今年7月1日，深圳市67家公立医院、569家社康中心全面取消药品加成费用，成为全国第一个取消所有公立医院的所有药品加成的大城市。

On July 1 this year,Shenzhen 67 public hospital/569 club kang center comprehensive cancel drug addition cost,Be the first to cancel all public hospital drug addition all the big cities.

　　总体上，改革实现了公立医院合理收入不减少，市民普遍得实惠的目标，遏制过度医疗的作用逐步显现，对倒逼医药市场规范经营管理秩序也起到了一定的作用，体现在如下几个方面：

On the whole,Reform in public hospitals to realize reasonable income does not reduce,Citizens have the goal of common benefit,Curb excessive medical role appeared gradually,To DaoBi medicine market to regulate management order also play a role,Reflected in the following aspects:

　　改革两月来，全市公立医院每门诊人次费用195.9元，环比(7、8月均值与6月相比，下同)降幅2.1%；同比(与去年同期相比)降幅4.3%；其中每门诊人次药品费用74.3元，环比降幅13.0%，同比降幅11.2%。全市社康中心每门诊人次费用56.0元，环比降幅4.4%，同比降幅4.9%；其中药费26.4元，环比降幅16.7%，同比降幅21%。

Reform two months to,The public hospital outpatient service people each cost 195.9 yuan,link(7/August compared with the mean June,Similarly hereinafter)A drop of 2.1%;year-on-year(Compared with the same period last year)A drop of 4.3%;Each outpatient service people drug cost 74.3 yuan,Link by 13.0%,Drop 11.2% year-on-year.The club kang center each outpatient service people cost 56.0 yuan,Link by 4.4%,Drop 4.9% year-on-year;The expenses for medicine 26.4 yuan,Link by 16.7%,Drop 21% year-on-year.

　　公立医院和社康中心的药费下降，符合改革预期。特别是社康中心实施一般诊查费，有效遏制了门诊输液和抗生素的使用；推进新的基本药物采购制度后，遏制了高价药物的使用，因此下降幅度更大。

Public hospitals and social health center of expenses for medicine down,Expected to conform to the reform.Especially club kang center implement general inspecting fee,Effectively the outpatient transfusion and the use of antibiotics;Promote the new basic drug purchase system after,Contain the high price of drug use,So the decline was even greater.

　　改革后，对于用药量小、检查项目多的非深圳医保病人，单次看病费用会有所增加；用药量大、检查项目少的非深圳医保病人，单次看病费用会有所减少，比如高血压、糖尿病等慢性病病人。但是，大部分市民一生看病会有多次，总体上来讲是平衡的。

After the reform,For is small with the dose/Check the project more than shenzhen health care patients,Single doctor costs will increase;Exposure leels big/Check project less than shenzhen health care patients,Single doctor will cost decreased,Such as high blood pressure/Diabetes patients with chronic diseases.but,Most people see a doctor life there will be many times,In general is balanced.

　　改革后，对有深圳医保的就医人群，个人自付费用减轻了。因为医保由个人账户和统筹账户两部分组成，原来的门诊药品加成从个人账户支付，转变成诊查费后，诊查费提高部分直接从医保统筹账户支付，实际上相当于每诊疗人次个人账户支付费用减少了12元。按2011年统计口径，一年可直接减轻参保人自付费用2.09亿元。

After the reform,To have medical insurance in shenzhen the accessibility of medical care, the crowd,Individual out-of-pocket costs reduced.Because the medical insurance by individual account and as a whole account of two parts,The original outpatient drug addition from individual account pay,Into inspecting fee,Inspecting fee increase part directly from the medical insurance payment account as a whole,In fact each individual account is equivalent to the diagnosis and treatment people pay reduced 12 yuan.According to 2011 statistics caliber,A year can be directly reduce ginseng protect people out-of-pocket costs 209 million yuan.

　　对于没有深圳医保的人群，他们大部分在内地都有医保关系，诊查费提高部分也可以按规定报销。

For people without medical insurance in shenzhen,Most of them in the mainland have medical insurance relationship,Inspecting fee increase part also can submit an expense account according to regulations.

　　这是取消药品加成制度的最主要目标。今年7-8月份，公立医院门诊患者抗菌药物处方比例下降到13.7%(卫生部要求不超过20%，我市2011年11月为20.43%)；门诊静脉输液病人比例下降到8.8%(2011年8月10.9%)；药品收入占业务收入的比例(“药占比”)为32.5%，环比下降4.1个百分点，同比下降4.4个百分点。

This is to cancel the system of drug addition the main goal.This year in August 7 -,Public hospital clinic patients antimicrobial prescription proportion dropped to 13.7%(The ministry of health asked not to be more than 20%,Zhuhai in November 2011 to 20.43%);Outpatient intravenous infusion proportion of patients dropped to 8.8%(In August 2011, 10.9%);Drug income accounted for the proportion of business income("Medicine accounted for more than")Is 32.5%,Link fell by 4.1%,4.4% year-on-year drop.

　　这些数据充分说明，切断公立医院与药品生产经营链条之间的利益纽带，医院严控高价药、“大处方”的积极性提高，对规范临床用药行为起到了很好的正面引导作用。遏制过度用药，不仅有利于消除群众不合理的医疗费用支出，也有利于促进市民的身体健康。(记者李强 通讯员李创 卜奇文)

These data full explanation,Cut off the public hospital and drug production and operation chain link between interests,Tight control of hospital drug price/"DaChuFang"Improve the enthusiasm of,To regulate clinical medication behavior play a good positive guidance.Curb excessive medication,Is not only beneficial to eliminate the masses unreasonable medical expenses,Also be helpful for promoting people's physical health.(Reporter li qiang correspondent lee and reading a rare piece of ekron)