继北京友谊医院、朝阳医院后，同仁医院、积水潭医院和天坛医院也将试点“医药分开”。作为第三批改革试点，3家医院12月1日起取消15%药品加成、挂号费和诊疗费，全部药品实行“进价销售”。同时设医事服务费，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。这标志着北京医药分开试点进入“深入推进”阶段。

Following the Beijing friendship hospital/Chaoyang hospital,Tongren hospital/Ji shui tan hospital and the temple of heaven hospital will also pilot"Medicine separate".As the third batch of pilot reform,Three hospitals on December 1, 15% cancellation drug addition/The registration fee and fee,Drug implement all"Purchase price, sales".At the same time set 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.This marks the Beijing medicine pilot into separate"further"stage.

　　北京市医院管理局局长封国生表示，在第一、二批综合医院改革试点的基础上，选取同仁医院、积水潭医院、天坛医院3家专科特色突出的三甲综合医院作为第三批医药分开试点，可提供不同类型医院的试点经验。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，且医院具有药占比低、外地患者多等特点，相似性强，社会影响大。3家医院总开放床位3712张，2011年门诊量483.8万人次，出院人数11.1万人次；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。

Beijing hospital authority seal countries born says,In the first/The second batch of comprehensive hospital reform pilot basis,Selection tongren hospital/Ji shui tan hospital/The temple of heaven hospital three specialized outstanding characteristics of 3 armour general hospital as a third group of medicine separate pilot,Can provide different types of hospital pilot experience.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,And the hospital has accounted for medicine than low/Nonlocal patient characteristics,Similarity strong,Social influence big.Three hospitals total open 3712 beds,In 2011 MenZhenLiang 4.838 million person-time,The number of hospital 111000 people;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.

　　据介绍，3家医院将同步开展法人治理运行机制改革试点。实行理事会制度、院长负责制和监事会制度，初步建立现代医院法人治理结构。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。推动医院规范医疗行为，主动控制医保费用。创新财政价格补偿调控机制。落实政府对公立医院的6项投入政策，严控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。

According to introducing,Three hospitals will synchronize to carry out the pilot reform of corporate governance mechanism.A board of directors system/Dean responsibility system and the board of supervisors system,Preliminary the establishment of a modern hospital corporate governance structure.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.To promote the hospital regulating medical behavior,The initiative to control the medical insurance cost.Innovative financial compensation price regulation and control mechanism.Implement the government in public hospital six investment policy,Tight control of 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.

　　3家医院还将以患者为中心改善服务。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，如推进预约挂号，解决“挂号难”问题。优化服务流程，缩短排队等候时间；推行全程主诊医师负责制，确保诊疗的连贯性。开展优质护理，使每位住院患者都能得到责任护士的连续、全程、规范护理服务。

Three hospitals will also be taking patients as the center to improve service.Hospital management from"To disease as the center"steering"To the patient as the center",We take a series of measures for the convenience,If propulsion make an appointment,solve"Registered difficult"problems.Optimization service process,Shorten the waiting time;The implementation of the attending physician responsibility system,To ensure the continuity of the diagnosis and treatment.Provide high quality nursing,Make each hospitalized patients can be duty nurse continuous/whole/Standard nursing service.

　　今年5月18日，北京对公立医院改革进行统一部署，先后在友谊医院、朝阳医院启动第一、二批以医药分开为核心的综合改革试点，取得阶段性成效。患者负担减轻了。两家医院的门诊药占比、次均费用、次均药费和住院患者例均费用等指标均有下降，其中次均药费下降17%左右。友谊医院医药分开试点改革4个月监测数据表明：医保患者药占比从77%下降到64%，门诊医保患者次均医疗费用由450元下降到380元，住院医保患者例均医疗费用由18608元下降到16174元。朝阳医院与今年上半年相比，医保患者药占比从70%下降到58%，门诊医保患者次均医疗费用由394元下降到358元，门诊医保患者自付费用由185元下降到106元，住院医保患者例均医疗费用由17830元下降到15466元。与此同时，医务人员的劳动价值得到体现，两家医院医务人员绩效工资较改革前均将增长30%以上。通过控制成本和不合理医疗费用，医院收益均得到提高。两家医院的问卷调查显示：85%以上患者能接受医事服务费的价格，82%以上的患者对医生的服务能力满意，并认为看病沟通的时间长了。一部分常见病患者有效引导到了普通门诊就诊，专家号“一号难求”现象也得到缓解，优化了医疗资源。

In may this year 18,,Beijing to public hospital reform unified deployment,Successively in friendship hospital/Chaoyang hospital start first/The second batch of to medicine apart as the core of the comprehensive reform pilot,Has made some effects.Patients burden reduced.Two hospital outpatient medicine than accounted for/Second all expenses/Second all expenses for medicine and inpatient cases all expenses index decreased significantly,The second all expenses for medicine by about 17%.Friendship hospital medicine separate pilot reform 4 months monitoring data show that:Health care for patients with medicine than dropped from 77% to 64%,Outpatient service medical insurance patients second all medical expenses from 450 yuan ($380) to yuan,In all cases patients with medical insurance medical expenses from 18608 yuan ($16174) to yuan.Chaoyang hospital compared with the first half of this year,Health care for patients with medicine than dropped from 70% to 58%,Outpatient service medical insurance patients second all medical expenses from 394 yuan ($358) to yuan,Outpatient service medical insurance patients out-of-pocket expenses from 185 yuan ($106) to yuan,In all cases patients with medical insurance medical expenses from 17830 yuan ($15466) to yuan.meanwhile,Medical staff labor value be reflected,Two hospital medical staff performance salary is before the reform are will increase by more than 30%.Through the control cost and reasonable expenses for medical treatment,Hospital income are improved.Two hospitals questionnaire survey:More than 85% patients can accept the price of medical service,More than 82% of the patients to the services of a doctor ability satisfaction,And that the doctor communication for a long time.Part of the common diseases patients effectively guide the general outpatient clinic,ZhuanGuHao"It is difficult to find a number"Phenomenon also ease,Optimize the medical resources.

　　北京市医改办主任韩晓芳表示，今后北京将分析总结各医院不同阶段的试点经验，不断完善相关配套政策，争取尽早在更大范围推广。（记者王明浩）

Beijing medical director do HanXiaoFang said,In the future Beijing will analysis the hospital in different phases of the pilot experience,Constantly perfect relevant supporting policies,As soon as possible for greater scope promotion.(Reporter WangMingHao)