公立医院补偿将由服务收费、药品加成收入和财政补助三个渠道，改为服务收费和财政补助两个渠道。同时，调整后的医疗技术服务收费按规定纳入医保支付范围。昨日，卫生部发布做好2012年公立医院改革工作的通知。

Public hospital compensation by the service charges will be、Drug bonus income and financial aid three channels，To service charges and financial aid two channels。At the same time，After the adjustment medical technical service fees according to the regulations into medical insurance pay limits。yesterday，The health ministry issued in 2012 to public hospital reform work notice。

　试点医院取消药品加成 Pilot hospital bonus cancelled drugs

　　今年，所有公立医院改革的试点城市均要探索采取调整医药价格、改革医保支付方式和落实政府办医责任等综合措施和联动政策，破除以药补医机制。将公立医院补偿由服务收费、药品加成收入和财政补助三个渠道改为服务收费和财政补助两个渠道。

This year，All public hospital reform of pilot city all should explore take medicine price adjustment、Health-care reform payment and implement comprehensive measures such as medical liability government policy and linkage，Break up with drug medical mechanism。Will the public hospital compensation by the service charge、Drug bonus income and financial aid three channels to service charges and financial aid two channels。

　　同时，同步推进总额预付、按人头付费、按病种付费等复合支付方式，加强付费总额控制，通过购买服务对医疗机构给予及时合理补偿，引导医疗机构控制成本、规范诊疗行为、提高服务质量。

At the same time，Synchronized advancement total amount paid in advance、On a per head pay、Press disease to pay on composite payment，Strengthen the total pay for control，By purchasing services for medical institutions in time to give reasonable compensation，Guide medical institutions control cost、Diagnosis standard behavior、Improve service quality。

　服务收费调整纳入医保 The service charge adjustment into the medical care

　　卫生部要求各省市降低药品和高值医用耗材价格，降低大型医用设备检查价格，合理提高诊疗费、护理费、手术费等医疗服务价格，体现医疗服务合理成本和医务人员技术劳务价值。调整后的医疗技术服务收费按规定纳入医保支付范围。

Asked by the ministry of provinces and cities and high value lower drug prices of medical consumables，Reduce large medical equipment check the price，Reasonable fee increase、nurse、The prices of medical service operation expenses，Reflect the medical service reasonable cost and medical personnel technical labor value。After the adjustment medical technical service fees according to the regulations into medical insurance pay limits。

　　此外，试点医院将全面推行聘用制度和岗位管理制度，按需设岗、竞聘上岗、按岗聘用、合同管理，建立能进能出、能上能下的灵活用人机制；新进人员实行公开招聘，择优聘用。探索建立理事会等多种形式的公立医院法人治理结构。

In addition，Pilot hospital will the full implementation of the recruitment system and post management system，According to the needs SheGang、Hired mount guard、According to the employment、Contract management，Set up can be hired out、Can the flexible to personnel mechanism；The new employees implement open recruitment，According to hire。Explore the council set up a variety of forms such as public hospital of corporate governance。

　健全医疗责任保险制度 Sound medical liability insurance system

　　试点医院要推进院长专业化、职业化建设。建立完善院长负责制和任期目标责任考核制度，探索建立院长任职资格管理制度，完善院长选拔、任用、考核、薪酬、奖惩等制度。

To promote the specialization of pilot hospital、Professional building。Establish a perfect system and the term goal responsibility assessment system，Explore to establish the management system of qualifications，Perfect selection of、employment、assessment、salary、System of rewards and punishments, etc。

　　卫生部要求全国有条件的三级医院要普遍开展双休日及节假日门诊，全国所有三级医院优质护理服务覆盖60%以上的病房，三级甲等医院实现全院覆盖，60%的地(市)级二级医院和30%的县级二级医院开展优质护理服务。临床一线护士占全院护士比例不低于95%，病房实际护床比不低于0.4:1，工作量大、危重患者多的病房要增加护士配备。

The health ministry says the national conditional level 3 hospital on weekends and holidays to general outpatient service，The national all level 3 hospital nursing quality service to cover more than 60% of the ward，Three level of first-class hospital realize cover partial，60% of the land(city)Level 2 class hospital at the county level and 30% of the second class hospitals provide high quality nursing services。Clinical nurse a line of the whole institutes nurses proportion is not less than 95%，Ward care than actual bed not less than 0.4:1，Workload big、Critical patients more ward to increase with the nurse。

　　此外，建立健全医疗纠纷第三方调解机制和医疗责任保险制度，实现医疗纠纷人民调解制度县级以上全覆盖。

In addition，Set up and perfect the medical dispute mediation in the third party and the medical liability insurance system，Realize medical disputes at or above the county level people's mediation system complete coverage。

公立医院规模不再扩大 No longer expand the scale of public hospital

　　各省(区、市)要修订完善区域卫生规划和区域医疗机构设置规划。每千常住人口医疗卫生机构床位数达到4张的，原则上不再扩大公立医院规模。

provinces(area、city)To revising perfect regional health planning and regional program of the establishment of medical institutions。Per permanent population medical health care institutions to achieve the four tickets，In principle, no longer expand the scale of public hospital。

　　同时，控制中心城区医疗资源增长，控制大型医疗机构单体规模扩张，严格控制建设标准、规模和设备配备。加强薄弱区域和薄弱领域能力建设，大力发展护理院、康复医院等医疗机构。完善中医医院服务体系。

At the same time，The control center city medical resources growth，Control large medical institutions monomer scale expansion，To strictly control the construction standards、Equipped with scale and equipment。Strengthen the weak area and the weak ability construction field，Vigorously develop nursing center、Rehabilitation hospital medical institutions。Perfect service system of traditional Chinese medicine hospital。

　　各级卫生行政部门将次均费用和总费用增长率、平均住院日及药占比等控制管理目标纳入公立医院目标管理责任制和绩效考核范围。加强对费用增长速度较快疾病诊疗行为的重点监控。（晨报记者 徐晶晶）

Public health administrative department at various levels are expenses and total cost ort growth rate、The day in hospital and medicine than the control management target of public hospital management accountability into goals and performance evaluation scope。To strengthen cost growth speed disease diagnosis and treatment of key control behavior。（The morning paper reporter XuJingJing）

链接 link

　　卫生部：“签字不收红包”有必要 health：“Sign not to receive a red envelope”necessary

　　晨报讯(记者 徐晶晶)针对舆论热议的“医患签字不送红包”的规定，卫生部新闻发言人邓海华日前回应称，相关规定还处在征求意见阶段，在解决体制、机制等根本性问题之前，采取一些有效的手段，还是有必要的。

Morning news(Reporter XuJingJing)According to public opinion of hot debate“The doctor-patient signature not give a red envelope”Provisions of the，The health ministry spokesman has said DengHaiHua response，Relevant provisions for advice is still at the stage，In solving system、Mechanism before fundamental problems，Take some effective means，Still are necessary。

　　邓海华近日接受采访时表示，“红包”问题非常复杂，在当前的社会环境下，卫生部一直在加强“红包”的治理。有质疑称该规定是“走形式而已”，医患仅签一个表面性的东西，并不起作用。邓海华说，“在解决体制机制那些根本性问题的同时，或者在这之前，采取一些有效的手段，来进行这样的综合治理，我觉得是有必要的。”他同时表示，《关于加强公立医院廉洁风险防控的指导意见》还在征求意见阶段，卫生部门将广泛吸纳社会各方面意见进一步完善。

DengHaiHua recently interviewed said，“Red envelopes”Problem is very complex，In the current social environment，The health ministry has been strengthened“Red envelopes”governance。Have questioned say the rule is“Gone through the formality”，The doctor-patient only sign a surface of things，Doesn't work。DengHaiHua said，“In solving the fundamental problems mechanism of system at the same time，Or before that，Take some effective means，To conduct such comprehensive treatment，I think it is necessary。”He also said，《On strengthening the public hospital risk control and prevention and guidance》Also in the stage for advice，The health ministry goalkeeper widely absorbs various social opinion further perfection。