北京市医院管理局(以下简称“北京市医管局”)作为北京公立医院改革第一步“管办分开”的主要载体，自2011年7月28日成立后引起社会及网友广泛关注。过去一年间，医管局“管”什么？管办如何分开？26日上午，北京市医管局副局长毛羽围绕相关话题接受新华网记者采访。

Beijing hospital authority(Hereinafter referred to as“Beijing hospital authority”)As Beijing public hospital reform the first step“Tube do separate”The main carrier of，Since July 28, 2011 after the establishment of the social and the cause attention。Over the past year，Hospital authority“tube”what？How to separate management office？26 morning，Deputy chief of the Beijing municipal hospital authority hairiness topic accept xinhua net reporters。

“管办分开”如何施行？ “Tube do separate”How to enforce？

　　2011年7月28日，北京市医管局成立，成为北京市卫生局下属的二级局，北京市卫生局局长方来英、副局长毛羽分别兼任北京市医管局局长与副局长。

July 28, 2011，Beijing was formed，Become the Beijing health bureau affiliate level 2 innings，The Beijing health bureau chief party to the English、Deputy chief of the Beijing municipal hospital authority chief of hairiness respectively and deputy director。

　　毛羽对新华网记者回顾了医管局成立一年来的实践和探索。他说：“北京市医管局成立之初，我们将医管局的职能定为‘管人、管事、管资产’，具体负责北京市属22家公立医院主要负责人的聘任、指导所属医院管理体制和运行机制改革、国有资产管理和监督，最终建立协调、统一、高校的公立医院管理制度。”

Xinhua net reporter reviews the role in authority was set a years of exploration and practice。He said：“The beginning of establishment of Beijing hospital authority，We will function as ever‘Tube people、steward、Tube assets’，Be responsible for the Beijing municipal and public hospital home of the person in charge of the main employment、Guide subordinate hospital management system and operational mechanism of reform、The state-owned asset management and supervision，Eventually to build a harmonious、unity、University of public hospital management system。”

　　北京市医管局目前已组建了30人在编团队，设置了针对医院管理各类业务的10个处。“我们采用机关选调、竞争上岗、对社会公开招聘的人员等多种方式选拨人才，队伍平均年龄39.3岁。” 毛羽说，

Beijing has already formed to set up the 30 people are compiling team，Set in the hospital management of of all kinds of business 10 place。“We adopt XuanDiao authority、Competitive duty、The personnel of the open recruitment to the society and so on many kinds of ways notions and talents，Team mean age, 39.3 years。” Hairiness said，

　　2012年2月，北京市医管局组织实施市属21家医院中的6家医院院长公开选拔竞争上岗，对医院干部等进行轮岗交流任职。另外，在其他方面还设立绩效考核指标，使医院的自身管理制度精细化；进行资产清查，实施预算全流程绩效管理，落实改革医院追加财政拨款2亿元等工作。

February 2012，Beijing municipal authority organization and implementation 21 hospitals of six of the hospital publicly-elected competition mount guard，On hospital cadres impart for communication, etc。In addition，In other respects it has set up performance evaluation indicator，Make the hospital's own management system of fine；Assets and inventory，The implementation of the budget process performance management，Implement additional financial reform hospital allot 200 million yuan。

　　许多网友提出疑问，医管局与卫生局有什么区别？当记者把这个问题转述给毛羽时，他说，北京市卫生局主要是在政策制定、标准准入、卫生监督、公共卫生以及医院如何发展等方面做区域规划，北京市医管局则主要对公立医院的护理以及医院基础管理、公章制度、安全运行、环境改进负责。

Many netizens put forward questions，What is the difference between authority and health bureau？When reporters put this question to hairiness quotes，He said，The Beijing health bureau mainly in policy making、Standard access、Health supervision、Public health and hospitals how to development to the regional planning，The hospital authority is mainly to public hospital care and hospital basic management、Official seal system、Safe operation、Environment improvement is responsible for。

　　“‘管办分开’以前更多是形式上认识，现在是对医院管理上的转变。要做到‘管办分开’，首先要明确医管局的职责：就是将各个政策细化到每个人的工作指标中，通过细节体现公立医院的公益性。”毛羽说。

“‘Tube do separate’More is know before form，Now is for hospital management changes。To do‘Tube do separate’，We have to determine the responsibilities of the hospital authority：Each policy is refined to everyone's job index，Through the details of the public welfare reflected public hospitals。”Hairiness said。

精细化、专业化管理医院 fine、Professional management hospital

　　在这一年里，北京市医管局启动了对公立医院的绩效考核制度，建立了25项绩效考核指标，其中患者满意度、抗生素的运用等指标成为绩效考核的重点。7月24日，北京市医管局公布了对21家北京市属医院患者满意度的测评。测评结果将于医院的绩效考核挂钩。

In this year，Beijing launched the authority to public hospital performance evaluation system，Established 25 studies performance evaluation indicator，One patient satisfaction、The use of antibiotics and become the focus of the performance evaluation index。July 24，Beijing hospital authority announced Beijing municipal hospital in 21 house assessment of patient satisfaction。Assessment results will be in hospital performance evaluation hooks。

　　资料显示，北京市医管局管辖的21家北京市市属医院占北京市医院总数的三分之一，服务量占北京市所有医院服务量的45%。

Data shows，Beijing hospital authority under the jurisdiction of the city of Beijing hospital 21 home a third of the total number of Beijing hospital，Services accounted for 45% of all hospital of Beijing wants。

　　““设置绩效考核是为了推动医院内部管理运行机制的变化，通过外部督促让医生自觉提高服务水平，提高医院的服务质量，发挥公立医院公益性。”毛羽说，“给医院反馈测评结果后，我们发现，医院人员在一起更多地会谈论患者的满意度。”

““Performance assessment is set up to promote the internal management of the operation mechanism of change，Through the external urged let the doctor consciously improve service levels，Improving the service quality of the hospital，Play public hospital public benefits。”Hairiness said，“To the hospital after the assessment result feedback，We found，Hospital staff together to be able to talk about the more patients with satisfaction。”

　　毛羽认为，北京市医管局在公立医院改革的管理中还起着保障与推动作用。7月1日，北京市友谊医院启动医药改革试点工作，近一个月来，试点工作运行平稳。从监测情况和整体运行看，患者负担有所减轻，医院收入没有减少，医院运行机制得到有效调整。

Hairiness think，Beijing hospital authority in the reform of public hospitals in the management of the security and on role。July 1,，The Beijing friendship hospital start medical reform of pilot projects，Nearly a month to，Pilot work smooth operation。Monitoring the whole running from and see，Patients to ease burden，The hospital did not reduce income，The hospital operation mechanism effectively adjust。

　　取消15%的药品加成后，医管局对药费等进行实时监测，同时对处方给予测评。毛羽认为，这些管理比以前更精细和专业，为医药分开改革的顺利进行奠定了基础。

Cancel 15% of drugs after bonus，Hospital authority to monitor of expenses for medicine, etc，At the same time for prescription give evaluation。Hairiness think，These management more than fine and professional，For the medical separate reform smoothly to lay the foundation。

医药分开改革进入“深水区” Medical reform into separate“Deep water area”

　　2012年我国全面推进公立医院改革，目前已在北京、上海、深圳等全国17个城市进行医药分开、管理体制等方面的改革试点工作。毛羽认为，“公立医院改革是其自身改革的过程，人对于‘自己改自己’的认识是比较难的。必须有外部机构协调推动其改变，北京市医管局的成立作为第三方，从外部协调推动公立医院的改革。”

In 2012, comprehensively promote reform of public hospitals，At present already in Beijing、Shanghai、Shenzhen and other national 17 cities for medicine apart、The reform of the management system of pilot projects。Hairiness think，“Public hospital reform is its reform process，People for‘Himself to his’Understanding is difficult。Must have external institutions harmonious promotes the change，The establishment of the hospital authority as a third party，From external coordination to promote the reform of public hospital。”

　　“管办分开”后，北京市各医院进一步统一了便民惠民措施。毛羽介绍，北京市医管局成立后，对北京市医院便民惠民措施重新进行分析，确定了改进措施。现在对预约挂号规定完成的指标由2011年的37%提高到45%，另外也要求医院提供分时分段预约挂号的服务。

“Tube do separate”after，The hospital of Beijing the unified further convenience huimin measures。Hairiness introduced，Beijing after the founding of the hospital authority，Hospital of Beijing convenience huimin measures to analysis，Sure the improvement measures。To make an appointment now shall carry out index by 37% in 2011 to 45%，Also asks the hospital provides piecewise make an appointment service time。

　　“公立医院以前是自己管自己。上级部门提出的工作要求，各医院根据自己的理解进行改变。没有统一的分配，现在不再是各个医院自己单打独斗。运行与管理机制有了统一协调。”毛羽说。

“Public hospital before is oneself tube。Upper department proposed requirements，According to the understanding of the hospital for change。No unified distribution，Now is no longer working each own hospital。The operation and management mechanism with unified coordination。”Hairiness said。

　　资料显示，2012年1至5月份北京市医管局各项测评指标中，21家市属医院的服务效率有所提高，“平均住院天数”比去年下降了0.6天。“门诊病人次均医药费用”与2011年同期下降了5.9元；“住院病人例均医药费用”比2011年同期下降了367.3元；门诊和住院的费用指标分别比全市三级医院低6%和7%，患者的满意度也有所提高。

Data shows，2012 1 to 5 of Beijing hospital authority in the evaluation index，The municipal hospital 21 home service efficiency has improved，“Aerage hospital days”Lower than last year 0.6 days。“Outpatient second all medical expenses”And the same period in 2011, down 5.9 yuan；“Hospital patients in both cases medical costs”Than the same period in 2011, down 367.3 yuan；Outpatient service and be in hospital costs than the level 3 hospital index, low 6% and 7%，Patient satisfaction has also improved。

　　毛羽坦言，“管办分开”是北京市公立医院改革迈出的第一步，接下来的医药分开改革也已进入深水区，难点和复杂性不言而喻，情况适时在变化。目前医院法人理事会建立、外地医保患者报销等问题正在沟通协商中。(记者 李莹)

Hairiness said，“Tube do separate”Is Beijing public hospital reform take the first step，The next medicine separate reform has been into deep water area，The difficulties and the complexity is self-evident，Circumstance timely in change。The council set up a legal person at the hospital、Outside the problems such as medical insurance reimbursement patients are communication negotiations。(Reporter LiYing)