医改药价将招标谈判挤“水分” Prices reform will bid negotiation crowded"moisture"

医管局要建监事会 推进医院法人治理 Ho ital authority to build the board of supervisors promoting hospital corporate governance

　　昨天，(北京)市卫生局局长方来英在2012年中国医疗卫生产业发展论坛上表示，本市将探索建立联合招标和价格谈判机制，挤出不合理的价格水分。此外，将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。

yesterday,(Beijing)City health bureau chief party in 2012 to the Chinese medical and health industry development BBS on Wednesday,The city will explore a joint bidding and price negotiation mechanism,Extrusion not reasonable price moisture.In addition,Through the development of modern logistics and distribution,Further compression circulation costs,Lower drug prices and consumables.

　　方来英表示，在医药分开改革中，试点医院取消15%的药品加成和诊疗费、挂号费，而改为加收医事服务费，友谊医院试点两个多月的效果表明患者就医负担明显减轻。另外，医事服务费的定价是多部门经过测算而得出42元至100元不等，在测算确定价格的过程中，已经考虑到不会令医保基金出现亏空。据了解，在流通领域改革中，在把药品和耗材等等价格都要降下来的时候，初期看，医保是增量，要增加支出；远期看，医保应该是减少支出。“通过综合的公立医院改革试点，医院管理的观念发生了变化。一个医院与药品利益建立联系的时代过去了”，本市第一个探索医药分开的试点医院友谊医院执行院长辛友清如是说。

Party to the said,In the reform in medical separate,Pilot hospital cancel 15% of drug addition and fee/Registration fee,Instead, receive medical service charge,Friendship hospital pilot two more months of results show that patients go to a doctor obviously reduce the burden.In addition,Medical service pricing is more department after estimates that 42 yuan to 100 dollars,In the measure in the process of determining the price,Has been considering won't make the medical insurance fund appear in the hole.It is understood,In the reform of the circulation field,The drugs and consumables and so on price will drop down,Initial look at,Medical insurance is incremental,To increase the expenditure;Forward see,Medical insurance should be to reduce spending."Through the comprehensive trial reform of public hospitals,The concept of hospital management has changed.A hospital and drug benefit to establish contact times past",This city the first exploration medical separate pilot hospital executive director of friendship hospital XinYouQing said.

　　方来英表示，为解决本市医疗体制存在的问题，今后全面推进法人治理运行机制。这一机制在友谊医院、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，院内理事和院外理事的比例为6:4。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。

Party to the said,In order to solve the problems existing in the medical system in this city,The next comprehensive promote corporate governance mechanism.This mechanism in 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,Hospital director and director of courtyard outside the proportion is so.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.

　　同时，方来英表示，还将对医院内部运行机制进行改革，建立以公益性为核心的绩效考核制度，实行同岗同酬，岗变薪变，探索全员聘用制度，让人才能进能出、能上能下、合理流动。

At the same time,Party to the said,Will also to hospital internal reform of the operating mechanism,Establish a public welfare as the core of performance appraisal system,With the practice with the fund,Sloping variable pay variable,To explore the employment system,Let people entering and going out/Can on/Reasonable flow.

相关新闻 Related news

友谊医保患者次均药费降百元 Friendship medical insurance patients second all expenses for medicine drop one hundred yuan

　　友谊医院执行院长辛友清昨日表示，从7月1日零时开始，医院中西药1670种全面取消加成进行进价销售，同时执行医事服务费制度。经过两个多月试点，与2012年1月到6月平均数据相比，门诊医保患者次均自付费用由175元降低到105元，门诊医保的次均药费降低了102元。由社会第三方评价的医院门诊整体满意度，由原来的70%提高到了81.58%。知名专家的挂号率比以前降低了20%，主任医师的挂号率比以前提高了20%，副主任医师挂号率比以前降低了5%。“就由于价格的调整，会使很多优质专家的资源腾出来。”辛友清说。(记者 徐晶晶)

Friendship hospital executive director of XinYouQing said yesterday,From July 1, start equal to zero,Hospital of traditional Chinese and western pharmaceutical 1670 comprehensive cancel addition to purchase price, sales,At the same time executive medical service system.After more than two months pilot,And in January 2012 to June compared with the average data,Outpatient service medical insurance patients second all out-of-pocket expenses by $175 down to 105 yuan,Outpatient service medical insurance of the second all expenses for medicine reduces the 102 yuan.By the society the third party evaluation of hospital outpatient service overall satisfaction,Is increased from the original 70% to 81.58%.Famous experts of the registered rate was 20% lower than in the past,Chief physician of the registered rate increased by 20% than before,Doctor, deputy director of the registered rate was 5% lower than in the past."Because the price adjustment,Can make a lot of quality experts resources to make."XinYouQing said.(Reporter XuJingJing)