刚刚结束的青海省深化医药卫生体制改革工作会议提出：从12月1日起，全省70所县级公立医院全面开展综合改革工作，全部取消药品加成。同时，从12月1日起，青海省将扩大全省城乡居民大病医疗保险范围，有效提高重特大疾病保障水平。人均筹资标准从30元提高到50元，将21种大病扩大到125种，青海省参加城镇居民医保、新型农村合作医疗的群众均可以享受这一政策。

Just at the end of the qinghai province deepening medical health system reform put forward work conference:From December 1,,Entire province 70 public hospital at or above the county level to carry out comprehensive comprehensive reform work,The abolition of all drug addition.At the same time,From December 1,,Qinghai province will expand urban and rural residents medical treatment of a serious illness insurance coverage,Effectively improve the security level and great disease.Per capita financing standard from 30 yuan increase to 50 yuan,21 kinds of serious illness to expand to 125,Qinghai province to participate in medical insurance for urban residents/The new rural cooperative medical people all can enjoy this policy.

　　青海省这次对县级公立医院的改革以破除以药补医机制为突破口，以改革补偿机制和落实医院自主经营管理权为切入点，以回归公益性为目标，统筹推进管理体制、补偿机制、人事分配、价格机制、医保支付方式、采购机制、监管机制等综合改革。改革的主要任务是：全部取消药品加成，实行药品零差率销售，健全经费补偿机制；合理调整医疗服务费用，降低检查、检验类价格，合理提高医务人员技术劳务人员的诊疗费、手术费、护理费等医疗技术服务价格，积极开展按病种收费试点；全面推行住院及门诊大病按病种(病组)付费，积极探索按人头付费、总额预付等支付方式改革。改革人事分配制度，全面推行以全员聘用、岗位管理和绩效考核为主的人事分配制度改革。建立现代医院管理制度，通过建立和完善医院法人治理结构，进一步优化运行管理，强化绩效考核，提升管理水平。加强医院能力建设，做好医疗机构的规划建设。

The qinghai province at or above the county level of the public hospital reform to break up with medicine medical mechanism as a breakthrough,To reform compensation mechanism and implement hospital independent management right as the breakthrough point,To return to the public welfare as the goal,To plan as a whole propulsion management system/Compensation mechanism/Personnel distribution/Price mechanism/Medical insurance payment/Procurement mechanism/Comprehensive reform supervision mechanism, etc.Is the main task of the reform:The abolition of all drug addition,A drug zero sales rate,Perfect compensation mechanism of funds;The reasonable adjustment of medical service cost,Reduce check/Test class price,Reasonable improve medical staff technical service personnel's fee/operation/Nurse cost and medical technology service price,Actively carry out press disease to charges site;The full implementation of the hospital outpatient service a serious illness and according to the disease(Disease group)pay,Active exploration on a per head pay/The total advance payment reform, etc.The reform of personnel distribution system,With the full implementation of the employment/Post management and performance evaluation is given priority to the reform of personnel distribution system.The establishment of a modern hospital management system,Through the establish and perfect hospital corporate governance structure,Further optimization of operation management,Strengthening performance evaluation,Improve management level.To strengthen hospital ability construction,Do the planning and construction of medical institutions.

　　青海省将通过全面开展县级公立医院综合改革，力争“十二五”末使县域内就诊率提高到90%左右，基本实现大病不出县，缓解群众看病难、看病贵、看病远问题。

Qinghai province to carry out comprehensive through public hospital comprehensive reform at or above the county level,Strive to"1025"In the end make county JiuZhenLv increased to 90%,The basic realization of a serious illness county,Alleviate the masses to see a doctor/The doctor your/The doctor far problem.

　　青海省这次出台的对城乡居民医疗保险的新政策规定，在城乡居民人均400元的医保筹资经费中，按人均50元标准统筹建立大病医疗保险资金，对所有重特大疾病实行医疗保障。对大病患者个人自费负担超过5000元的，纳入大病医疗保险，按实际发生的医疗费进行报销，使城乡居民住院费用实际支付比例达到80%，高于国家规定30%，民政救助对象再由民政部门予以医疗救助，使其实际费用报销比例达到90%。(记者刘鹏)

This time on the introduction of the qinghai province to urban and rural residents medical treatment insurance new policies,In both urban and rural residents per capita of $400 in health care financing funds,According to the per capita 50 yuan standard as a whole to establish medical treatment of a serious illness insurance funds,For all the great disease medical security.Patients with a serious illness to personal at one's own expense burden more than 5000 yuan,Into the medical treatment of a serious illness insurance,According to the actual medical expenses to submit an expense account,Make urban and rural residents hospitalization expenses actual payment ratio reached 80%,The provisions of the state higher than 30%,Civil affairs rescue object again by civil affairs departments shall medical assistance,Make the actual expense ratio reached 90%.(Reporter liu)