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港大深圳医院以岗定薪 欲破除医疗收入灰色地带--亲稳舆论引导监测室
2012-09-17

  如果要搜索近两个月来中国医改的热门词汇,“港大深圳医院”必是其中浓墨重彩的一笔。

If you want to search for nearly two months to cure China popular vocabulary,"Hong Kong shenzhen hospital"It is including absorbing.

  自今年7月1日开门试业以来,港大深圳医院各项旨在解决“看病贵、看病难”问题的制度设计便成了全国媒体争相报道的焦点,尤其是不收红包和限制过度医疗,在这两个最受国人诟病的领域,港大深圳医院的做法似乎让人看到了希望。医院院长邓惠琼称,至今院方没有收到过患者关于医生收红包的投诉。

Since July 1, open test since the industry,The Hong Kong shenzhen hospital to solve"The doctor your/See a doctor difficult"The system design problem becomes the focus of much media,Especially not to receive a red envelope and limit excessive medical treatment,In this two most suffer compatriots for field,Hong Kong shenzhen hospital approach seems to let a person see the hope.Hospital director DengHuiQiong says,So far the hospital have not received patients receive a red envelope on the doctor of the complaint.

  一直以来,收红包和过度医疗让医患关系变得越来越不稳定,由此形成的不信任乃至对立,是中国医患关系紧张的根源。医生本应以看病为收入来源,却要“以药养医”,其中症结何在?而香港何以能理顺这一关系,并让医生成为广受患者尊敬的职业?通过港大深圳医院这个样本,我们可以一窥香港的运作模式,并了解相关的制度配套。

Has been,The red envelope and excessive medical let the doctor-patient relationship became more and more unstable,In form of distrust and opposition,Is China the doctor-patient relationship source of tension.The doctor should have to see a doctor for source of income,will"To raise the medical medicine",What is the crux of?And why Hong Kong can rationalize the relationship,And let the doctor a very respectable profession by patients?Through the port big shenzhen hospital this sample,We can catch a glimpse of the mode of operation of Hong Kong,And understanding of the relevant system supporting.

  红包里的经济学 In the red packets of economics

  在一些医院,通过收红包来参与药品加价分成,再通过过度医疗增加药品使用量,这些额外的负担由患者买单,由此形成的积弊——“看病贵”问题也越来越严重。

In some hospitals,Through the receive red envelopes to participate in drug tariffs into,Then through the excessive medical treatment increase drug usage,This extra burden to pay by the patients,In form of any --"The doctor your"Problems are more and more serious.

  本月初,20名医院管理人员陆续在深圳市盐田区人民法院过堂,指控罪名全为涉嫌在医疗设备、耗材和药品采购中收受供应商贿赂。记者了解到,包括深圳市妇幼保健院、坪山人民医院、宝安区人民医院等在内的多家公立医院纷纷中招,受贿者多为院长、副院长以及设备科、口腔科的负责人,受贿金额之高,令人咋舌。以妇幼保健院原院长侯某中为例,检方指控其收受的贿赂合计为人民币110万元、港币40万元、美金8000元。

Earlier this month,20 hospital management personnel in succession in shenzhen yantian district people's court appear,All charges for suspected in the medical equipment/Consumables and drug procurement accepting bribes suppliers.The reporter understands,Including shenzhen maternal and child care service centre/Flat mountain people's hospital/Baoan district people's hospital, several public hospitals have come back,Bribee more for President/Vice President and equipment division/The head of the department of stomatology,The amount of bribery high,Is be left speechless with wonder or fear.Maternal and children health care centers in the former director hou a certain as an example,Prosecutors accuse the received bribes total of 1.1 million yuan/Hk $400000/Us $8000.

  某广西籍医药代表向记者透露,很多药品从出厂价到门市价,差额往往在10倍以上,尤其是一些病人需要长期大量服用的药种,如抗肿瘤药品、心脑血管药物、妇科药、男科药等,这些药品的虚高程度非常严重。而这当中,同吃一亩田的利益共生体人数之多,链条之严密也是令人难以想象的。

A record of guangxi medicine representative has revealed,A lot of drugs from the ex-factory price to door market price,Often the difference in 10 times more,Especially some patients need a large amount for a long time of medicine,Such as antitumor drugs/Cardiovascular drugs/Gynecology medicine/By drugs,These drug virtual high degree is very serious.And of this,Eat a mu field with the interests of the number of symbionts,The chain closely is also hard to imagine.

  该代表告诉记者,按照流程,假如一盒药在医院药房的门市价是10元,这里面的利益构成是供货方的药厂最先拿1元,这当中包括生产成本和申请药品批号等一些行政成本,随后全国总代理拿走1元,省级代理拿1元,医药代表拿1元,负责全省统一采购的招投标人员拿1元,医院拿走1.5元,随后院长再抽0.5元,药剂科主任抽0.5元,科室主任抽0.5元,最后直接负责开药的医生抽2元。

The representative told reporters,According to the process,If a box of medicine in hospital pharmacy door market price is 10 yuan,Here is the interest constitute the supplier the pharmaceutical factory first get 1 yuan,Among the cost of production and application of drug batch number and so on some administrative cost,Then the national general agent take 1 yuan,Provincial agency take 1 yuan,Medicine representative get 1 yuan,Responsible for the unified procurement bidding personnel take 1 yuan,Hospital take 1.5 yuan,Then dean again take 0.5 yuan,Pharmacy department director smoke 0.5 yuan,Department director smoke 0.5 yuan,Finally directly responsible for the doctor to prescribe medicine smoke 2 yuan.

  这就是以药养医的结构化图解,不过养医之药不仅仅是药品这么简单,医疗耗材、医疗器械等凡是可以用在病人身上的广义药品,一些医院可以坐收供货方和使用方两方红利。深圳某医院心内科负责人向记者透露,医院里心脏内科、骨科用药可能不及某些科室多,但“油水”也不见得少,这当中医疗器械“功不可没”。以某些用于冠心病病人血管堵塞的心脏支架为例,出厂价约为2000元,但病人使用价却在10000元以上。

This is to raise the medicine medical structural diagram,But the medicine is not only a medical drug so simple,Medical consumables/Medical equipment, and so on all can be used in patients of the generalized drugs,Some hospitals can supplier and conflict will use two FangGongLi.Shenzhen a hospital heart person in charge said to reporters,The hospital cardiac medicine/Orthopaedic medicines may not more than some department,but"oil-water"Also not less,Among the medical equipment"Play an important role".In some used in coronary heart disease patients blood vessel blockage heart support as an example,Ex-factory price is about 2000 yuan,But the use of price is in 10000 yuan of above.

  两个严重畸形的结构 The structure of the two serious deformity

  在业内人士看来,医疗投入低水准以及固化的编制管理,使得一些医务人员最终异化为医院赚钱的工具。

In the personage inside course of study looks,Medical into low level and solidified and staffing administration,Make some medical staff final alienation for hospital profitable tool.

  从港大深圳医院进入公众视野开始,“高薪养廉”就成了一个头顶光环的名词。据院长邓惠琼证实,虽然每个岗位的薪酬不能一一透露,但外界关于该医院科室负责人薪酬为深圳其他三甲医院两倍的说法却是真实的。

From Hong Kong shenzhen hospital into public view began,"High salary YangLian"Became a head aura of nouns.According to President DengHuiQiong confirmed,Although each post salary not revealed one,But the outside world on the hospital department person in charge compensation for shenzhen other 3 armour hospital two times the statement is true.

  两倍薪酬,该水平不可谓不高,但必须补充的是,高薪酬的同时是对包括红包在内的灰色收入坚决说“不”。一种是完全阳光的账户收入,一种是账户收入加灰色收入,两种俨然不同的收入构成,虽然两者的总数可能相差无几,但后者却在某些医院存在,这当中损失的不仅仅是庞大的个人所得税,还有医者仁心的职业形象,而后者危害尤巨。

Two times salary,This level is not high,But must add,High salary at the same time is to include red packets, the gray income firmly said"Don't".One is to be completely sunshine account income,One is income account with gray income,Two peremptory different income composition,Although the total number of both may be little difference,But the latter is in some hospital exists,This loss of is not only huge individual income tax,There are healers of our professional image,While the latter YouJu harm.

  形成如此畸形的个人收入结构,缘自同样畸形的院方收入结构。深圳市第二人民医院院长蔡志明告诉记者,目前中国大陆的二甲、三甲公立医院总数为7437家,这些医院承担了14亿国人80%的看病需求,此外还要负责教学科研、公共卫生、突发事件医疗救治和无主病人救治等多项公益性任务。但为了完成这么多的任务,医院只能从国家那里拿到10%的经费,另外90%的花销都需要院方自己想办法。

Formed so deformity of personal income structure,Derived from the same deformity of the hospital income structure.Shenzhen second people's hospital dean CaiZhiMing told reporters,At present Chinese mainland dimethyl/Public hospital top for a total of 7437,These hospital undertook the 1.4 billion Chinese demand 80% of the doctor,In addition to responsible for the teaching and scientific research/Public health/Emergency medical treatment and no main patient treatment and so on many public welfare task.But in order to complete the task of so much,The hospital can only get from countries 10% of the funds,In addition 90% of spending all need the hospital to find our own way.

  据了解,与教育投入要占到GDP4%的目标相似,早在1996年,中国第一次卫生改革发展大会上就提出,医疗投入要占GDP的5%。相比之下,美、德、法三国均超过10%,世界平均水平是5.3%。然而即使是这一低水准的目标,迟至2011年也未实现,当年医疗投入仅占到GDP的约4.6%。更加可惜的是,与教育投入占比4%明确写入国家“十二五”规划不同,医疗投入5%的量化规定并没有一起写入。

It is understood,And the education investment will account for GDP4 % target similarity,As early as in 1996,China's first health reform development conference is put forward,Medical investment to 5% of GDP.Compared with,beauty/DE/Method three kingdoms are more than 10%,The world's average level is 5.3%.However even this one low level of target,As late as 2011 also unrealized,The medical investment accounts for only about 4.6% of GDP.More unfortunately,And the education investment accounts for more than 4% clear write country"1025"Planning different,Medical into 5% of quantitative regulations do not write together.

  而深圳方面,2012年深圳公立医院预算反而比2011年减少3.4个百分点,降至4.5亿元。

And in shenzhen,In 2012, shenzhen public hospital budget than instead by 3.4% by the year 2011,Down to 450 million yuan.

  从院方收入到医务人员的个人收入,这中间绕不开院方的支出环节,不过这一环节同样畸形。一名参与深圳医改的业内人士告诉记者,由于目前医疗卫生行业仍然实行编制管理,所以还没有建立一个明确的医务人员薪酬价格体系,在其收入的决定要素上,有无编制所发挥的作用要远远大于职业贡献。

From the hospital income to medical personnel's personal income,This intermediate is not open around the hospital expenses link,But the link also deformity.A reform to participate in shenzhen of the personage inside course of study tells a reporter,Due to the present medical and health industry still execute and staffing administration,So also did not establish a clear medical staff price system,In its income decision factors,Prepare for the roles than professional contribution.

  “医生的工作负荷很大,每天看那么多病人,个人收入应该与其劳务价值平衡,不能一律拿平均工资,或者一般工作人员的待遇,医生、护士和其他工作人员之间的收入应该有差别。医院的管理者也是有差别的,按照行政事务管理的不同,这些管理者的收入也应该有差别的。”该业内人士向记者介绍,由于编制管理的存在,不少医务人员并非在编人员,即使其工作付出很大,但收入也可能比不上一个在编的普通行政人员,而且在编员工只要不违法,院长都无法将其解雇,于是编制的固化就阻挠了医务人员通过职业贡献追求晋升的努力。

"The doctor's work load large,To see so many patients every day,Personal income should instead of labor value balance,Not all take average wage,Or general staff treatment,The doctor/Nurses and other staff in income between the there should be a difference.Hospital managers and discriminating,In accordance with administrative affairs management is different,These managers income should also be discriminating."This the personage inside course of study introduces to the reporter,Due to the existence of staffing administration,Many medical personnel are not enrolled personnel,Even if the work take very great,But income may also be smaller than a enrolled common administrative personnel,And enrolled employee as long as not illegal,Dean all cannot be dismissed,So the establishment of the curing will obstruct the medical personnel through the professional contribute efforts to the pursuit of promotion.

  据了解,目前和医生个人劳务价值直接挂钩的是挂号费,挂号费构成了医生的诊金,但除了个别专家门诊的挂号费可多达二三十元外,大多数挂号费都在一元左右,如此微薄的费用自然不足以表现医生本人的劳务价值,也不利于形成医生积极帮病人看好病的制度激励。

It is understood,The current and the doctor individual labor value is directly contacted with the registration fee,The registration fee constitute the doctor's ZhenJin,But apart from the expert outpatient service registration fee can be as much as yuan outside,Most of the registration fee in a yuan,The cost of such a low natural enough to show the doctor I labor value,And also to form the doctor actively help the patient value disease incentive system.

  以实力和贡献为本 With the strength and contributions for this

  与实行编制管理的医院不同,港大深圳医院不再以级别定薪,而是以岗定薪,自主制定每个岗位的薪酬标准。这种设计以医生的实力和贡献为本位,能激励医生努力提高医术,为病人看好病。

And implement and staffing administration hospital different,Hong Kong shenzhen hospital no longer with fixed income level,But with the fixed income,Independently work out each post salary standard.This kind of design with the doctor's strength and contributions as the standard,Can inspire the doctor to improve the medical skill,Good for the patient disease.

  从几间传统的诊所到覆盖全民的现代化医疗体系,后起之秀的中国正在进行艰难的过渡。港大深圳医院名誉院长梁智鸿告诉记者,其实在上世纪60年代,香港在医疗领域也遇到了严重的“看病贵、看病难”问题。

From a few between traditional clinic to cover the modern medical system,Rising star Chinese is difficult transition.Hong Kong shenzhen honorary President of the hospital leong che-hung told reporters,In fact in the 1960 s,Hong Kong in the medical field also met a serious"The doctor your/See a doctor difficult"problems.

  “当时,在公立医院看病排长龙,想住院发现床位不足,此外还有激烈的医患纠纷,这些问题香港媒体也曾连篇累牍地揭露,但后来香港政府通过加大医疗投入以及建立医院管理局等措施,逐步消化了这些问题。”梁智鸿向记者强调,香港政府对于医疗领域的高投入是一贯的。

"At that time,In the public hospital long queues,Want to hospital found insufficient beds,In addition there are fierce doctor-patient dispute,These problems Hong Kong media was also keep revealed,But then the Hong Kong government through the increasing medical costs and establish hospital administration etc,Gradually the digestive these problems."Leong che-hung stressed to the reporter,The Hong Kong government for medical areas of high input is consistent.

  据了解,从2007年至今的5年间,香港医疗方面的财政投入环比增加了40%,达到每年448亿港元,其中公共卫生占10%,其它90%用于医疗服务。香港食物及卫生局局长周一岳告诉记者,香港的医疗开支占到GDP的5%,政府总开支的17%,在财政支出结构中,仅次于教育和福利。“持续高昂的政府开支编织了港人的医疗安全网,病人来公立医院看病,由医院资助医疗费用的97%,住院每天只需100港元,癌症化疗、电疗等大病治疗全部公费。”

It is understood,Since 2007 the five years,The Hong Kong medical financial investment increased by 40% month-on-month,Each year to hk $44.8 billion,The public health accounted for 10%,The other 90% are used in medical service.The Hong Kong food and health bureau chief yue told reporters on Monday,Hong Kong's medical expenses account for 5% of GDP,17% of the total cost of government,In the fiscal expenditure structure,After education and welfare."Continuous high government spending weave the citys medical safety net,The patient to public hospital,Funded by the hospital medical expenses at 97%,Every day in hospital just hk $100,Cancer chemotherapy/Galvanometer, a serious illness such as treatment all at public expense."

  “持续的政府投入是维持公立医院公益性的重要保障。”深圳某公立医院院长告诉记者,如果要从根本上消除公立医院“以药养医”的动机,就必须加大财政投入。其次,要改革人员管理制度和薪酬体系,重塑“以病人为本”的服务理念。据了解,在政府投入方面,从初建到现在,深圳市政府已经累计向港大深圳医院投入了35亿元人民币,根据双方签订的协议,医院开业的前五年,政府每年还会向医院投入数亿元。

"Continuing government investment is to maintain the public hospital an important guarantee of public welfare."Shenzhen a public hospital director told reporters,If you want to fundamentally eliminate the public hospital"To raise the medical medicine"motivation,We must increase financial investment.secondly,To reform the personnel management system and salary system,remodeling"Taking patient as the"Service concept.It is understood,In the government invests,From initial to now,Shenzhen government has accumulated to Hong Kong shenzhen hospital spent 3.5 billion yuan RMB,According to the agreement signed by both sides,The hospital opened the first five years,Every year the government to hospital investing hundreds of millions of yuan.

  “而把‘以病人为本’的理念延伸到医院内部,就是要以医务人员为本。”参与深圳医改的内部人士向记者透露,与其他医院相比,港大深圳医院能给立志救死扶伤的医生以最大的发挥空间。“医院彻底打破了原来的编制管理,所有员工均使用聘用制,合同为期3年,医务人员也不再有副高、正高职称,而是沿用香港体系,分为住院医生、副顾问、顾问。”邓惠琼告诉记者。

"And the‘Taking patient as the’The concept of extension to the hospital internal,We should take the medical staff for this."Participate in shenzhen of reform, insiders said to reporters,Compared with other hospital,Hong Kong shenzhen hospital can give to healing the wounded and rescuing the dying doctor with the greatest play space."Hospital completely broke the original and staffing administration,All staffs of use,A three-year contract,The medical staff will no longer have the subtropical high/Orthometric title,But Hong Kong system used,Divided into residents/Vice consultant/consultant."DengHuiQiong told reporters.

  伴随身份的变更,配套的薪酬改革也随之进行。邓惠琼告诉记者,与实行编制管理的医院不同,港大深圳医院不再以级别定薪,而是以岗定薪,自主制定每个岗位的薪酬标准。“这种设计以医生的实力和贡献为本位,能激励医生努力提高医术,为病人看好病。”

With the change of identity,Supporting salary reform has to.DengHuiQiong told reporters,And implement and staffing administration hospital different,Hong Kong shenzhen hospital no longer with fixed income level,But with the fixed income,Independently work out each post salary standard."This kind of design with the doctor's strength and contributions as the standard,Can inspire the doctor to improve the medical skill,Good for the patient disease."

  另外,为了替代编制在社保方面的优势,港大深圳医院还打破传统的社会保障制度,对聘用人员实行以基本养老保险和年金制度为主要内容的养老保障。

In addition,In order to replace establishment in social security advantages,Hong Kong shenzhen hospital also to break the traditional social security system,To hire staff to implement the basic endowment insurance and annuity system as the main contents of the old-age security.

  梁智鸿向记者表示,香港医生的薪酬是港人平均收入的8到9倍,相比之下,内地医务人员基本收入不高,而生活支出又很高,这会促使他们利用工余时间去做其他事情,比如走穴、收红包。为了让医务人员以病人为本,港大深圳医院决定给医生一个阳光体面的薪酬,让他们不使用“走穴”等“灰色”手段,只要在医院认真工作,也可获得高薪水,这便是“高薪养廉”的由来。

Leong che-hung told reporters,Hong Kong doctors salary is average income of Hong Kong people 8 to 9 times,Compared with,The mainland medical staff basic income is not high,And living expenses and is very high,This will make them use their spare time to do other things,Such as money imparting knowledge to/Receive red envelopes.In order to let the medical staff to the patient for this,Hong Kong shenzhen hospital decided to give the doctor a sunshine decent salary,Let them not to use"Money imparting knowledge to", etc"grey"means,As long as in the hospital work hard,Also can get high salary,This is"High salary YangLian"The origin of.

  值得注意的是,除了通过高薪消除医务人员收红包、过度医疗的主观动机,港大深圳医院还在招聘合同里划出红线,一旦聘用人员有收红包、吃回扣等任何廉洁上的问题,将立刻开除。

It is important to note that,Except for the high salary eliminate medical staff receive red envelopes/Excessive medical subjective motive of,Hong Kong shenzhen hospital also in recruitment in the contract a red line,Once the contract workers have receive red envelopes/ChiHuiKou, such as any honest problems,Will immediately dismissed.

  对此,深圳市卫人委主任、港大深圳医院董事会成员之一的江捍平就表示,港大深圳医院探索建立了一种积极向上的现代医疗管理体制,有利于有医德、有医术、有追求的医生脱颖而出。

this,Shenzhen committee director who/Hong Kong shenzhen hospital, one of the members of the board of directors JiangHan flat means,Hong Kong shenzhen hospital was established to explore a positive modern medical management system,To have medical ethics/Have medical/Is the pursuit of the doctor stand out.

  来自未来的困惑 From the future confusion

  多层次的医疗服务还未显露真容便已饱受争议,尤其是港大深圳医院尚未投入使用的豪华VIP病房。对于营利性特需服务,有不少人就质疑港大深圳医院未来可能会蜕变为贵族医院。

Multi-level medical services are not revealed ZhenRong has controversial,Especially Hong Kong shenzhen hospital is not in use of luxury VIP ward.For non-profit special service,There are many people will question Hong Kong shenzhen hospital in the future it may be possible disintegration to the peerage hospital.

  作为医改的样本,港大深圳医院的现状和未来都让人充满了期待,而出于实用主义的立场,有关港大深圳医院能否被国内其他公立医院复制的猜测也一时间甚嚣尘上。赞者有之,弹者亦有之。而弹者中,最主流的理由便是其他地方不能负担如此大的财政投入,而且港大深圳医院未来也会面临“断奶”之虞,到时能否继续维持高薪尚未可知。

As a sample of medical reform,Hong Kong shenzhen hospital present and future let a person have a lot to look forward to,And out of pragmatism position,The port big shenzhen hospital can be other domestic public hospital copy guess also time narrative.Praise of those,Bomb person also have the.Of those, and played,The main reason is the other place can not afford such a large financial investment,Hong Kong and shenzhen hospital will face in the future"weaning"group-oriented,If I continue to maintain high salary is still not clear.

  所谓“断奶”,指的是院方和深圳市政府签署的协议,开业五年后,政府将不再向港大深圳医院安排基本医疗服务财政补贴。在业内人士看来,正是政府财政的支持使得港大深圳医院的各项改革得以顺利进行。对此,深圳某三甲医院的一位部门主任就向记者不无担忧地表示,政府投入和医生个人的灰色收入已成此消彼长的关系,如果政府投入无法保障,医生赚取灰色收入的动机就不会消失。

The so-called"weaning",Refers to the hospital and shenzhen government signed the agreement,Opening five years later,The government will no longer to Hong Kong shenzhen hospital arrange basic medical service financial subsidies.In the personage inside course of study looks,It is government financial support makes Hong Kong shenzhen hospital reforms smoothly.this,Shenzhen a 3 armour hospital a department director will not worry to reporters to express,The government input and the doctor personal gray income has become a reciprocal relationship,If the government investment can't guarantee,The doctor make gray income motivation will not disappear.

  对此,江捍平向记者表示,政府不再安排基本医疗服务财政补贴并不是简单断奶。“我们想通过港大深圳医院探索建立一个新的财政补助机制,核心内容是政府不直接投钱给医院,而是依据其提供的基本医疗卫生服务的数量、质量和群众满意度,核拨财政补助。”另外,政府还会允许医院在有限满足市民基本医疗卫生服务需求的基础上,发展多层次的医疗服务,增强收支平衡能力。

this,JiangHan flat told reporters,The government no longer arrangement basic medical service financial subsidies and is not a simple weaning."We'd like to through the port big shenzhen hospital exploration of the establishment of a new financial aid system,The core content is the government does not directly put my money to the hospital,But according to its provides a basic medical and health service quantity/Quality and the degree of satisfaction,HeBo financial aid."In addition,The government will also allow the hospital in co., LTD., meeting the basic medical and health services on the basis of demand,The development of multi-level medical service,Enhance balance ability.

  不过,这多层次的医疗服务还未显露真容便已饱受争议,尤其是港大深圳医院尚未投入使用的豪华VIP病房。据邓惠琼透露,VIP病房与普通病房不同,提供的是营利性特需服务,根据目前的打算,这部分服务未来可能会占到医院总体服务的40%。为此,有不少人就质疑港大深圳医院未来可能会蜕变为贵族医院。

but,The multi-level medical services are not revealed ZhenRong has controversial,Especially Hong Kong shenzhen hospital is not in use of luxury VIP ward.According to DengHuiQiong revealed,VIP ward and common ward different,Provide special service is nonprofit,According to the current plan,This part of the service in the future may account for 40% of the overall service to the hospital.therefore,There are many people will question Hong Kong shenzhen hospital in the future it may be possible disintegration to the peerage hospital.

  面对质疑,邓惠琼表示,香港医院对于特需服务的操作已经非常成熟,不会影响对大众市民的服务。“如果患者需要特需服务,也要看医院是否有床位,没有的话医院是不会挤占其他病人的床位的。”而江捍平也强调,港大深圳医院将坚持公益性,基本医疗服务收费将按照广东省医疗服务收费指导价执行,深圳市民也可以像在全市其他三甲医院一样使用医保。

In the face of the question,DengHuiQiong said,Hong Kong hospital for special service operation already very mature,Does not affect the general public service."If patients need special service,Also want to see whether there is a hospital bed,If not hospital is not occupy other the patient's bed."And JiangHan flat stressed,Hong Kong shenzhen hospital will insist on public welfare,The basic medical service charges will be in accordance with the guangdong province medical service charge execution guided,Shenzhen citizen can also like in the other 3 armour hospital medical use.

  近日,卫生部卫生经济研究所医院改革与管理研究室主任李卫平表示,世界各国的公立医院改革都是给公立医院放权的市场化改革过程,目前中国的公立医院治理结构也正处在向规范自主化和法人化推进的阶段,在自主条件下,医院可以提供市场化特需服务。根据各国经验,只要改革措施能配套起来,如财政核拨机制、公立医院从事公益性服务的绩效激励机制等,市场化改革不一定会损害公立医院的公益性。郭彪 向雨航 鲁力

recently,The ministry of health health economic research institute hospital reform and management research director LiWeiPing said,All countries in the world of public hospital reform is to public hospital decentralization marketization reform process,At present China's public hospital governance structure also is in to regulate autonomization and conducting propulsion stage,In the independent conditions,The hospital can provide special service market.According to the experience of countries,As long as the reform measures can form a complete set up,Such as financial HeBo mechanism/Public hospital engaged in public welfare service performance incentive mechanism, etc,Marketization reform does not necessarily can damage the public hospital public welfare.GuoBiao to rain LuLi navigation


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