2012年7月,伴随着深圳医药分开改革正式启动,香港大学深圳医院(以下简称港深医院)开始试营业,宣称要用数十万乃至上百万年薪打造专家医生。

In July 2012,With the shenzhen medicine separate officially launched the reform,The university of Hong Kong shenzhen hospital(Hereinafter referred to as the port deep hospital)Began to soft opening,Declared must use hundreds of thousands or even millions of annual salary make doctors.

　　这是深圳市政府与香港大学合作,豪掷35亿砸出的一个“公立医院改革样本”。提前预约、全科门诊、130元“全包干”收费、医生拿年薪、40%的VIP特需服务反哺公益服务……香港模式空降深圳,能否在内地站稳脚跟?

This is the shenzhen government and Hong Kong university cooperation,Howe throw 3.5 billion hit a"Public hospital reform sample".Advance booking/General outpatient service/130 yuan"Full responsibility"charge/The doctor take salary/40% of the VIP special service feedback public service...Hong Kong model airborne shenzhen,Can gain a firm foothold in the mainland?

　　深圳人用脚投票——　从“到香港打酱油”,到“上香港看病去” Shenzhen people vote with their feet - from"To Hong Kong hit soy sauce",to"The doctor to Hong Kong"

　　8月21日,港深医院在深圳试营业已有一个多月。当地居民对这家贴着“香港”标签的医院,还有些陌生。

August 21,Port deep hospital in shenzhen soft opening for more than a month.Residents on the stick"Hong Kong"Label hospital,Still have some strange.

　　来往于香港的便利,让深圳福田区的出租车司机孙茂强对“港式医院”很熟悉。孙茂强的孩子就是在香港出生的,拥有香港身份证,发烧、肠炎什么的,都去香港看病,“那边便宜,公立医院基本上不花什么钱。”

Dealings in Hong Kong convenience,Let shenzhen futian district taxi drivers to SunMaoJiang"The hong kong-style dim sum hospital"Familiar with.SunMaoJiang child is born in Hong Kong,With Hong Kong identity card,fever/Enteritis of what,Go to Hong Kong to see a doctor,"There cheap,Public hospitals basically don't spend any money."

　　8月初,孙茂强还带孩子去香港打了免费的流感疫苗。去之前,他到深圳的医院咨询过,“注射类似疫苗,国产几十元,进口的好几百。”

Early August,SunMaoJiang still take children to Hong Kong hit free flu vaccine.before,He went to shenzhen hospital consulted,"Injection similar vaccine,Domestic dozens of yuan,Imported hundreds of."

　　在深圳,像孙茂强这样时常赴香港看点小病的深圳人并不在少数,“这就像2010年通货膨胀严重时,深圳居民流行到香港打酱油、买卫生纸一样。”孙茂强说。

In shenzhen,Like SunMaoJiang so often to the Hong Kong contingent ailment of shenzhen people don't in a few,"It's like 2010 years when inflation is high,Shenzhen residents popular to Hong Kong hit soy sauce/Buy toilet paper as."SunMaoJiang said.

　　按照香港公立医院收费标准,公立普通科门诊诊所每次收费37元,专科诊所44元。普通病房每日收费68元,一切膳食、住院、化验、药物及手术费用均包括在内。

According to the Hong Kong public hospital fees standard,Public out-patient clinic every time charge $37,Specialist clinics $44.The common ward daily charge 68 yuan,All meals/hospital/assay/Drugs and surgery costs are included.

　　王彩云在深圳居住已经十余年,对于在香港看病的那套程序很熟悉。“只要有香港身份证,去公立医院看病花钱很少,不过需要预约。“

WangCaiYun living in shenzhen has more than 10 years,To see a doctor in Hong Kong the set of program is very familiar with."As long as there is Hong Kong identity card,Go to a public hospital money rarely,But need to make an appointment."

　　香港医院的很多细节让王彩云感触很深,一进门,医院提供免费口罩,就摆在门口；洗手液免费派发；进去后说看什么病,导医会帮着安顿好,让病人知道接下来干什么、在哪里等；科室安排很合理,病人不用到处跑来跑去。王彩云印象最深的是打吊瓶,“香港医院的吊瓶器是安装有自动报警器的,药液接近输完时会自动报警,很快就有护士来帮你。”

Many of the details of the Hong Kong hospital let WangCaiYun deeply,A door,The hospital provides free mask,It sits on the door;Liquid soap distributed free;In said to see what disease,DaoYi will help to settle down,Let patients know that the next/In where and so on;Department arrangement is very reasonable,Patients need not runs here and there.WangCaiYun impression deepest is playing DiaoPing,"Hong Kong hospital DiaoPing device is equipped with automatic alarm of,Liquid medicine close to lose when the automatic alarm,Will soon have a nurse to help you."

　　2010年,王彩云突然得胃病,疼痛难忍,她在家人陪同下到香港,由于被认定为急症,她不需要预约排队。最终,手术费才花了400多元。

In 2010,,WangCaiYun suddenly have to tummy bug,ached,She was accompanied by family to Hong Kong,Because is regarded as emergency,She doesn't need to make an appointment queue.finally,Operation ability to spend 400 multivariate.

　　“400块钱,放在内地医院,可能还不够做一次全面检查。”王彩云说,像这种突发疾病,不管是不是香港居民,香港任何一家公立医院都会及时接诊、免费治疗的。

"400 dollars,In mainland China hospital,May not be enough to do a thorough examination."WangCaiYun said,Like this sudden disease,No matter whether Hong Kong residents,Hong Kong any a public hospital will promptly accepts/Free treatment.

　　在王彩云眼里,“港式医院”和内地医院的最大区别是,“去香港看病,我很相信医院和医生。”

In WangCaiYun eyes,"The hong kong-style dim sum hospital"And the mainland the biggest difference is the hospital,"Go to Hong Kong to see a doctor,I strongly believe in hospitals and doctors."

　　王彩云还没去港深医院,但耳朵里已经灌满了被媒体报道多次的“包干费”。她说,“即使港深医院无法像香港公立医院收费那么便宜,但130元包干费真是很实惠。”

WangCaiYun also didn't go to harbor deep hospital,But the ear has been filled by the media reported many times"Local charge".She said,"Even if Hong Kong deep hospital can't like Hong Kong public hospital fees so cheap,But 130 yuan local charge really benefits."

　　130元“全包干”——　内地医院无法复制的“神话”? 130 yuan"Full responsibility"- the mainland hospital can't duplicate"myth"?

　　王彩云说的“包干费”,是指港深医院在试营业期间全科门诊实行130元“全包干”。

WangCaiYun said"Local charge",Refers to the port in deep hospital during the soft opening general outpatient service executes 130 yuan"Full responsibility".

　　港深医院院长邓惠琼对本报记者说,这130元包括医生诊查费、检查费、7天药物,检查涵盖了血常规、尿常规、B超、X光、心电图等26项。

Port deep hospital dean DengHuiQiong to our reporter said,The 130 yuan including the doctor examined fee/Inspection fee/Seven days drug,Check covers the routine blood/Routine urine/B to exceed/X-ray/Electrocardiogram, etc and item.

　　按照香港经验,80%的门诊在全科门诊就可以解决,这个收费标准参考了香港医院经验。而根据深圳市卫生和人口计划生育委员会统计数据,深圳市医药分开实施第一周,67家公立医疗机构医保人次门诊费用227.4元。

According to the Hong Kong experience,80% of the outpatient service in general outpatient service can solve,The charging standard reference the Hong Kong hospital experience.According to shenzhen health and population family planning commission statistical data,Shenzhen medicine separate implementation of the first week,67 public medical institution of outpatient service medical insurance people cost 227.4 yuan.

　　这样一个130元“全包干”,在内地医院能否复制?

Such a 130 yuan"Full responsibility",In the mainland, the hospital can copy?

　　一个星期前,家住济南历下区师东小区的王军感冒发烧,去社区卫生站挂吊瓶,医生开的是头孢,连打3天吊瓶,一次78元,一共花了234元。

A week ago,LiXiaOu division in jinan east village of wang jun the cold has a fever,To the community clinic hang DiaoPing,The doctor prescribed is cephalosporin,Even playing three days DiaoPing,A 78 yuan,A total of spent 234 yuan.

　　“在三甲医院,带孩子看个感冒,一上来就要验血；孩子咳嗽了,还要拍胸片；打吊瓶必开头孢噻肟钠、阿奇霉素这样的抗生素,打一次吊瓶就得一百多,130元咋能包得住?”济南一位幼儿家长陈琪抱怨说。

"In the 3 armour hospital,The children see a cold,A blood test will come up;Children coughs a,Sternum and;Play DiaoPing will open cefotaxime sodium/Azithromycin such antibiotics,Once DiaoPing have to more than one hundred,130 yuan zha can pack to live?"Jinan a preschool ChenQi parents complain.

　　“如果全科门诊费用能自负盈亏,无疑是一个进步,甚至可复制。”广东省卫生厅副厅长廖新波这样说。但这样的“全包干”,在港深医院能坚持多久还是个疑问。

"If general outpatient expenses can be responsible for their own profits and losses,No doubt is a progress,Even copy."Guangdong provincial health bureau deputy director manifold new wave say so.But such"Full responsibility",In the harbor deep hospital can insist on how long is still a question.

　　目前,港深医院每天接待300人次门诊量,每个患者就诊时间10分钟左右。住院部大楼还未投入运营,在内地,“住院部”为医院贡献了利润的大头,而港深医院目前全部收入仅来自于这130元“全包干”。按照既有的规划,港深医院完全建成后,将是深圳市最大的综合性医院,VIP特需服务占到40%,以此支持公益服务。

At present,Port deep hospital day to receive 300 person-time MenZhenLiang,Each patient clinical time is 10 minutes.In-patient department building is not put into operation,In the mainland,"In-patient department"For hospitals the contribution to the profit of the big head,And port deep hospital at present all income only from the 130 yuan"Full responsibility".According to the existing planning,Port deep hospital after the completion of completely,Shenzhen will be the largest comprehensive hospital,Special VIP service account for 40%,To support the public service.

　　曾经到香港几家医院进行考察的大连医科大学教师李晓环在三甲医院当过十多年护士长,在她看来,内地公立医院平均超过60%的门诊费用都是药品支出,而香港是80%工资支出,20%才是医疗器械药品。以这个比例来算的话,130元包干费中,约有100元支付给医生,30元是各类检查、药品的支出。

Once to Hong Kong a few hospitals investigation dalian medical university teachers LiXiaoHuan in 3 armour hospital as a head nurse for more than ten years,In her eyes,The mainland public hospital average more than 60% of the outpatient expenses are drug expenditure,And Hong Kong is a 80% wage expenditure,20% is the medical instrument drugs.With the proportion to calculate words,130 yuan in the local charge,About 100 yuan to pay the doctor,30 yuan is all kinds of inspection/Drug expenditure.

　　那么,这个运营包袱谁来兜底?连当初参与项目论证的广东省卫生厅副厅长廖新波心里也没底。

so,This operation burden who will reveal all the details?Even had to participate in project discussion of the guangdong provincial health bureau deputy director manifold new wave in the mind also unavoidable.

　　目前,深圳公立医院的政府补贴约占收入的17%,这一比例将对深圳市政府大力扶植的港深医院放宽。廖新波认为,深圳市政府投入的力度不可与香港同日而语。虽然深圳过去10年在医疗上的投入在全国已经是佼佼者,但这只相当于香港一年半的投入。

At present,Shenzhen public hospital government subsidy accounts for about 17% of the income,The proportion of shenzhen government featherbeds port deep hospital to relax.Manifold new wave think,Shenzhen government investment dynamics with Hong Kong not mentioned in the same breath.Although shenzhen in the past 10 years in medical investment in the country has been outstanding,But this only equivalent to Hong Kong a year and a half of the input.

　　在邓惠琼的计划中,“130元打包费维持一年,一年后,看看是多是少。”

In DengHuiQiong plans,"130 yuan packing fee for a year,A year later,To see is more is less."

　　其实,2009年,深圳市卫生和人口计划生育委员会就指出,深圳和香港在医院资产管理、人员聘用、薪酬管理、政府补贴、绩效审计等方面都有较大差距,实施港大深圳医院项目具有较高的复杂性和较大的难度。

In fact,In 2009,,Shenzhen health and population family planning commission is pointed out,Shenzhen and Hong Kong in the hospital asset management/Personnel employment/Salary management/The government subsidies/Performance audit, etc all have a large gap,Implementation of Hong Kong shenzhen hospital project has the high complexity and great difficulty.

　　文/片　本报记者　寇润涛

Wen/plate KouRunTao our reporter