中新网荆门9月7日电(吴奇勇 周群)7日下午，湖北省钟祥市政府对外发布，钟祥市在湖北省率先实行医疗改革，推行医药分开，病人实际药费最低下降23%。同时，病人住院不再先交费，实行“先看病，后交钱”。此次改革从2012年9月10日零时起正式实施。

Beijing on September 7 - jingmen(WuJiYong ZhouQun)7 in the afternoon,Hubei province ZhongXiangShi government released,ZhongXiangShi in hubei province take the lead in implementing medical reform,Implement medical separate,The patient actual expenses for medicine minimum fell by 23%.At the same time,The patient no longer pay first in hospital,implement"First the doctor,Make money after".This reform from September 10, 2012 the formal implementation of the zero hour.

　　钟祥市副市长王艳娟介绍，从2012年9月10日零时起，钟祥市人民医院取消药品加成，同步提高诊查费收费标准，其中门诊诊查费提高11元，住院诊查费提高33元。价格上调的部分全部由基本医疗保险基金和新农合基金给予支付，不增加患者个人费用负担。钟祥市财政每年投入1200万元，用于全面落实对医院基本建设和大型设备购置、政策性亏损、承担公共卫生任务等和紧急救治、支边、支农公共服务的政府投入政策。由市政府纳入财政预算，每年据实给予专项补助。

ZhongXiangShi vice mayor WangYanJuan is introduced,From September 10, 2012 the zero hour,ZhongXiangShi people's hospital drug addition to cancel,Synchronous improve inspecting fee charging standard,The outpatient service inspecting fee increase 11 yuan,To improve hospital inspecting fee $33.Part of the price rise all by fund of insurance of primary medical treatment and new farming close fund to pay,Don't increase patients personal expense burden.ZhongXiangShi financial investment of 12 million yuan each year,Used to carry out on hospital basic construction and large scale equipment acquisition/Policy-related losses/Take on the public health emergency treatment and task, etc/wants/Support the public service government investment policy.By the municipal government into the fiscal budget,Every year to give truthful special subsidy.

　　钟祥市卫生局局长蒋正洪告诉记者，钟祥市在湖北省首先推行实际药价在中标价基础上再下浮8%以上的改革办法。实行医药分开，医院通过招标形式，将药房托管给1家实力强、信誉好的药品配送企业，医院对药品采购、质量、安全、价格及服务等履行监管职能。在湖北省药品中标价格以内，探索建立二次谈判遴选采购机制，采购价在中标价基础上再下浮8%以上，有效降低药品采购价格，更多地让利于民，市民实际支付药费最低下降将达到23%以上。在坚持乡镇卫生院独立法人地位、公益性质、职责不变的前提下，遵循“自愿、双赢”原则，由钟祥市人民医院采取直管、托管等方式，与乡镇卫生院组建实质性医疗集团或联合体，让优质医疗资源流向农村，逐步形成基层首诊、分级医疗、双向转诊、急慢分治、防治结合的医疗服务模式。

ZhongXiangShi surgeon general JiangZhengHong told reporters,ZhongXiangShi in hubei province the first implementation of the actual prices based on the price again down more than 8% of the reform measures.Practice medicine separate,The hospital through the bidding forms,Will the pharmacy trusteeship to 1 home strength/Good reputation drug distribution enterprises,The hospital to drug purchasing/quality/safety/Prices and services to perform regulatory functions.In hubei province drug bid within the price,Explore to establish secondary negotiations to select procurement mechanism,Purchase price in the price down again on the basis of more than 8%,Effectively reduce drug purchase price,More benefit to the people,Citizens actually paid expenses for medicine minimum decline will reach more than 23%.In adhere to the independent status of legal person of the township health center/Public welfare nature/Responsibilities under the premise of the same,follow"voluntary/win-win"principle,By ZhongXiangShi people's hospital take straight tube/Trusteeship, etc,Township health center with a substantial medical group or combo,Let the high quality medical resources to rural,Gradually formed the first diagnosis at the grass-roots level/Hierarchical medical/Two-way referral/Steep slow partition/Combined with the prevention and control of medical service mode.

　　“‘先看病、后交钱’诊疗服务模式，是在钟祥市人民医院及其医疗集团推行的一项便民惠民‘大餐’，在湖北省尚属首创。取消住院押金制度，实行群众住院治疗‘零门槛’，患者只需在出院结算时一次性交纳自付费用。对家庭特别困难确定无力一次性承担住院费用的，可与医院签订《住院治疗费用延期(分期)还款协议书》。这样可为更多的患者开通生命‘绿色通道’，确保患者在第一时间内得到安全有效的治疗。”钟祥市人民医院院长常会清说。

"‘First the doctor/Make money after’Medical service mode,In ZhongXiangShi people's hospital and medical group carried out a we for the convenience‘dinner’,In hubei province cord conveyorbelts.Cancel the hospitalization deposit system,Implement mass hospitalization‘Zero threshold’,Patients in the hospital only when settle accounts one-time pay out-of-pocket expenses.To family very difficult to determine the one-time bear hospitalization expense,But with the hospital sign[Hospitalization expense extension(installment)Repayment agreement].This can be more open patients life‘Green channel’,Make sure the patients in the first time get safe and effective treatment."ZhongXiangShi people's hospital dean often qing said.

　　钟祥市人社局局长陈劲松告诉记者，为确保医改正常实施，减小医院资金周转压力，钟祥市将纳入政府财政预算的专项补助款，按月提前预付50%给医院，目前9月份的预付款已经进入钟祥市人民医院账户。(完)

The secretary for the club ZhongXiangShi people ChenJinSong told reporters,In order to ensure the implementation of the reform, normal,Reduce hospital capital turnover pressure,ZhongXiangShi will be included in the budget of the special grant,Monthly advance prepaid 50% to the hospital,At present in September, the advance payment has already entered ZhongXiangShi people's hospital account.(finish)