公立医院“医药分开”改革“满月”财政依然零投入 Public hospital“Medicine separate”reform“Full moon”Financial still zero investment

医院抱怨“收入减少”患者声称“没有感觉” Hospital complaining of“Income decrease”Patients said“Don't feel”

　　8月，深圳市公立医院“医药分开”改革“满月”。虽然大部分的患者还不能明显感觉到医药分开改革后看病费用的减少，但是，昨日深圳市卫生和人口计划生育委员会公布的数据显示，老百姓的门诊费用的确降了：全市67家公立医疗机构每门诊人次费用196.2元，下降4.0元，其中药费74.6元，下降10.8元；569家政府办社康中心每门诊人次费用55.9元，下降3.5元，其中药费34.9元，下降6.3元。

August，Shenzhen public hospital“Medicine separate”reform“Full moon”。While most of the patients also can't feel medicine after the reform of the cost of a doctor separate decrease，but，Shenzhen yesterday of health and population and family planning commission figures show，Common people's outpatient service cost down：The city's 67 public medical agency cost 196.2 yuan per outpatient service people，Fell 4.0 yuan，Including expenses for medicine 74.6 yuan，Fell 10.8 yuan；569 the government health center every home club subjects were cost 55.9 yuan，Fell 3.5 yuan，Including expenses for medicine 34.9 yuan，Fell 6.3 yuan。

　　药品加成取消后，各公立医院的收入有所下降。尽管从7月21日起，深圳已经通过提高门诊和住院诊查费的方式来补偿医院药品收入减少的损失，但仍是“得不偿失”。一些医院开始给医务人员打气，下半年要“勒紧裤带”过日子。深圳“医药分开”改革已经实施了一个月，政府财政还是零投入，也未建立起合理的补偿机制，这让改革的前景看起来仍然很迷茫。

Drug bonus cancelled，The public hospital income fell。Although from July 21,，Shenzhen has already by improving the outpatient service and examined in the way to compensate for the loss of income decrease the hospital drugs，But is still“The loss outweights the gain”。Some hospital began to medical staff morale，To the second half“tighten”live。shenzhen“Medicine separate”Reform has been carried out for a month，Government financial or zero investment，Also not establish reasonable compensation mechanism，It makes the prospect of reform still looked very confused。

次均诊疗费用下降4元用药过度得到遏制 Second all drop $4 medicine diagnosis and treatment cost excessive contained

　　7月1日起，深圳正式启动“医药分开”改革，全面取消公立医院药品15%—25%的加成。7月21日实施第二步改革，提高各公立医院门诊诊金和住院诊查费的标准，门诊诊金每人次平均提高12元，住院诊查费每人次平均提高37元，以此作为对医院取消药品加成的补偿，社会医疗保险统筹基金承担深圳医保参保人群增加部分的费用，非医保人群自己埋单。

July 1,,，Shenzhen official start“Medicine separate”reform，Abolish all public hospital drugs 15%-25% of the bonus。On July 21, the implementation of the second step reform，Improve in all public hospital outpatient service and be in hospital ZhenJin examined the standard fee，Each time ZhenJin outpatient service an average of 12 yuan，Hospital fee per each effective improve the RMB 37，As to the hospital to cancel the drug bonus compensation，Social medical treatment is sure to plan as a whole fund bear shenzhen medical insurance ginseng protect people increase of cost，The health care bill crowd themselves。

　　深圳市卫人委表示，“医药分开”改革实施一个月来，全市67家公立医疗机构运行平稳，市民普遍得到实惠，次均诊疗费用和次均药品费用下降，遏制过度医疗的作用逐步显现。最新公布的数据显示，7月份与6月份相比，67家公立医疗机构每门诊人次费用196.2元，下降4.0元，环比降幅2.0%；其中药费74.6元，下降10.8元，环比降幅12.7%。569家政府办社康中心每门诊人次费用55.9元，下降3.5元，降幅6.0%；其中药费34.9元，下降6.3元，降幅15.2%。

Shenzhen health people committee said，“Medicine separate”Reform to carry out a month，The city's 67 public medical institutions smooth operation，Citizen common benefit，Second all cost and time of diagnosis and treatment are drug costs down，Curb excessive medical role gradually appear。The latest figures show，In July compared with June，67 home public medical institution cost 196.2 yuan per outpatient service people，Fell 4.0 yuan，Month-on-month decline of 2.0%；Including expenses for medicine 74.6 yuan，Fell 10.8 yuan，Month-on-month decline of 12.7%。569 the government health center every home club subjects were cost 55.9 yuan，Fell 3.5 yuan，Decline of 6.0%；Including expenses for medicine 34.9 yuan，Fell 6.3 yuan，Decline of 15.2%。

　　“医药分开”改革的一降一升，实际受惠最大的应该是有深圳市医保的就医人群。市卫人委指出，由于医保统筹基金承担有深圳医保的就医人群的诊疗费提高部分，那么，对于这部分就医人群来说，实际上相当于每诊疗人次个人账户支付费用减少12元。

“Medicine separate”Reform a drop a litre，The actual benefit from the biggest should have the following medical treatment of medical insurance crowd。The committee pointed out that people who，Because of medical insurance plan as a whole fund takes responsibility for the medical insurance in shenzhen of medical treatment fee increase part of the crowd，so，For this part for people who go to a doctor，In fact is equivalent to each individual account pay for diagnosis and treatment people reduce 12 yuan。

　　由于药品加成的取消，医院过度用药也逐步得到遏制。7月份与6月份相比，67家公立医疗机构药品收入占业务收入比例(“药占比”)下降2.4个百分点。每百人静脉输液量环比下降20.7%，百人抗菌药物使用量同比下降2.2%，全市社康中心百人输液量同比下降16.3%，百人抗菌药物使用量同比下降9.8%。

Due to the cancellation of the drug bonus，The hospital excessive drug is also gradually contained。In July compared with June，67 home public medical institution of drug income business income proportion(“Medicine accounted for more than”)Down 2.4%。Every one hundred intravenous infusion of annulus comparing fell 20.7%，One hundred people use antimicrobial 2.2% year-on-year drop，The club kang center one hundred infusion of 16.3% year-on-year drop，One hundred people use antimicrobial 9.8% year-on-year drop。

　　记者走访医院发现，大部分患者对改革后费用变化的体会仍不是很明显，似乎“没有感觉”。“看到医院物价表上标明药品价格降低了，但是感觉收费单上收的钱没有少。”在深圳北大医院就诊的一位患者如是说，“虽然没有了药品加成，但是诊金提高了10多元，这要买近100元的药才能划得来。”

The reporter found hospital visit，The majority of patients after the reform of the cost of change is not very obvious experience，Seems to“Don't feel”。“See the hospital price list price down mark the......，But feel bill taxes money no less。”In the hospital following a patient said，“Although no bonus to drugs，But ZhenJin increased 10 yuan，The nearly 100 yuan to buy the medicine can worth it。”