包括北京海淀区在内的全国273个县(市、区)将试点开展重特大疾病的医疗救助。民政部日前下发《关于确定重特大疾病医疗救助试点单位的通知》，要求试点地区合理确定重特大疾病医疗救助范围，既可以按照贫困患者个人自付的医疗费用确定救助范围，也可以按照其所患病种确定救助范围。

Beijing's haidian district, including the national 273 counties(city、area)Do not carry out the disease will pilot medical relief。Before the ministry issued《Do not sure about disease medical relief pilot units notice》，Request to reasonably determine the pilot areas and great disease medical relief scope，Not only can be in accordance with the poor patients from the medical treatment charge of individual pay for determining the salvor's scope，Also can according to the sick kind of determining the salvor's scope。

　

　探索12大病救助办法 Explore 12 a serious illness to salvage

　　今年3月，民政部、卫生部等四部门下发《关于开展重特大疾病医疗救助试点工作的意见》，部署从2012年开始，各省(自治区、直辖市)要选择部分县(市、区)开展重特大疾病医疗救助试点，先从医疗费用高、社会影响大的病种起步，逐步扩大救助的病种范围。民政部相关负责人举例说，儿童急性白血病和先天性心脏病、妇女宫颈癌、乳腺癌、重度精神疾病等病种，将优先纳入救助范围。并逐步扩大救助覆盖面、救助病种，提高救助水平。

In march this year，The ministry of、Issued by the ministry of health and other four departments《Do not carry out medical relief disease about of the pilot opinion》，Deployment since 2012，provinces(Autonomous region、Municipalities directly under the)Want to choose part of the county(city、area)Do not carry out disease medical treatment pilot，First from the high cost of health care、Social influence disease to start，Gradually expand the scope of the disease to aid。The relevant person in charge of the ministry, for example，Children with acute leukemia and congenital heart disease、Women cervical cancer、Breast cancer、Severe mental illness and disease，Priority will be included in the scope of aid。And gradually expand the aid coverage、Aid disease，Improve the level of aid。

　　此次《通知》要求，各试点地区在确定救助范围时，农村医疗救助要优先将尿毒症等8类大病纳入救助范围，积极探索肺癌等12类大病的救助办法；城市医疗救助可结合实际，确定救助范围或病种。

the《notice》requirements，The pilot areas in determining the scope of aid，Rural medical assistance to give preference to uremia 8 items into a serious illness relief scope，Actively explore lung and 12 groups of a serious illness to salvage；City medical treatment can be combined with practice，In determining the salvor's scope or disease。

　　

探索贫困患者转诊机制 Explore poor patients referral mechanism

　　作为救助工作的牵头单位，民政部要求，各试点地区应努力采取多种措施提高重特大疾病贫困患者住院医疗救助水平，积极探索推行单病种付费等方式。对于政策范围内，重特大疾病贫困患者个人自付住院医疗费用的救助比例，2012年要不低于50%；到“十二五”期末，不低于70%。

As the lead aid unit，The ministry of requirements，The pilot areas should try hard to take various measures to improve the disease of the patient in the great poverty medical treatment level，Actively explore the implementation of single disease such as pay way。Within the scope for policy，Great disease patients from poverty to pay cost individual medical treatment of be in hospital of relief proportion，2012 years or less than 50%；to“1025”The final，No less than 70%。

　　民政部还建议，各试点地区积极探索重特大疾病贫困患者转诊机制，以切实加强各项医疗保障制度的衔接。

The ministry also suggested，The pilot areas do not actively explore disease patients with poor referral mechanism，To strengthen the link of medical care system。

　　

- 公立医院改革 -public hospital reform

　　公立医院改革全面推开 Full implementation of reform of public hospitals

　　卫生部部署公立医院改革，控制医药费用不合理上涨 Health reform of public hospitals deployment，Control medical costs is not reasonable to rise

　　新京报讯 (记者温薷)记者昨日从卫生部2012年公立医院改革试点工作会议获悉，北京全面推行“医药分开”试点后，每年预计可节省医药费支出19亿元。自友谊医院启动试点后，因外地患者医事服务费报销存在政策障碍，外地患者就诊数量较试点前下降一半。

The Beijing news- (Reporter Ru temperature)From reporters yesterday the department's 2012 trial reform of public hospitals that work conference，The full implementation of the Beijing“Medicine separate”After the pilot，Every year is expected to save $1.9 billion medical spending。Since the friendship hospital start after the pilot，For patients with outside medical service fee to submit an expense account existing policy barriers，Outside the hospital patients is cut in half the number before the pilot。

　　卫生部副部长马晓伟昨天表示，2012年是公立医院改革由“局部试点”转向“全面推开”的第一年。今年各地应以支付方式改革为切入点，破除医药补医；要多管齐下，控制医药费用不合理上涨。

Deputy minister of health MaXiaoWei said yesterday，2012 is the reform of public hospitals“Local pilot”Turned to“Full implementation of”First years。This year should pay the way all over to reform as the breakthrough point，Break the medicine for medical treatment；To multi-pronged，Control medical costs is not reasonable to rise。

　　记者昨天获悉，北京自2010年7月起，进行了总额预付和按疾病相关组(DRGs)付费制度改革。从1至5月的情况来看，4家总额预付试点医院门诊次均费用可比价格减少15.1元，下降3.5%，次均药费减少1.3元，下降0.5%；住院例均费用减少1384元，下降8.3%。6家DRGs试点医院中，有4家医院的住院患者例均费用均有不同程度的下降，其中友谊医院下降1204元，下降7.5%，北医三院、宣武医院略有上升，但也低于全市三级医院的上升水平。

The journalist learned that，Beijing since July 2010，The total amount of the advance and by the disease related groups(DRGs)Pay system reform。From 1 to 5 month of the situation，The total amount of the four prepaid outpatient second all expenses pilot comparable price reduce 15.1 yuan，Down 3.5%，Second all expenses for medicine by 1.3 yuan，Down 0.5%；All cases in hospital costs reduced 1384 yuan，Down 8.3%。6 companies DRGs pilot in the hospital，Have four hospitals in patients in both cases charges have different levels of decline，Which friendship hospital drop by 1204 yuan，Down 7.5%，Chocolates use、Xuanwu hospital increased slightly，But also lower than the rise of the third class hospitals in the city level。

　　马晓伟还表示，目前群众大病医疗费用负担仍然较重，各地应当利用好基本医保资金，解决群众看大病贵的问题。

MaXiaoWei also said，The current medical treatment of a serious illness cost burden still is heavy，The basic medical insurance shall make good use of all funds，Solving the problem of serious illness you see。

　　

- 友谊医院 -friendship hospital

　　医事费难报销外地患者减半 The medical FeiNan submit an expense account outside the patients in half

　　作为大城市的大型综合医院，友谊医院的“医药分开”试点改革，被视为开始“啃起”公立医院改革的“硬骨头”，也标志着医改进入深水区。

As a big city of large-scale hospital，The friendship hospital“Medicine separate”Pilot reform，Is considered as the start“Chew up”The reform of public hospital“Hard stuff”，Also marked the into the deep water cure。

　　北京市卫生局相关负责人昨日在工作会议上表示，友谊医院实行“医药分开”试点至今，医院收入中，药占比从56.46%降至46.73%，降低的主要原因既有取消药品加成因素，也有医生的诊疗行为趋于规范、减少“大处方”的因素。

The relevant person in charge of the Beijing health bureau yesterday in work conference said，The friendship hospital“Medicine separate”Pilot has，Hospital in income，Medicine of than from 56.46% to 46.73%，The main reason for reducing both cancel drug addition factors，Also have the doctor's diagnosis and treatment tends to be standard behavior、reduce“DaChuFang”factors。

　　同时，医保患者次均医药费用从449.97元降至381.51元，减少68.46元，下降15.21%；次均药品费用从344.42元降至241.02元，减少103.4元，下降30.02%。试点还有效引导了患者有序就医，对于普通号的需求数量，首次超过专家号，意味着专家号“一号难求”的局面有所缓解。

At the same time，Health care patients second all medical expenses fell to 381.51 from 449.97 yuan RMB，Reduce 68.46 yuan，Down 15.21%；Second all drug cost 344.42 yuan from dropped to 241.02 yuan，Reduce 103.4 yuan，Down 30.02%。Pilot also effectively guide the patient orderly medical attention，For the average number of the number of demand，More than ZhuanGuHao for the first time，Means ZhuanGuHao“Number one, it is difficult to find”To ease the situation。

　　该负责人表示，如果按照北京三级医院诊疗量为5554万人次，医保患者大约占50%以上计算，在北京全面推开试点后，每年预计可节省医药支出19亿元以上。

The official said，If according to Beijing level 3 hospital ZhenLiaoLiang for 55.54 million people，Health care patients about 50% above calculation，In Beijing after full implementation of the pilot，Every year is expected to save medical spending 1.9 billion yuan of above。

　　该负责人也坦言，试点暴露出一些问题。比如，未在北京参加医保的外地患者，其医事服务费纳入报销依然存在政策障碍，这导致部分外地患者就医负担加重。数据显示，自友谊医院试点“医药分开”以来，外地患者就诊数量较试点前减少了一半多。

The official also said，Pilot exposed some problems。For example，Not in Beijing medicare patients outside，The medical service charge into the reimbursement policy barriers still exist，This caused some patients outside doctor burden。Data shows，Since the friendship hospital experiments“Medicine separate”since，Outside the hospital patients with a reduced number of pilot before more than half。

　　据悉，朝阳医院的“医药分开”试点也将于近期启动。

It is reported，Chaoyang hospital“Medicine separate”The pilot will also start in the near future。

　　

- 评估报告 -evaluation report

　　9城市设医管局 9 a city hospital authority

　　昨日，北京大学公共卫生学院教授吴明在会议上，公布了对公立医院改革试点的评估报告。吴明教授表示，今年年初对17个试点城市公立医院改革试点的调查显示，至去年年底，已有9个试点城市成立医管局，其中8个设在卫生局，与北京市医管局的模式相同。

yesterday，Beijing university school of public health professor wu Ming in the meeting，Released to public hospital reform pilot evaluation report。Professor wu Ming said，Earlier this year to 17 pilot city public hospital reform pilot survey，To the end of last year，For nine pilot city authority was established，8 of them in health bureau，And the same pattern of Beijing hospital authority。

　

　大医院医务人员 Big hospital medical staff

　　月均4500元 The average monthly 4500 yuan

　　报告还调查了130多家医院、7000多名患者，并访谈医务人员、院长等。结果显示，患者对公立医院的整体满意度比较高，对医院环境、医疗技术水平等，85%以上患者表示满意，但有部分患者认为医疗费用比较贵。调查还指出，三级、二级、县级医院的医务人员，平均待遇分别为4500元、3200元、3000元。

The report also examines the more than 130 hospitals、More than 7000 people，And interview of medical workers、Dean, etc。The results show，Patients to public hospital's overall satisfaction is quite high，On hospital environment、Level of medical treatment, etc，85% of the patients satisfied，But there are some people think medical expenses are more expensive。Survey also points out that，Level 3、Level 2、The county hospital medical personnel，The average pay is 4500 yuan respectively、$3200、$3000。

　　

- 数说 -wherein

　　友谊医院试点“医药分开”至今，医院收入中，药占比从56.46%降至46.73%。医保患者次均医药费用从449.97元降至381.51元，减少68.46元，下降15.21%；次均药品费用从344.42元降至241.02元，减少103.4元，下降30.02%。(记者魏铭言）

Friendship hospital pilot“Medicine separate”So far，Hospital in income，Medicine of than from 56.46% to 46.73%。Health care patients second all medical expenses fell to 381.51 from 449.97 yuan RMB，Reduce 68.46 yuan，Down 15.21%；Second all drug cost 344.42 yuan from dropped to 241.02 yuan，Reduce 103.4 yuan，Down 30.02%。(Reporter MingYan wei）