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深圳公立医院药品21日起全面“零加价”--亲民维稳网络舆情监测室
2012-07-21

  中新网深圳7月20日电(记者 郑小红)深圳公立医院药品全面“零加价” ,将从7月21日起实行。这是深圳取消药品加成的第二阶段,即面向所有就医人群、所有药品实施零加成销售;同时,提高体现医务人员技术劳务价值的门诊和住院诊查费标准。

Shenzhen local fars news agency reported July 20 (Reuters)(Reporter ZhengXiaoGong)Shenzhen public hospital drugs comprehensive“Zero tariffs” ,From July 21, implement。This is the shenzhen cancelled the second stage of the drug bonus,That is open to all people go to a doctor、All pharmaceutical implement zero sales bonus;At the same time,Improve reflect the value of the medical staff technology services clinics and examined in hospital fee standards。

  深圳卫生人口计生委20日下午召开通气会表示,此举将既不增加病人负担,也不减少医院的合理收益。期间造成的社会医疗保险统筹基金亏空,将由政府财政兜底补贴。

Shenzhen health population state family planning commission 20 th at a particularly interduced said,The move will neither increase patient burden,Also don't reduce hospital the reasonable profits。Cause during the insurance of social medical treatment of plan as a whole fund deficit,The government financial out subsidies。

  此次取消药品加成,将依据医院等级不同,分级提高门诊和住院诊查费的价格标准,即在原来的基础上平均每门诊人次提高门诊诊查费12元人民币,平均每住院床日提高住院诊查费37元。

The bonus cancelled drugs,According to different degrees of hospital,Grading improve outpatient service and examined the price of hospital fee standards,That is the basis of the original average outpatient service people improve made outpatient service fee RMB 12,On average every hospital bed, improve hospital fee RMB 37 examined。

  社会医疗保险统筹基金承担社会医疗保险参保人诊查费增加部分,即综合医疗保险参保人的门诊诊查费增加部分,全部由社会医疗保险统筹基金支付;住院诊查费也全部由社会医疗保险统筹基金支付。农民工医疗保险和住院医疗保险参保人的门诊诊查费增加部分,按照现行的报销比例,分别由门诊和住院统筹基金支付。

Social medical treatment is sure to plan as a whole fund bear insurance of social medical treatment fee increase of effective protects a person,Namely comprehensive medical insurance protects a person of outpatient fee increase of effective,By all the social medical insurance plan as a whole fund pays;Hospital fee also made all by social medical insurance as a whole fund pays。Migrant workers medical insurance and medical treatment of be in hospital insurance protects a person of outpatient fee increase of effective,Under the current reimbursement ratio,Outpatient service and be in hospital respectively by as a whole fund pays。

  深圳卫人委分析说,目前公立医院医疗服务价格体系未能体现医务人员技术劳务价值,如门诊诊查费,主任医师为8元/诊疗人次、副主任医师为6元/诊疗人次、普通医生为3元/诊疗人次。在允许公立医院收取药品加成的情况下,这种利益导向机制诱导医疗机构多开药、开高价药,使公立医院、医务人员与药品生产经营企业之间形成利益链条。

Shenzhen health people committee analysis said,At present the public hospital medical service price system failed to reflect the medical staff skilled labor value,Such as made outpatient service fee,Medical director for 8 yuan/diagnosis and treatment and people、Of doctor of vice director of 6 yuan/diagnosis and treatment for people、Ordinary doctor for 3 yuan/diagnosis and treatment and people。In a public hospital allow for drugs under the condition of the bonus,This interest direction mechanism induced medical institutions prescribe more、Open high medicine,Make public hospital、Medical personnel and drug production management enterprise interests formed between the chain。

  深圳取消药品加成第二阶段工作启动后,意味着彻底打断了公立医院业务收入与用药数量、药品价格直接挂钩的利益链条,将为全面遏制公立医院过度用药、用高价药的现象发挥重要作用。合理提高诊疗费价格标准,使之更好地体现医疗服务合理成本和医务人员劳动价值,可以使公立医院通过提供优质服务获得合理补偿。

Shenzhen cancelled the second stage drug bonus work after the launch,Means completely interrupted public hospital business income and drug count、Drug prices tied directly of the interests of the chain,Will be fully contained public hospital excessive drug use、With the high price of medicine phenomenon play an important role。Reasonable price increase fee standards,To better reflect the medical service reasonable cost and medical personnel labor value,Can make public hospital to provide quality services through getting reasonable compensation。

  深圳卫人委表示,取消药品加成费用,提高诊查费收费标准,是全面推动公立医院改革的重要切入点,一是切断了医院与药品生产经营体系之间的利益链条,减少过度用药,降低高价药品的使用,可以倒逼药品流通领域规范市场经营秩序;二是促进医疗机构努力提升优质服务水平和质量;三是将促使公立医院调整内部分配机制,扫除灰色收入地带,使医院的收支结构更好地体现技术劳务成本,提高医务人员技术劳动报酬。

Shenzhen health people committee said,Cancel the drug bonus cost,Improve inspecting fee charging standards,Promote the reform of public hospital is an important point,One is cut off the hospital and drug production management system of interest between the chain,Reduce excessive use,The use of the drugs reduce the high price,Can DaoBi medicine circulation field regulate the market operation order;Two is to promote efforts to raise the quality of medical institutions service level and quality;Three is to adjust to a public hospital internal distribution mechanism,Eliminate gray income zone,Make the hospital of income and expenditure structure to better reflect technical services cost,Improve the medical personnel technical labor pay。

  深圳卫人委称,将密切跟踪医药分开改革后,公立医院经济运行状况,科学测算公立医院的政策性亏损。随着改革的深入推进,最终将实现提升医疗服务品质、减轻群众医疗负担的目标。(完)

Shenzhen health people committee says,Will closely track medical separate after reform,Public hospital economic operation condition,Scientific measurement of public hospital policy-related losses。As the reform further,Will eventually realize the ascension medical treatment quality、Reduce the burden of health goals。(finish)


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