同仁医院、积水潭医院和天坛医院12月1日起试点医药分开，取消药品加成、挂号费和诊疗费，全部药品实行进价销售；设置医事服务费，实行分级定价，普通门诊、副主任医师、主任医师、知名专家门诊的医事服务费标准分别确定为42元、60元、80元、100元，其中医保患者可报销40元。

Tongren hospital/Ji shui tan hospital and the temple of heaven hospital on December 1 pilot medicine apart,Cancel the drug addition/The registration fee and fee,All the purchase price, drug sales;Set up medical service charge,Grading pricing,Of average outpatient service/Of doctor of vice director of/Chief physician/Famous experts of outpatient service medical service charge standard for 42 yuan determined respectively/60 yuan/80 yuan/100 yuan,The medical insurance patients can submit an expense account 40 yuan.

　　同时，三家医院将同步开展法人治理运行机制改革试点。建立以公益性为核心的绩效考核制度，实行与绩效考核结果挂钩的收入分配制度。改革医疗保险付费方式。创新财政价格补偿调控机制。落实政府对公立医院的六项投入政策，严格控制医院建设规模和大型设备购置。建立与服务量和绩效考核挂钩的财政补偿机制。配合医保付费制度改革，推进单病种定价方式改革。

At the same time,Three hospitals will synchronize to carry out the pilot reform of corporate governance mechanism.Establish a public welfare as the core of performance appraisal system,Implement and performance evaluation results of the hook of the income distribution system.The reform of medical insurance payment.Innovative financial compensation price regulation and control mechanism.Implement the government in public hospital six investment policy,Strictly control the hospital construction scale and large equipment acquisition.Establishment and services and performance evaluation hook financial compensation mechanism.Cooperate with medical insurance pay system reform,Advance pricing reform single disease.

　　医院管理从“以疾病为中心”转向“以病人为中心”，采取一系列惠民便民措施改善服务，如推进预约挂号、优化服务流程、推行全程主诊医师负责制、开展优质护理。

Hospital management from"To disease as the center"steering"To the patient as the center",We take a series of measures to improve the for the convenience of the service,If propulsion make an appointment/Optimization service process/The implementation of the attending physician responsibility system/Provide high quality nursing.

　　同仁医院和积水潭医院是《北京市公立医院改革试点方案》中确定的试点医院。新增天坛医院的主要考虑是，天坛医院与同仁医院和积水潭医院一样，均为学科特色突出的综合性医院，相似性强，社会影响力大；天坛医院也是医保付费制度改革试点医院，在医药分开后可形成联动效应，有利于费用的合理控制。

Tongren hospital and ji shui tan hospital is[Beijing public hospital reform pilot scheme]The determination of the pilot hospital.New tiantan hospital is main consideration,The temple of heaven hospital and tongren hospital and ji shui tan hospital as,Are all disciplines outstanding characteristics of comprehensive hospital,Similarity strong,Social influence big;The temple of heaven is the hospital medical insurance pay system reform pilot hospital,In medicine separated can form linkage effect,Is beneficial to the reasonable control of the cost.

　　此前，友谊医院和朝阳医院已经开始进行医药分开试点。在这两家试点医院，患者负担明显减轻，次均药费下降了17%左右。同时，医务人员的收入提高，两家医院医务人员的绩效工资较改革前均增长了30%以上。通过控制成本和不合理医疗费用，医院收益均得到不同程度提高。

after,Friendship hospital and chaoyang hospital has begun medicine separate pilot.In this two pilot hospital,Patients obviously reduce the burden,Second all expenses for medicine dropped by 17%.At the same time,Medical staff income increase,Two hospital medical staff performance salary is before the reform are growing by more than 30%.Through the control cost and reasonable expenses for medical treatment,Hospital income were improved to varying degrees.

　　今后，本市将分析总结各医院不同阶段的试点经验，完善相关配套政策，争取尽早在更大范围推广。进一步完善医疗服务体系，加强康复医院和护理医院建设，提高大医院的床位周转率，推进大医院带社区，提高社区服务能力。推进药品和耗材采购、配送制度改革，探索通过医保采购、集团采购和价格谈判机制，使价格逐步回归到合理水平。（记者 贾晓宏）

In the future,The city will analysis the hospital in different phases of the pilot experience,Perfect relevant supporting policies,As soon as possible for greater scope promotion.To further improve medical service system,Strengthen the rehabilitation hospital and care hospital construction,Improve the large hospital beds turnover,Promote large hospital with community,Improve the community service ability.Propulsion drugs and consumables procurement/Distribution system reform,Exploration through the medical insurance purchasing/The group to purchase and the price negotiation mechanism,The price gradually return to a reasonable level.(Reporter JiaXiaoHong)