卫生部长陈竺肯定友谊医院医改 医药分开两周—— Health minister Chen subtends a sure cure of the friendship hospital medical separate two weeks--

　　患者自付费下降近四成 Patients pay down nearly forty percent since

　　昨日，卫生部部长陈竺，卫生部党组书记、副部长张茅，卫生部副部长马晓伟，卫生部副部长刘谦等一行到北京友谊医院调研公立医院改革试点工作。北京市委副书记、常务副市长吉林，副市长丁向阳陪同调研。

yesterday，Health minister Chen Outlines，Health BuDangZu scribe、Vice minister of，Health MaXiaoWei vice minister，Health, vice minister of a line to such as liu qian Beijing friendship hospital research public hospital reform of pilot projects。Deputy secretary of municipal party committee of Beijing、Standing vice mayor of jilin，Vice mayor DingXiangYang accompanying research。

　询问患者：一年医药费自付需多少？ Ask the patient：A year to pay medical bills from how much？

　　陈竺首先来到友谊医院内科楼的心血管中心一区病房，仔细询问患者在诊疗过程中的感受。患者周永禄4天前因心绞痛加重入住。

Chen middle&small first came to friendship hospital medical floor of the cardiovascular center area ward，Carefully ask the patient in diagnosis and treatment process of feeling。4 days ago ZhouYongLu patients for angina pectoris aggravating checked in。

　　“你一年的医药费用自付大概多少？在这里体会到了哪些细致的护理？”陈竺关切地问。周永禄回答说，作为慢病患者，一个月的药费大约千余元，医院取消15%的药品加成后，他的医药负担明显减少了。“护士还有针对性地给我‘上课’，指导我的饮食，这不，我上午刚喝了一点茶，护士就告诉我应少喝茶，避免影响血压……”

“You a year since the medical expenses of pay probably how many？Here to realize the meticulous care what？”Chen asked middle&small concern。ZhouYongLu answered and said，As a slow patients，A month of expenses for medicine about more than thousand yuan，15% of drugs bonus cancelled hospital，His medicine burden significantly reduced。“The nurse and pointed to me‘class’，Guiding my diet，It's not，In the morning I've just had a some tea，The nurse will tell I should be few tea，Avoid to affect blood pressure......”

　　随后，陈竺一行又来到医院门急诊楼大厅，参观自助服务终端。看着门诊大厅收费窗口上方的电子显示屏，陈竺还仔细对比药价的变化。

then，Chen a line and Outlines came to the hospital this floor of the hall，Visit self-service terminal。Look at the outpatient hall charges of electronic display screen above the window，Chen middle&small also contrasts carefully the change of the drug prices。

　支招医改：北京应建透明运作招标采购平台 Cure of the court：Beijing should be built transparent operation platform for bidding

　　如何评价此次北京医改？陈竺表示，北京市公立医院改革试点稳扎稳打，一步一个脚印，彰显了北京作为首善之都的气魄和胆略。他希望友谊医院要做好医院运行、医药费用等方面的监测工作。对可能出现的情况需要加强分析与预判。

How to evaluate the cure of Beijing？Chen said strong nail-gripping ability，The Beijing public hospital reform pilot slow and steady，One step at a time，The Beijing to help reveal as of vision and courage。He hope to make friendship hospital hospital operation、The medical expenses, and other aspects of the monitoring work。To the possibility of need to strengthen analysis and anticipation。

　　陈竺建议，北京市应该通过建立透明运作的药品、耗材集中招标采购平台，在解决“以药腐医”的同时，降低药品和耗材价格，提高用药水平。他还建议北京探索建立区域医疗联合体，公立医院之间、公立医院与基层之间都形成联动，建立上下联动急慢分治的诊疗格局，推动分级就诊的形成。

Chen middle&small Suggestions，Beijing should establish a transparent operation of the drugs through、Consumables centralized bid procurement platform，In solving“Corruption in medicine medical”At the same time，Lower drug prices and consumables，Improve the level of drug use。He also suggested that Beijing explore the establishment of regional medical association，Between public hospital、Public hospitals have been formed between the linkage，Build up and down in diagnosis and treatment of the partition with slow pattern，Promote the formation of the hospital classification。

　　晨报记者 徐晶晶

The morning paper reporter XuJingJing

-现场花絮 -field recordings

　　院长变身理事长 Dean of change

　　昨日，北京友谊医院院长刘建的身份有了新的变化——理事长。此次友谊医院作为市公立医院改革综合试点医院，改革内容不仅包括医药分开、医保总额预付，还包括法人治理结构等。

yesterday，Beijing friendship hospital director LiuJian identity with the new change, chairman of the。The friendship hospital as a city public hospital comprehensive reform pilot hospital，Reform content includes not only medical apart、Total medical insurance in advance，Also include corporate governance structure, etc。

　　刘建介绍说，为配合医药分开的落实，医院发挥科室作用，科主任可查询本科室医生用药情况，特别是每个药品品种的使用量，管理到个人，实时监测，及时控制。而岗位管理和绩效考核是人力资源的重要核心，友谊医院为此制定了门诊绩效方案，细分门诊服务方式。未来，医院的人力资源投入将逐步达到支出比例的50%。

LiuJian introduced said，With the implementation of a separate for medicine，The hospital play department function，Families can be inquires, director of undergraduate course room doctor resoures，In particular, every drug varieties of usage，Management to personal，Real-time monitoring，Control in time。And post management and performance evaluation is the human resources important core，Friendship hospital have developed outpatient service performance plan，Subdivision outpatient service mode。future，The hospital human resource input will gradually achieve 50% of the proportion of the spending。

　-相关新闻 -related news

　　医改半个月 患者减负医院增收 Half a month burden hospital medical patients' income

　　晨报讯(记者 徐晶晶) 昨日，市医管局公布了友谊医院试点医药分开两周来的监测数据。患者门诊次均费用、次均药费、医保自付费用均下降；与此同时，百姓满意度、服务质量、医院收入则有了提升。

Morning news(Reporter XuJingJing) yesterday，The hospital authority announced the friendship hospital pilot medicine in the past two weeks apart the monitoring data。Patient outpatient service second all expenses、Second all expenses for medicine、Health care expense decreased；At the same time，People satisfaction、Service quality、The hospital is the income to upgrade。

　　专家门诊有所下降

Expert outpatient service fell

　　数据显示，截至7月14日24时，友谊医院门诊日均诊疗人次与上半年相比基本持平。其中，普通门诊人次占门诊总诊疗人次的80.6%，专家门诊挂号率较以往有所下降。这也说明一部分常见病患者被引导到了普通门诊就诊，专家优质资源得到了更有效的利用。

Data shows，By July 14 24，Friendship hospital clinic diagnosis and treatment compared with the average people first half flat。Among them，Average outpatient service of diagnosis and treatment of outpatient always people the number of 80.6%，Expert outpatient service registered rate decline than ever before。It also accounts for part of the common disease patients were guide to ordinary clinic，Experts quality resources have been produced more effective use of。

　　次均自付费降近四成

Second all pay down nearly forty percent since

　　这两周，友谊医院本市医保门诊病人次均医疗费用为381.75元，较上半年降低68.22元(降低15.16%)；次均药费为243.98元，较上半年降低100.44元(降低29.16%)，药占比为63.91%，较上半年降低16.5%(上半年为76.54)；次均自付费用为106.1元，较上半年下降了39.64%(上半年为175.78元)。自付费用降幅较大，原因之一是上半年患者自付线多未达到。

The two weeks，Friendship hospital medical city outpatient second all medical expenses is 381.75 yuan，In the first half of a lower to 68.22 yuan(Reduce 15.16%)；Second all expenses for medicine is 243.98 yuan，In the first half of a lower to 100.44 yuan(Reduce 29.16%)，Medicine than for 63.91% of，A 16.5% lower in the first half(In the first half of 76.54)；Second all expense is 106.1 yuan，In the first half of a 39.64% decline(In the first half is 175.78 yuan)。Expense larger drop，One reason is the line in the first half of patients pay did not reach。

　　医院收益有所增加

The hospital income increases

　　两周来，友谊医院门诊医疗收入为3958.75万元，其中药费收入2281.55万元，药费共计为患者减负342.23万元(日均减负达24.44万元)，门诊医事服务费为418.97万元，医院收益有所增加，但医院将更注重从医疗服务上获得收益。

Two weeks，Friendship hospital outpatient service medical income of 39.5875 million yuan，The drug income of 22.8155 million yuan，Total expenses for medicine for patients and burden of 3.4223 million yuan(Average daily burden of 244400 yuan)，Outpatient service medical service fee is 4.1897 million yuan，The hospital income increases，But the hospital will pay more attention to the gains from medical services。

　　专家解释时间增加了

Experts explain time increased

　　监测显示，患者对医药分开关注度比较高，并通过个人的诊疗过程感受到了药费降低带来的实惠。医管局每日问卷调查显示，总体满意率为86.4%左右，其中十分满意为29.3%，不满意仅为2.45%。42%的患者明显感觉到药品支出下降了。近83.59%的患者认为专家门诊的交流和解释时间增加了。满意度较上周略有下降。

Monitoring shows，Patients on medicine separate attention is quite high，And through the personal expenses for medicine diagnosis and treatment process to reduce the feeling brought benefits。Daily questionnaire survey authority，Overall satisfaction rate to 86.4%，Among them is very satisfied for 29.3%，Not satisfied is only 2.45%。42% of the patients feel drug spending down。Almost 83.59% of the patients think expert outpatient service of communication and interpret time increased。Satisfaction is fell slightly last week。

　　-新闻背景

Background-news

　　为了解医药分开后对友谊医院周边医疗机构的影响，医管局对朝阳医院、天坛医院、宣武医院等二、三级医院以及方庄社区卫生服务中心等13家医疗机构进行了监测。监测指标共29项，由费用类、服务量类、社会类、医疗检查类指标组成，按照医保和非医保分别统计。其中体现医院收入状况的指标包括门诊和住院医疗收入、药品及医事服务费收入等；体现患者个人负担情况的指标包括门诊病人次均医疗费用及药品费用、门诊医保病人次均自付费用；体现医院服务构成的指标包括总诊疗人次、普通门诊人次等。

In order to understand the separated medicine to friendship hospital medical institutions around the influence，Hospital authority in chaoyang hospital、The temple of heaven hospital、Xuanwu hospital on two、Level 3 hospitals and community health service center no.9 fangzhuang 13 home medical institutions were monitored。Monitoring index of 29 item，The cost of、Of services、Social class、The medical examination of indexes，According to health care and the medical insurance statistics respectively。Which reflect the status of income of hospital indicators include outpatient service and be in hospital medical income、Drugs and medical service fee income, etc；Reflect personal burden of patients with index including outpatient second all medical expenses and drug costs、Outpatient service medical insurance patient second all expense；Reflect a hospital services index including total diagnosis and treatment and people、Average outpatient service people, etc。