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深圳卫人委主任:改革使医生收入下降是误解--亲稳网络舆情监控室
2012-08-12
深圳公立医院改革正在推进,有医生反映改革后医护人员收入下降了!对此,8月11日在广州参加活动的深圳卫人委主任江捍平接受记者采访时回应说,这可能是某些医生对改革的误解和担忧,其实并不属实,改革是综合推进的,医生的收入不会下降还会适当提高。
Shenzhen public hospital reform is advancing,A doctor after the reform of medical personnel reflect incomes have declined!this,August 11, in guangzhou to attend the activities of the shenzhen people who JiangHan flat, director of the committee when accepting a reporter to interview response said,This may be some doctors to reform misunderstandings and worried,Actually not true,Reform is a comprehensive push for,The doctor's income won't drop will also improve appropriate。
“目前深圳医改还是比较顺利的。”江捍平介绍,经过一个多月40多天的实践,现在有几个“降低”:一是患者每次就医的费用下降;二是患者看病费用中药品费用比重降低;三是所有公立医院门诊的输液量减少了,环比下降量在20%以上,抗生素用量也下降了2.2%。
“At present the cure of the shenzhen or go smoothly。”JiangHan introduced flat,After more than a month more than 40 days of practice,There are some“reduce”:One is the cost of medical patients every drop;2 it is to see a doctor in patients with cost drug expenses density lowered;Three is all public hospital outpatient service of the reduction of the infusion,Annulus comparing the loss of more than 20%,Antibiotic dosages have declined 2.2%。
最近有公立医院医生反映,深圳医改导致医生收入下降。对此江捍平表示,这可能是个误解。“改革后的工资还没发下来,怎么知道下降了,这可能只是对改革的一种担心罢了。”他说,改革是有配套措施的,取消了药品加成并不意味着医院收入会下降,还会有配套措施补足差额。
Recent public hospital doctors reflect,Shenzhen led to doctors cure of income decline。This JiangHan ping said,This may be wrong。“After the reform of the salary has not been sent down,How can anyone know down,This might be just a worry to reform it。”He said,Reform is a supporting measures,Cancel the drug addition does not mean that the hospital income will decline,Will also have the corresponding measures to pay for the balance。
之所以有医护人员对改革表示担心,是因为目前改革中政府补贴还没到位。对此江捍平说,深圳公立医院改革有个“1+6”方案,一方面取消药品加成,同时建立补偿机制,“这个非常明确”。补偿机制包括三个方面:一是有平移机制,取消药品加成的费用转变为适当提高医生诊疗费;二是财政兜底,补贴差额;三是提高医保报销比例,让老百姓也受惠。
A medical personnel concerned to reform,Because current reform of government subsidies are not being met。This JiangHan ping said,Shenzhen public hospital reform a“1 + 6”scheme,On the one hand bonus cancelled drugs,And establish compensation mechanism,“This is very clear”。Compensation mechanism includes three aspects:The first is the translation of the mechanism,The cost of the bonus cancelled drugs into an appropriate increase doctor fee;2 it is fiscal out,Subsidies difference;Three is to improve the health care reimbursement ratio,Let people also benefit。
“我们的方案都做好了,现在等待市长批复。”江捍平说,平移机制按照“总量控制、结构调整”原则,取消加成多少就提高多少医生诊疗费,等于钱还是这么多,医院钱不够再靠财政补。“当然财政补要看工作量,工作量多的就补得多,工作量少的就补得少,这鼓励大家多干活,干好活,多劳多得。”
“Our programs are ready,Now wait for reply to the mayor。”JiangHan ping said,Translation mechanism according to“Total amount control、Structure adjustment”principle,How much will improve the bonus cancelled how much the doctor fee,Is money or so much,The hospital again for enough money by finance。“Of course the financial fill to see workload,The workload is more for more,The less workload is make less,This encourages everybody to do the work,Stem to live,More gain for more pay。”
“改革后医务人员的收入会有提高,至少不会下降。”江捍平举例说,深圳市公立医院一年的药品加成收入大概有6个亿,这6个亿虽能增加医院收入,但实行的是收支两条线,不计入医护人员收入分配。而改革后“平移”出的诊疗费就可计入分配,对医护人员积极性提高大有好处,同时患者负担也没增加。(夏杨、金秋、黄晓灵)
“After the reform of the income of the medical staff will have improved,At least not decline。”JiangHan flat for example,Shenzhen public hospital a year of drugs about 6 bonus income to,This 6 May increase the hospital income,But the practice is income and expenses two line,Not included in the medical staff income distribution。After the reform and“translation”The fee will be included in the distribution,Enthusiasm for health workers improve a lot of good,At the same time patients didn't increase the burden。(XiaYang、autumn、HuangXiaoLing)
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