在今天上午举行的深化医药卫生体制改革新闻发布会上，市发改委有关负责人表示，朝阳医院9月1日开始试点医药分开，这是本市第二家试点。

This morning in a deepening medical health system reform news conference，Municipal development and reform commission officials said，Chaoyang hospital on September 1, start pilot medicine apart，"This is the second home pilot。

　　据友谊医院理事长刘建介绍，该院率先试点“医药分开”一个多月来，医院运行平稳，社会反响良好。医药分开后，门诊患者次均医疗费用从439.80元下降到427.11元，减少了12.69元；门诊患者次均药费从309.77元下降到250.65元，减少了59.12元；医保患者自付部分从175.78元下降到105.51元，减少了70.27元(39.98%)。同时，医院收益率明显提升，医务人员积极性明显提升，患者满意度提升。医院从“卖药”转变为“卖服务”，补偿机制转变；大处方、过度用药得到有效控制；医事服务费发挥价格杠杆作用，患者就医习惯改变，专家号好挂了。

According to the friendship hospital director liu is introduced，Hospital takes the lead in pilot“Medicine separate”More than a month，Hospital smooth operation，Social repercussions good。Separated medicine，Clinic patients second all medical expenses from 439.80 yuan down to 427.11 yuan，Reduce the 12.69 yuan；All expenses for medicine clinic patients time from 309.77 yuan down to 250.65 yuan，Reduce the 59.12 yuan；Since medical insurance patients pay part from 175.78 yuan down to 105.51 yuan，Reduce the 70.27 yuan(39.98%)。At the same time，Hospital yields significantly improve，Medical staff enthusiasm enhanced，Patient satisfaction ascension。Hospital from“Sell medicine”into“Sell service”，Compensation mechanism transformation；DaChuFang、Excessive medication effectively control；Medical service charge play price leverage，Patients go to a doctor habits change，ZhuanGuHao good hanged。

　　市发改委相关负责人韩晓芳介绍，此次推进的公立医院改革是一项综合性改革，第一批选取友谊、朝阳、同仁、积水潭、儿童5家医院分三类开展改革试点，目前5家试点医院改革进展顺利。

The relevant person in charge of municipal development and reform commission (NDRC) HanXiaoFang is introduced，The propulsion of public hospital reform is a comprehensive reform，The first selection of friendship、chaoyang、colleagues、Ji shui tan、Children 5 hospitals can be divided into three groups to carry out the pilot reform，At present five pilot hospital reform goes well。

　　法人治理运行机制在友谊医院、朝阳医院和儿童医院试点，目前友谊医院和朝阳医院都成立了理事会，产生了新的院长执行团队。下一步医管局将建立监事会，向医院派驻监事，委任医院总会计师，形成医院法人治理结构。

Corporate governance mechanism in the friendship hospital、Chaoyang hospital and children's hospital pilot，At present the friendship hospital and chaoyang hospital are established council，Produce the new dean executive team。The next step was will establish the board of supervisors，To the hospital accredited supervisors，Appointed hospital chief accountant，Form the hospital corporate governance structure。

　　医保付费调节机制在友谊、朝阳、积水潭、同仁医院试点，包括总额预付和按病种分组付费。目前试点工作已经取得初步成效，今年上半年，总额预付试点医院门诊次均费用同比下降3.8%、15元(其他三级医院同比上升1.8%、7.5元)，住院次均费用同比下降8.3%、1384元(其他三级医院同比上升2.9%、552元)。

Medical insurance pay adjustment mechanism in friendship、chaoyang、Ji shui tan、Tongren hospital pilot，The total including advance and press disease to pay packet。At present the pilot work has achieved initial results，In the first half of this year，The total advance pilot hospital outpatient service second all expenses 3.8% year-on-year drop、15 yuan(Other tertiary hospital up 1.8%、7.5 yuan)，Hospitalization time cost were 8.3% year-on-year drop、1384 yuan(Other tertiary hospital up 2.9%、552 yuan)。

　　财政价格补偿调控机制改革试点工作在5家试点医院同时推进。下一步，还要继续推进药品、耗材流通领域改革，探索建立联合招标和价格谈判机制，努力挤出不合理的价格水分，同时通过发展现代物流配送，进一步压缩流通费用，降低药品和耗材价格。

Financial price compensation regulation mechanism reform pilot work in five pilot hospital at the same time promote。The next step，Continue to promote drug、Material circulation field reform，Explore a joint bidding and price negotiation mechanism，Efforts to squeeze out the unreasonable price moisture，At the same time, through the development of modern logistics and distribution，Further compression circulation costs，Lower drug prices and consumables。

　　在创新服务模式方面，将探索建立治疗、康复、护理有序衔接的服务体系，降低平均住院日，缓解大医院住院难。

In the innovation service pattern，Will explore set up treatment、rehabilitation、Nursing orderly cohesion service system，Reduce the average day in hospital，Ease the large hospital difficult。

　　三问医院理事会 Three ask the hospital council

　　朝阳医院和友谊医院率先设立理事会 Chaoyang hospital and the friendship hospital set up a board of trustees

　　医院理事会是干啥的？ Hospital council is stem what of？

　　从上个月开始，朝阳医院和友谊医院在全市率先设立了理事会，这是本市深化公立医院改革的重要举措——进行公立医院法人治理结构改革试点。医院里“拿主意”的不是院长，而是理事会；医院里“办事”改为执行院长；此外，还有监事会来监督。

Since last month，Chaoyang hospital and friendship hospital in the city has set up the board of directors，"This is the deepening of the reform of public hospitals are important measures - public hospital corporate governance structure reform pilot。hospital“decide”Is not the President，But council；hospital“work”To executive director of；In addition，And the board of supervisors to supervise。

　　理事都是什么人？ Directors are what person？

　　今年7月5日，朝阳医院在全市率先组建理事会。7月16日，友谊医院理事会正式成立。记者了解到，理事们不都是“自家人”，还多了数位外部理事。两家医院的内部理事均由理事长、执行院长、职工代表、专家代表等组成，外部理事则由不同类型服务对象代表组成。理事数量多少，由医管局根据医院发展需要和医院推荐理事人选情况来确定。目前朝阳医院理事会7人，由4名内部理事和3名外部理事构成；友谊医院理事会9人，由5名内部理事和4名外部理事构成。

This year on July 5,，Chaoyang hospital in the city council takes the lead in form。July 16,，Friendship hospital council formally established。The reporter understands，Directors are not“by”，Also has digital external directors。Two hospitals internal directors are the chairman、Executive director of、Worker delegate、Experts on behalf of, etc，External directors by the different types of service object representatives。Number of how many，The hospital authority according to hospital development needs and hospitals recommend director candidate situation to determine。At present chaoyang hospital council 7 people，The four internal directors and three external directors composition；Friendship hospital board 9 people，The five internal directors and four external directors composition。

　　朝阳医院的4位内部理事包括理事长封国生，执行院长陈勇，专家代表杨新春，以及职工代表，聘任了梁铭会、郑雪倩、邢平芳3名外部理事。他们的职业分别是大学教授、律师和社区工作者。邢平芳是呼家楼街道工委书记，也是朝阳医院的患者，去年曾经在朝阳医院做过手术。

Chaoyang hospital four internal directors including chairman seal kingdom was born，Executive director Chen yong，Experts YangXinChun representative，And worker delegate，The appointment LiangMing will、ZhengXueQian、XingPingFang three external directors。Their career respectively is university professor、Lawyers and community worker。XingPingFang is HuGuLou street working committee secretary，Chaoyang hospital and patients，Last year once in chaoyang hospital for surgery。

　　友谊医院内部理事包括理事长、执行院长、副院长、工会负责人及专家代表5人；外部理事由社区居民代表、管理学者、律师、媒体记者4人组成。

Friendship hospital internal directors including chairman、Executive director of、Vice President、Union officials and experts on behalf of five people；External directors by the community resident representative、Management scholars、lawyer、Media reporters of four people。

　　外部理事拿多少钱？ External directors take how much money？

　　这些外部理事一个月能挣多少钱？对此，市医管局局长方来英表示，外部理事作为服务对象代表，“零薪酬履职。”方来英表示，实行零薪酬主要是想尽可能保持外部理事的相对独立，防止因拿薪酬削弱独立性，从而形成医院内部封闭控制的局面。外部理事从不同角度不同层面反映社情民意，不仅积极履职参与理事会决策，而且站在市民老百姓角度审视和监督医院管理运行，认真建言，是促进医院协调发展的外部动力。

These external director a month can earn much money？this，City hospital authority chief party to the said，External directors as the service object representative，“Zero salary resumption。”Party to the said，Implement zero salary is mainly want to do everything possible to keep the external director of relatively independent，Prevent for take salary weaken independence，Thus forming hospital internal closed control situation。External directors from different fields and different levels reflect public opinion，Not only actively resumption to participate in the council decision，And stand in the citizen people perspective and supervision and hospital management operation，"Seriously，The hospital is to promote the coordinated development of the external power。

　　理事会到底干些啥？ The council exactly stem what？

　　市医管局局长方来英介绍，朝阳、友谊两家医院理事会的组建运行以来，初步实现了预期目标，医院的决策机制正在发生着三个转变：

City hospital authority chief party to the introduction，chaoyang、Friendship two hospitals established since the operation，Preliminary achieve the expected goal，The hospital decision-making mechanism is undergoing three transformation：

　　一是决策主体的转变，由相对单一到结构多元，更为突出民主。无论是内部理事还是外部理事，都体现了多元这个特点，打破了以往决策主体多为医院领导班子的单一结构。二是决策模式的转变，由相对封闭到主动开放，更为突出协调。三是决策立场的转变，由聚焦医院发展，到综合考虑政府、群众、医院、医护人员等各方面利益，更为突出公益。

One is the change of main body of the decision-making，The relative single to multiple structure，Is more outstanding democratic。Whether internal directors or external directors，Reflect the multiple this feature，Broke the past of decision-making for the hospital leadership single structure。The second is the change of decision model，The relative closed to active open，Is more outstanding coordination。The third is the change of position decision，By focusing on the hospital development，To comprehensive consideration of the government、masses、hospital、Medical personnel and so on various aspects interests，Is more outstanding public。

　　听听他们怎么说 Listen to what they say

　　理事长、外部理事、执行院长…… chairman、External directors、Executive director of...

　　医院“新人”怎么做？ hospital“new”How to do？

　　朝阳医院和友谊医院设立理事会后，理事长、外部理事、执行院长成了医院的“新人”。他们对自己的新身份有什么理解？将怎样履行新职务？

Chaoyang hospital and friendship hospital after the establishment of the council，chairman、External directors、Executive director of a hospital“new”。In their new identity have what understand？How will the new performance of duties？

　　理事长说—— Chairman said --

　　更多考虑医院公益性 More consideration to public hospital

　　朝阳医院理事长封国生：公立医院法人治理结构承载的是政府赋予的公益性使命，要平衡政府、医生、患者三方的利益关系，要更多考虑医院公益性。

Chaoyang hospital director seal kingdom was born：Public hospital corporate governance structure bearing is given by the government commonweal mission，To balance the government、The doctor、Patients in the interests of the tripartite relationship，More consider public hospital。

　　友谊医院理事长刘建：要充分发挥外部理事对整个决策过程及执行过程监督与评价的作用。拟向全院职工及社会公开外部理事的联系方式。

Friendship hospital director liu：To give full play to the external director for the whole decision-making process and execution supervision and evaluation function。To plan and partial worker social public external directors contact information。

　　外部理事说—— External directors said --

　　广泛听取意见建议 Widely listen to opinions suggest

　　友谊医院外部理事强本：我今年63岁，是国企退休职工，也是友谊医院的一位慢病患者。今后将广泛听取社会各界对医院发展建设的意见和建议，及时向医院理事会反馈，搭建医院与社会各界沟通的桥梁。

Friendship hospital external director of the strong：I am 63 years old，Is the retired worker，Friendship hospital is a slow patients。The future will be widely listen to the social from all walks of life to hospital development opinions and Suggestions，Timely feedback to the hospital council，Build hospital and the social from all walks of life's bridge of the communication。

　　执行院长说—— Executive director said --

　　更强调执行能力办事能力 More emphasis on ability to execute the power to do

　　朝阳医院执行院长陈勇：与改革前的院长有着显著的三点变化：一是从过去既管决策又管执行转变为参与决策、重在执行。二是不能像过去那样只考虑医院的发展和利益，必须兼顾好医院、医务人员和社会、患者等各方的利益。三是与过去的院长相比，法人治理下的医院对执行院长的经营意识和经营能力有更高的要求。

Chaoyang hospital executive director Chen yong：And before the reform is a significant change of the three：From the past a both tube and tube execution decision into to participate in making decisions、Focuses on execution。2 it is not like they did in the past, only consider the hospital development and interest，Must give attention to two or morethings good hospital、Medical staff and social、The patient and the interests of all parties。The third is the director of the past and compared，Under the corporate governance of hospital executive director of the management consciousness and capacity have higher requirements。

　　友谊医院执行院长辛有清：将把握执行院长定位，强化组织执行力。在理事会的领导下，执行理事会的决议，负责医院日常运行管理。贾晓宏

Friendship hospital executive director of symplectic has clear：Will grasp the executive director of positioning，Strengthening organization executive power。Under the leadership of the council，The resolution of the executive board，The hospital is responsible for the daily operation management。JiaXiaoHong