患者门诊次均少花26元 Patient outpatient service second all spend less $26

北京公立医院试点取消药品加成三周来 医保次均药费降低三成 Beijing public hospital pilot cancellation for three weeks after drug bonus medical insurance second all expenses for medicine thirty percent lower

　　公立医院改革效果正在显现，病人看病负担减轻，医院利润也有所增加。昨天，在卫生部举行的2012年公立医院改革试点工作会上，市卫生局相关负责人介绍，北京市公立医院改革三周来，医保患者次均药品费用降至241.02元，降低三成，在部分医院进行的付费制度改革也初见成效，住院例均费用减少1384元，下降8.3%。

Public hospital reform effect is emerging，Patients less burdened by a doctor，The hospital profits also increases。yesterday，In the ministry of public hospital held 2012 pilot reform at work，The municipal bureau of relevant controller introduces，The Beijing public hospital reform for three weeks，Health care patients second all drug cost down to 241.02 yuan，Reduce thirty percent，In the part of the hospital system also produced results for reform，All cases in hospital costs reduced 1384 yuan，Down 8.3%。

每人次药费下降68元 Each time expenses for medicine drop by 68 yuan

　　三周前，本市开始公立医院改革试运行，市卫生局昨天交出三周来的“成绩单”。总体来看，公立医院的此次“考试”比较理想。

Three weeks ago，The city began to public hospital reform trial operation，The municipal bureau of hand over the past three weeks yesterday“transcript”。overall，The public hospital“exam”ideal。

　　由于取消了药品加成、减少了大处方，总药占比从56.46%降至46.73%，降低主要原因既有取消药品加成因素，也有大处方减少的原因。医保患者每人次医药费用从449.97元降至381.51元，次均药品费用从344.42元降至241.02元，医保患者门诊次均个人负担费用从6月份的131.9元降至105.9元。

Due to the elimination of the drug addition、Reduced DaChuFang，Of the total medicine than from 56.46% to 46.73%，The main reason for reducing both cancel drug addition factors，Also have DaChuFang reduce reasons。Health care patients each time medical expenses fell to 381.51 from 449.97 yuan RMB，Second all drug cost 344.42 yuan from dropped to 241.02 yuan，Health care patients are personal expenses outpatient times in June fell to 131.9 yuan to 105.9 yuan。

　　市卫生局表示，按照北京市三级医院诊疗量为5554万人次，医保患者大约占50%以上计算，如果在全市全面推开公立医院改革试点，每年可节省医药支出19亿元以上。

City health bureau said，According to the Beijing municipal level 3 hospital ZhenLiaoLiang for 55.54 million people，Health care patients about 50% above calculation，If in the full implementation of the pilot reform of public hospitals，Can save medical expenditures per year 1.9 billion yuan of above。

总额预付试点初现成效 Total amount paid in advance is beginning to pilot results

　　本市从2010年7月开始，进行了总额预付和按疾病相关组(DRGs)付费制度改革。友谊医院、朝阳医院、积水潭医院和同仁医院是总额预付制度试点医院。友谊医院、朝阳医院、天坛医院、宣武医院、北医三院和人民医院是DRGs付费制度改革试点医院。

The city from July 2010，The total amount of the advance and by the disease related groups(DRGs)Pay system reform。Friendship hospital、Chaoyang hospital、Seeper pool and tongren hospital total hospital is prepaid system pilot hospital。Friendship hospital、Chaoyang hospital、The temple of heaven hospital、Xuanwu hospital、Chocolates and people's hospital is twenty DRGs pay system is reformed pilot hospital。

　　从前5个月情况来看，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，下降了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%。

Once upon a time five months 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，其中友谊医院下降了1204元，下降了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。

6 companies DRGs pilot hospitals four hospitals in patients in both cases charges have different levels of decline，Among them the friendship hospital fell 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。

医院利润有所增加 The hospital profits have increased

　　市卫生局介绍，医事服务费可为医院带来1.5亿元的年收益，而医院去年靠药品加成的收入为1.26亿元，两者基本持平，达到了平移的目的。由于门诊医保患者次均费用下降68.46元，医保部门又与医院签订了总额预付协议，按照友谊医院门诊医保患者每年165万人次计算，医院一年可从中多收益7907万元利润。因此，改革后医院利润增加了。

Introduced the municipal bureau of，The medical service charge can bring 150 million yuan for hospital in income，And the hospital by the drug last year for $126 million bonus income，Both flat，To achieve the purpose of translation。Because of outpatient service medical insurance patients second all costs fell 68.46 yuan，Health care providers and signed with hospital total agreement in advance，According to the friendship hospital medical clinic patients 1.65 million people every year calculation，The hospital a year more benefit from $79.07 million profit。so，After the reform of hospital profit increase。

部分药品集中采购 Part of the drug centralized purchasing

　　不过值得注意的是，尽管实行了公立医院试点改革，但是仍存在一些问题。市卫生局表示，目前外地患者医事服务费纳入当地报销仍有政策障碍，外地病人到友谊医院就诊数量较改革前下降了一半。

But it is worth noting，Although the public hospitals pilot reform，But there are still some problems。City health bureau said，At present the medical service charge from patients into local submit an expense account still have policy barriers，Outside the patient to friendship hospital is the number before the reform falling by half。

　　虽然取消药品加成切断了医院与药品之间的利益关系，但是医生与药商之间的利益关系没有得到根本遏制。市卫生局表示，这一方面需要医院加强管理力度，另一方面也需要进一步采取综合措施挤出药品流通环节的水分。今年市医管局将选择部分药品在22家市属医院进行集中采购，也是进一步压缩灰色地带水分。

Although cancelled drug addition cut off the hospital and the benefit relationship between the drugs，But doctors and drug companies did not get the benefit relationship between the fundamental curbed。City health bureau said，On the one hand, need to strengthen the management of hospital strength，On the other hand also need to take further comprehensive measures extrusion medicine circulation of water link。This year the city hospital authority will choose part in 22 home city to hospital drugs for centralized purchasing，Is further compression grey zone moisture。

　　市医管局还将统筹安排市属医疗资源，积极推动康复体系构建，如地坛医院合并潮白河医院工作已经启动，小汤山医院被定位为康复专科医院，相关转诊模式探索工作已开始进行。(记者 吴亭)

The hospital authority will also to overall arrangement under the medical resources，Actively promote rehabilitation system structure，Such as ditan hospital merger work has begun hospital chaobai river，Xiaotangshan hospital is located for rehabilitation specialized subject hospital，Related referral model work has started to explore。(Reporter WuTing)

医保药品制剂33种报销有变 Pharmaceutical preparations and kind of medical insurance for change

　　市人力社保局昨天发布消息，自今年10月1日起，33种医保药品、医院制剂报销范围有变更。

The human social security bureau released yesterday by the news，From 1 October this year，And the kind of health care drugs、There is a change to the hospital preparations to submit an expense account range。

　　其中，儿童医院配制的肺炎合剂、湿疹愈乳膏等23种制剂，限制内容由“14岁以上医保基金不予支付”变更为“限儿童”。

Among them，Children's hospital of pneumonia mixture preparation、The more eczema cream 23 kinds of preparations，Limit content by“14 years old or above medical insurance fund does not grant to pay”Change for“Limit children”。

　　有8种医保药品调整规范名称，比如中药“六神软膏”将改名为“六神凝胶”；中药“爱活尿通片”改名为“复方梅笠草片”。另有“阿米三嗪萝巴新”、“克仑特罗”的口服常释剂型被从报销范围之内删除。(首席记者 姜葳)

Have 8 kinds of medical insurance drugs to adjust a standard name，Such as traditional Chinese medicine“Nightfall ointment”Will be renamed“Nightfall gel”；Chinese medicine“Love the live of urine”Was renamed the“Compound may Li of grass”。otherwise“Amy three polybenzoxazines PNG rose”、“G lor, hebron”Oral often release from within the scope of form submit an expense account deleted。(Chief reporter ginger Veda)