绍兴市包括绍兴市人民医院、绍兴市妇幼保健院等8家市级公立医院“医改”今天(12日)在浙江省率先进行，病人看病取消挂号费，除中药饮片外的所有药品按进价零差率销售。

Shaoxing city of shaoxing city, including the people's hospital/Shaoxing city maternal and child care service centre and 8 municipal public hospital"medical"today(12)Take in zhejiang province,The patient to see a doctor to cancel the registration fee,In addition to Chinese medicine yinpian outside all drugs according to the purchase price, zero sales rate.

　　取消挂号费后，绍兴8家市级医院将原有的挂号费和诊疗费合并为诊查费，采取统一的分级定价原则。普通门诊诊查费(含药事服务费)调整为：三甲综合性医院14元/次，三甲专科医院12元/次，三乙、二级医院10元/次。专家门诊诊查费调整为：副高16元/次、正高20元/次、省级名老中医30元/次、国家级名老中医70元/次。

Cancel the registration fee after,Shaoxing 8 municipal hospital will be the original registration fee and fee merge for inspecting fee,Take unified grading pricing principle.Made of average outpatient service fee(Including pharmacy service charge)Adjustment for:Comprehensive hospital top 14 yuan/time,Specialized subject hospital top 12 yuan/time,3 b/Secondary hospital 10 yuan/time.Expert outpatient service fee for effective adjustment:The subtropical high 16 yuan/time/Orthometric 20 yuan/time/Provincial old doctor of traditional Chinese medicine 30 yuan/time/National old doctor of traditional Chinese medicine 70 yuan/time.

　　此外，护理费、床位费、手术费等医疗服务价格都将适当提高，并纳入基本医保支付范围，按基本医保政策规定报销。

In addition,nurse/algorithm/Operation expenses to the medical service price will be increasing,And into the basic medical insurance to pay limits,According to the basic medical insurance policy to submit an expense account.

　　今后绍兴市级公立医院全部药品(中药饮片除外)，将按实际进价实行零差率销售。此外，医院还将加大药品使用管理力度，严控药品使用比例，加大基本药品的配备和使用比例。统计显示，今年前5个月，绍兴县早前实行县级公立医院改革的两家医院，门诊药品费用同比下降了14.3%，新昌县级公立医院门诊、出院均次药品费用同比下降8.42%和18.25%，共减少患者药品费用595.5万元。

The shaoxing municipal public hospitals in the future all drugs(Except Chinese medicine yinpian),According to the actual purchase price will be a zero rate sales.In addition,The hospital will also increase the drug use management strength,Tight control of drug use proportion,Increasing basic drug equipped with and use ratio.Statistics show that,The first five months of this year,Shaoxing county earlier at or above the county level to public hospital reform two hospitals,Clinic drug costs fell 14.3% year-on-year,Xinchang public hospital outpatient service at or above the county level/The hospital drug expenses are times lower than 8.42% and 18.25%,Patients with a total of reduce drug costs 5.955 million yuan.

　　公立医院将通过政府财政补助和提高医疗服务收费的二个渠道，实现医疗技术和服务水平的可持续提高。收入损失的70%，可以靠医疗服务价格调整补回来，另外的30%，则由政府财政补贴和加强内部管理进行弥补。

Public hospitals will through the government financial aid and improve medical service fees two channels,To realize the medical technology and service level of sustainable increase.70% of the income loss,Can rely on medical service price adjustment repair back,Another 30%,The government financial subsidies and strengthen internal management to make up for.

　　绍兴市医改办负责人表示，如果没有财政保障，改革会很难，今后，财政将对医院基本建设、债务化解、设备购置、信息化经费、人员培养、扶持重点学科发展、政策性亏损补贴和承担的公共卫生任务等方面，加大补助力度。

Cure of shaoxing do officials say,If there is no financial security,Reform will be very difficult,In the future,Financial will on hospital basic construction/Debt dissolve/Equipment purchase/Informatization funds/Personnel training/Support the development of key discipline/Policy loss subsidies and undertake public health tasks, etc,Increase subsidies strength.

　　浙江省卫生厅医政处处长王桢介绍，市级公立医院综合改革要实现“一平二增三提高”：调降总量基本平衡、不增加群众医疗负担；适当增加医疗服务价格和医保基金支付水平；提高市级公立医院运行活力、辐射力和群众满意度。在绍兴试点积累改革经验之后，将会向杭州等大的省、市级公立医院推进。(记者陈瑜艳 通讯员俞欣 孙奇峰 吴伊珕)

Zhejiang provincial health office, medical administration marshal around is introduced,Municipal public hospitals to realize comprehensive reform"A flat 2 SanDiGao increase":A reduction in total basic balance/Not increasing the mass medical burden;Increasing medical service price and medical insurance fund pays level;Improve the municipal public hospital operation vitality/Radial force and the masses satisfaction.In shaoxing pilot reform experience accumulation after,Will to hangzhou big province/Municipal public hospital propulsion.(Reporter correspondent ChenYuYan YuXin SunJiFeng wu 珕 Iraq)