北京朝阳医院回应医药分开改革热点：如何管理医院用药行为？ Beijing chaoyang hospital respond to medical separate reform hot spot:How to manage the hospital drug behavior?

　　9月1日，北京市朝阳医院东西院区同时实施“医药分开”改革。作为北京市第二家“医药分开”改革试点医院，朝阳医院的改革再次引起社会各界和网友广泛关注。“医药分开”试点工作有哪些特点，将为患者带来怎样的医疗服务？针对网友关心的话题，近日，新华网《第一回应》栏目记者采访了朝阳医院理事长封国生、执行院长陈勇及北京市医改办主任韩晓芳。

On September 1,,Beijing chaoyang hospital finish things at the same time implementation"Medicine separate"reform.As the Beijing second home"Medicine separate"Pilot reform of hospital,Chaoyang hospital reform has again raised the social from all walks of life and net friend's attention."Medicine separate"What are the characteristics of the pilot work,Will bring for patients to medical service?According to the net friend about the topic of,recently,xinhuanet[First response]The reporter interviewed columns to chaoyang hospital director seal kingdom was born/Executive director Chen yong and medical director of the Beijing do HanXiaoFang.

　　据了解，与北京市友谊医院一样，朝阳医院全部药品按进价销售，取消挂号费、诊疗费，分别收取42元、60元、80元、100元不等的医事服务费。但是由于医疗运行数据差异，朝阳医院也根据自身特点采取不同措施进行试点工作。

It is understood,And as Beijing friendship hospital,Chaoyang hospital all drugs according to the purchase price, sales,Cancel the registration fee/fee,Collect 42 yuan respectively/60 yuan/80 yuan/Differ 100 yuan medical service charge.But because of medical operation data difference,Chaoyang hospital also according to their own characteristics to take different measures to pilot work.

如何应对门急诊量增加？ How to deal with the door curves increase?

　　朝阳医院理事长封国生介绍，朝阳医院作为北京特大型三级甲等综合医院，连续几年门急诊量位于北京之首，2011年门急诊量未达到323万余人次，门急诊接待能力已近饱和。

Chaoyang hospital director seal countries introduced born,Chaoyang hospital as Beijing large three level of first-class comprehensive hospital,Continuous years door of curves is located in Beijing,2011 door curves have not reached more than 3.23 million people,This reception capacity already nearly saturated.

　　有网友担心取消药品加成后药费降低，有可能带来医院看病人次的增高，导致门急诊量出现饱和状态。对此，封国生坦言：“朝阳医院医疗服务接纳能力面临比友谊医院更加严峻的考验。”他介绍，面对可能出现的情况医院已采取应对措施，9月1日试改当天医院已在普通号不限号的基础上增加了1320个号源并增加医务人员50多人。

Netizens worry cancel after drug addition to reduce expenses for medicine,May bring people to a higher hospital,Lead to door curves appear saturation state.this,Seal countries born said:"Chaoyang hospital medical service acceptance ability than friendship hospital face more severe test."He introduced,Faced with the possibility of the case hospital has taken measures,On September 1, to test the hospital has set up a file in the ordinary number on the basis of unlimited number increased by 1320 a number source and increase medical staff more than 50 people.

　　朝阳医院执行院长陈勇也表示，医院根据各科室需要，已设立门诊患者人数警戒线。如果各别科室患者数量激增，超过预设患者人数，医院将停止此科室挂号。将患者分流到当天下午或者第二天就诊。

Chaoyang hospital executive director Chen yong also said,The hospital according to each department needs,Has established a number of out-patients line.If the individual number of people with department surge,More than the default number of patients,The hospital will stop this department registered.Patients will be split to in the afternoon or the next day to see a doctor.

如何对医务人员用药进行管理？ How to use medical personnel management?

　　封国生介绍，医改之后，朝阳医院将试点重点放在合理用药、消除大处方、滥用药方面。将设置奖惩措施对医务人员用药进行管理。

Seal countries introduced born,After reform,,Chaoyang hospital will pilot emphasis on rational drug use/Eliminate DaChuFang/In drug abuse.Will set up rewards and punishments measures of medical personnel management of drug.

　　朝阳医院实施的措施分别是，将对科室用药动态监测，设立不合理用药警示机制，对未完成次均费用、次均药费和药占比控制指标的科室给予警告与处罚；采用不合理用药公示机制，对开“大处方”和不合理用药的医生实施严厉的处罚，直至暂停其处方资格；严格纪检部门对用药量超常的医生、使用数量异常增高的药品厂商进行诫勉谈话制度；统一临床合理用药标准，对医保患者与非医保患者，按统一尺度用药管理。

Chaoyang hospital implementation measures are respectively,To use dynamic monitoring department,Don't set up rational drug use warning mechanism,Have not finished second all expenses/Second all expenses for medicine and medicine of ratio control index of the department shall be given a warning and punishment;To adopt a rational drug use public mechanism,split"DaChuFang"And don't rational drug use doctor implementation of severe punishment,Until suspended its prescription qualification;Strict discipline inspection departments to exceed constant exposure leels of the doctor/Use quantity higher drug manufacturers to JieMian conversation system;Unified standard clinical rational drug use,Medical insurance to patients and the health care patients,According to the unified scale drug management.

　　“‘医药分开’改革也是利益机制改革，加强合理用药也是通过制度与利益制度规范医疗行为。”朝阳医院执行院长陈勇说。

"‘Medicine separate’Reform is also the benefit mechanism reform,Strengthen the rational drug use is through the system and benefit system regulating medical behavior."Chaoyang hospital executive director Chen yong said.

　　据了解，朝阳医院除了对医务人员医疗服务有奖惩制度以外，为了能够增强患者合理用药认识，朝阳医院组织药师咨询队伍，通过设立咨询服务窗口、开通药师博客为患者合理用药提供咨询平台。此外，朝阳医院还将对患者满意度进行重点考核，患者满意度未达标的，医院将对科室所有医务人员和科主任进行处罚。

It is understood,Chaoyang hospital in addition to medical staff medical service outside rewards and punishment system,In order to be able to enhance patients know the rational use of drugs,Chaoyang hospital pharmacists organization consulting team,Through the establishment of advisory services window/Open pharmacists blog for rational drug use in patients with consulting platform.In addition,Chaoyang hospital will be focused on patient satisfaction assessment,Patient satisfaction bolo's,The hospital will be to department all medical personnel and department director shall be punished.

　　“通过强化激励约束机制，鼓励医务人员努力夸大优质医疗服务，并获得阳光收入，确保患者用药负担，保障患者用药安全。”封国生说。

"By strengthening the incentive and restraint mechanism,Encourage medical personnel to exaggerate the high quality medical service,And get sunshine income,Ensure that patients use burden,Ensuring patients medication safety."Seal countries student said.

为何收取医事服务费？ Why collect medical service charge?

　　记者9月1日在朝阳医院门诊大厅观察到，患者挂号时向医务人员咨询最多的问题是“医药分开”后，为何收取医事服务费，并且费用价格较高，对此，北京市医改办主任韩晓芳表示，此前近两个月的友谊医院试点已经获得明显成效，挂取专家号的门诊量已经明显下降，“以前都盲目挂专家号，现在专家看的都是真正需要看专家号的患者，设置医事服务费后可以合理的引导患者就医。”

Reporters on September 1, in chaoyang hospital outpatient service hall observed,When patients registered to medical staff consulting most the problem is"Medicine separate"after,Why collect medical service charge,And the cost price is higher,this,Beijing medical director do HanXiaoFang said,After nearly two months of friendship hospital pilot has already got significant results,Hang ZhuanGuHao take the MenZhenLiang has obviously decreased,"Before hanging ZhuanGuHao are blind,Now experts see is really need to see ZhuanGuHao of patients,Set up medical service charge may be a reasonable guide patients go to a doctor."

　　有患者疑问，虽然取消15%药品加成，药费下降，但是医院是否又把减少的这部分收入放在收取医事服务费中？对此，陈勇介绍，通过收取医事服务费之后，其实用多少药并没有什么变化，医生为患者开药永远是根据病情需要，而不是省钱需要。

Patients with a question,Although cancelled 15% drug addition,Expenses for medicine down,But whether the hospital and reduce income in this part of the medical service charge in?this,Chen yong introduces,Through the collection after medical service charge,Actually how many medicine and no change,The doctor to prescribe medicine for patients is always according to the illness needs,Not need to save money.

　　封国生说：“朝阳医院现状是80%患者挂取的是普通号，所以如果是北京市医保病人，42元医事服务费医保报销40元，个人只需缴纳2元，那么在同时取消15%药品加成情况下，绝大部分患者费用还是降低了，患者个人负担减轻。”

Seal countries student said:"Chaoyang hospital situation is 80% of patients hang take an ordinary number,So if the patients medical insurance,42 yuan medical service health care to submit an expense account 40 yuan,People need to pay $2,So at the same time cancel 15% drug addition cases,Most of the patients or reduce the cost,Patients personal burden."

　　“‘医药分开’改革是调整医院以后发展方向的利益改革，从制度上铲除以药养医，从利益机制上医生促进合理用药，随着医药合理规范，鼓励医生多看病人，扩大对患者提供优质服务，医院也在公益性方向发展。”陈勇说。(记者 李莹)

"‘Medicine separate’Reform is to adjust the interests of hospital development direction after the reform,From the system on eradication to raise medical medicine,From the interest mechanism doctors to promote rational drug use,Along with the medicine reasonable norm,Encourage doctors to see the patient,Expand to patients to provide quality services,The hospital is also in the public welfare development direction."Chen yong said.(Reporter LiYing)