看病费用如何降低 How to reduce the cost to see a doctor

　　看病贵、费用高，新制度能否真正斩断药品流通领域的利益链？药品价格还有哪些不合理？新农合制度落实的难处在哪里？由中宣部理论局与中央电视台财经频道联合制作的大型理论宣传片《辩证看务实办 理论热点面对面·2012》，8月15日在中央电视台财经频道播出第三集，聚焦看病难、看病贵，答疑解惑。

The doctor your、The high cost of，The new system can truly take drugs circulation field interests chain？The price of drugs and what is not reasonable？New farmers joint system implement difficulty in where？By the propaganda department of finance and economics theory with the central television channel joint production of large theory promotional material《Dialectical see practical do theoretical hot · 2012 face to face》，August 15, in the China central television broadcast the financial channel the third set，Focusing see a doctor difficult、The doctor your，unriddling。

　　在老百姓不断上涨的看病账单中，药费是其中最大的推动因素。据卫生部的统计，2011年，门诊病人的平均花费为179.8元，住院病人的平均花费为6632.2元，按当年价格分别比上年上涨了7.8%和7.1%。

In the common people to see a doctor of rising in the bill，Medicine is one of the biggest push factor。According to the ministry of health statistics，In 2011,，Outpatient spend an average of 179.8 yuan，Hospital patients spend an average of 6632.2 yuan，According to the current prices than last year were up 7.8% and 7.1%。

　　药费的推动力到底有多大？一位医药界的内部人士向记者爆料：药品价格和成本之间存在着巨大的反差。中华医学会党委书记饶克勤指出，药品从生产、流通，到销售，再到使用，都存在着诸多问题，涉及深层次利益链。

How much is the driving force of expenses for medicine？A pharmaceutical industry insiders' support to the reporter：The price of drugs and cost exists between the huge contrast。The Chinese medical association secretary of the party committee RaoKeQin pointed out，Drugs from production、circulation，To sales，To use，There are many problems，Deep interest in chain。

　　既然深层次利益链条是推高药价的主因，治理看病贵，就要直接向药价背后的利益链条开刀。2011年3月7日，国家发改委再出重拳整顿药价，降低了治疗感染和心血管疾病的抗生素等162个品种药品的最高零售价，调整后的价格比现行规定价格平均降低21%，预计每年可减轻群众负担近100亿元——这是从1997年开始的第27次降低药价。在今年5月1日的第29次药品降价中，平均降幅17%，其中高价药品平均降22%，预计每年可以让老百姓少花费30多亿元。

Since the deep interest chain is the major cause of pushing up prices，Management the doctor your，Prices will directly to the interests behind chain operation。March 7, 2011，The national development and reform commission to punch out the prices，To reduce the infection and treatment of cardiovascular disease such as antibiotics 162 varieties of drugs highest retail price，After the adjustment of the prices of the current regulation price average 21% lower，Every year is expected to can reduce the burden of nearly 10 billion yuan - this is starts from 1997 27th lower drug prices。On May 1, the 29th time in drug price，The average was 17%，The high drug average drop 22%，Every year is expected to can make people more than 30 less cost one hundred million yuan。

　　除了运用行政手段降药价，新的医改方案也正在从机制上进行釜底抽薪式的改革，以斩断以药养医这个“层层加码、利益均沾”的利益链条。与此配套的还有建立国家基本药物制度，提高医保报销比例，整顿药品流通秩序，公立医院“试水”医药分开等全方面的改革。

In addition to use administrative means drop prices，The new medical reform scheme is also from mechanism on the reform of the FuDeChouXin type，To take medicine to keep medical this“Layer upon layer pyramid、Participation of interests”Interests chain。And the matching and the establishment of a national system for basic drugs，To improve medical insurance reimbursement ratio，Rectify the medicine circulation order，Public hospital“Test the waters”Medicine such as separate all aspects of reform。

　　山东省卫生厅副厅长李仲军说，实施基本药物制度以来，为群众节约药费22亿元，门诊费用下降了35.71%，住院费用下降了30%多。

Shandong provincial health bureau deputy director LiZhongJun said，Since the implementation of essential drugs system，For the masses to save medicine fee is 2.2 billion yuan，Outpatient expenses dropped 35.71%，Hospital cost dropped by more than 30%。

　　安徽省芜湖市第二人民医院负责人告诉记者，从去年10月起，芜湖市16家公立医院全面取消15%的药品加成，在全国率先实行药品“零差价”销售。既要让药价降下来，又要让医务人员的待遇和医疗服务水平提高，医改表面看起来是医院的事情，但实际上是各方利益的再调整。卫生部部长陈竺指出，公立医院改革是一个艰难的进程，因为它要面对的是多年来体制和机制形成的利益死结，需要用强大的制度性举措加以突破。

Anhui wuhu second people's hospital person in charge told reporters，Since last October，Wuhu 16 public hospital comprehensive cancel 15% of drug addition，In the national take the lead in implementing drug“Zero spread”sales。Should let prices down，And let the medical staff treatment and medical service level to improve，The surface looks medical reform is hospital of things，But in fact is the interests readjustment。The ministry of health minister Outlines points out，Public hospital reform is a difficult process，Because it is to face the years system and formation mechanism of the interests of the fast knot，Need to use powerful institutional measures to break through。

　　公立医院改革主要选取县级医院作为突破口。目前已在全国300多个县进行试点，约占全国的1/8，这样的比例和规模也显示出中国全面推进医改的力度和决心。

Public hospital reform main selection hospital as a breakthrough at or above the county level。At present more than 300 counties in the country has a pilot project，About 1/8 of the whole country，Such proportion and scale also shows that China's reform, comprehensively promote the strength and determination。

　　如何保证广大农民能够看得起病，是衡量我国医改效果的一个非常重要的指标。2011年，新农合、城镇职工医保和城镇居民医保这三项基本医疗保障制度已经覆盖全国95%以上的城乡居民，构建起世界上最大的基本医保网。从2003年到2011年，全国累计46.7亿人次得到新农合补偿，共补偿资金5073亿元。

How to guarantee the farmers can respect disease，It is to measure the effect of reform in China is a very important index。In 2011,，New farmers joint、Town worker medical insurance and medical insurance for urban residents that three basic medical security system has covered the whole country more than 95% of the urban and rural residents，Build up the world's largest basic medical insurance network。From 2003 to 2011，A total of 4.67 billion people to get new farmers joint compensation，A total of compensation funds 507.3 billion yuan。

　　在新医改方案实行的3年后，我国深化医药卫生体制改革的框架已经初步形成。可以想见，经过不懈的努力，一定会为医改这一世界性难题，探索出中国式的解决办法。 (本报记者 杨亮整理)

In the new medical reform plan implement three years later，In the deepening of the reform of medical care system framework has been initially formed。Can see，Through unremitting efforts，Will cure for a worldwide problem，Explore Chinese solution。 (Our reporter YangLiang finishing)