遴选、县（区）选定的企业统一配送。  

    The municipal medical institutions drugs are not above unified distribution。Comprehensive hospital drugs at the county level by the jurisdiction of the medical and health institutions drug distribution enterprise unified distribution；County hospital of traditional Chinese medicine、County of maternity and child care centers by drug distribution selected cities、county（area）The selected enterprise unified distribution。