中新网北京12月1日电 (记者 杜燕)北京市公立医院医药分开试点今天再增三家医院。北京市医改办主任韩晓芳表示，试点就是要“试错”，看目前试行的政策是否有问题，以总结、完善。明年，北京力争扩大试点范围。

Beijing Beijing, 01 dec (Reporter DuYan)Beijing public hospital medicine separate pilot again today add three hospitals.Beijing medical director do HanXiaoFang said,Pilot is to"Trial and error",Look at present for trial implementation policy if there is a problem,To summarize/perfect.Next year,Beijing strive to expand the scope.

　　2012年7月和9月，北京友谊医院、北京朝阳医院分别启动了医药分开改革试点。今天零时开始，北京天坛医院、北京同仁医院和北京积水潭医院也开始试点医药分开，取消药品加成，取消挂号费、诊疗费，设立医事服务费。其中，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，按照“保基本”的原则，门诊医事服务费由医保定额报销40元。

In July 2012 and September,Beijing friendship hospital/Beijing chaoyang hospital were launched medicine separate reform pilot.Zero hour start today,The temple of heaven in Beijing hospital/Beijing tongren hospital and Beijing ji shui tan hospital began to pilot medicine apart,Cancel the drug addition,Cancel the registration fee/fee,Set up medical service charge.the,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,According to the"The basic"principle,Outpatient service medical service charge by medical insurance rating to submit an expense account 40 yuan.

　　记者今天在三家试点医院看到，每家医院都在显要位置公示医保患者药品及医事服务费的报销政策。

Reporters today in three pilot hospital see,Every hospital in important position public health care patients drugs and medical service of reimbursement policy.

　　北京天坛医院院长王晨表示，为了应对可能出现的挂普通号患者增加的情况，天坛医院采取了普通号不限号的举措，并在一至四楼均开放窗口方便患者挂号、收费。

The temple of heaven in Beijing hospital dean WangChen said,In order to cope with the possible hang ordinary number increases patients,The temple of heaven hospital adopt the normal number unlimited number of measures,And in one to four floor are open window convenient patients registered/charge.

　　为了防止大处方，该院还组建了一支20人临床药师及科室临床医师队伍，参与处方和医嘱合理用药审核、点评与公示，分析用药变化趋势及异常时的停药建议。对于价格贵或者经药管会与药物治疗学委员会确定的重点监控品种，实施重点监控。

In order to prevent DaChuFang,The hospital also has a 20 clinical pharmacists and department clinical physician team,Participate in prescription and doctor's advice rational drug use audit/Comment on and public,Analysis of the changing trends and abnormal use of drug withdrawal Suggestions.For the price is expensive or the medicine tube and pharmacotherapeutics committee certain key monitoring varieties,Implement key monitoring.

　　很多患者面对书写的密密麻麻的中英文对照的用药说明，往往还是一头雾水。对此，天坛医院在门诊大厅放置了一台安全用药咨询打印机，患者只需要输入药品名称，就可以打印简介明了的用药重点说明。

Many patients face written bunches of Chinese English bilingual medical information,Often or confused.this,The temple of heaven in hospital outpatient service hall placed a safe medication consultation printer,Patients only need to input drug name,You can print profile clear medicine focuses on the instructions.

　　在北京同仁医院，记者看到，该院醒目位置挂了十余条有关医药分开的标语口号横幅，相关政策解读的展板多达60余块。

In the Beijing tongren hospital,The reporter sees,The hospital full position hung up the more than 10 the relevant medical separate banner slogan slogan,Relevant policy interpretation of exhibition board up to more than 60 pieces.

　　北京同仁医院院长伍冀湘表示，该院东、西区以及南区共增加出诊医师64人次。其中，眼科、耳鼻咽喉头颈外科等重点科室普通号增加420个，同比翻一番；普外科、骨科、中医科等7个科室全部开放普通号；专家号在原来300个的基础上又增加440个，达到740个；重点科室的专家号在原来120个号源的基础上增加280个，总量达到400个。

Beijing tongren hospital dean WuJiXiang said,Hospital east/West and south side were increased home visit physician 64 person-time.the,eye/Otolaryngology head and neck surgery such key department general number increase by 420,Up double;General surgery/orthopaedic/Traditional Chinese medicine department 7 departments all open ordinary number;ZhuanGuHao in the original on the basis of 300 and the addition of 440,Up to 740;The ZhuanGuHao key departments in the original 120 source number based on the addition of 280,Amounted to 400.

　　该院眼科普通号由原来的每天500个号增加到700个，专家号源增加22%。眼科中心晚间门诊常态化，主要开放的是眼底、眼肌、青光眼3个供求矛盾比较突出的科室，可增加近百个号源。

The hospital eye ordinary number from originally of every 500 number increased to 700,ZhuanGuHao source increased by 22%.Ophthalmic center evening outpatient normalization,The main open is fundus/lema/Glaucoma three contradictions between the supply and demand more outstanding department,Can increase nearly number source.

　　他透露，从本月3日起，耳鼻咽喉头颈外科也将开放晚间门诊，出诊医生为一名主治医师和一名副主任医师或主任医师，大约可增加50个号源。出诊地点在东区二楼VIP诊室，17时开诊。

He revealed,From this month within 3,Otolaryngology head and neck surgery will also open evening outpatient service,Home visit the doctor for a resident physician and a deputy chief physician or chief physician,About can increase 50 number source.Home visit place in east VIP clinic on the second floor,17 when begin.

　　伍冀湘表示，该院将继续实行分时就诊，避免大量患者高峰期集中取号或候诊，减少患者在医院逗留时间。

WuJiXiang said,The hospital will continue to implement time-sharing see a doctor,To avoid a large patient peak concentration take number or waiting,Reduce patients in the hospital stay time.

　　记者最后一站来到北京积水潭医院。该院副院长蒋协远表示，为了保证号源充足，重点科室普通号源不限号，并增加出诊医师数量；非重点科室普通号的号源投放量增加10%。医院已经将号源的95%投入到预约挂号系统。

Reporter last station came to Beijing ji shui tan hospital.Vice President of the hospital JiangXie far said,In order to ensure sufficient source number,Key department general number source unlimited number,And increase home visit physician quantity;The key department general number number source mechanization increased by 10%.The hospital has no source 95% commitment to make an appointment system.

　　他表示，为了提高患者满意度，提升医生服务质量，该院设立了科室次均药品费用警示机制，对次均药品费用超标科室将通过书面、短信等形式发出警示，督促各科室合理用药。

He said,In order to raise the degree of satisfaction of patients,Improve the doctor service quality,The hospital established department second all drug expenses warning mechanism,To second all drug expenses exceed bid department will through the written/Text messages and other forms a warning,Urge the department rational drug use.

　　另外，医院还将监测门急诊、病房用药排序前20位的变化情况，对销售金额前10位的药品进行监测，并形成反馈机制。据介绍，单张金额大于400元的处方及使用抗菌药物的处方全部进行点评，由专家组进行合理用药讨论，对不合格处方按照合理用药相关管理规定进行处罚。

In addition,The hospital will monitor this/Ward drug sort the change of top 20,Sales amount of top ten drug monitoring,And form feedback mechanism.According to introducing,Leaflet amount is more than 400 yuan of prescription and use of antimicrobial drug prescription all comments,The expert group to discuss the rational use of drugs,For the unqualified prescription according to rational drug use related management provisions of punishment.

　　他强调，该院也不断加强高值耗材管理，并对使用高值耗材病例进行抽查，组织专家论证使用是否合理，并制定了相应的奖罚制度。

He stressed that,The hospital are enhancing the high value consumables management,And the use of high value consumables spot check cases,Organizations use on the expert's demonstration is reasonable,And formulate the corresponding rules for reward system.

　　北京市医改办主任韩晓芳表示，医药费试点改革触动了医院管理体制、运行机制等深层次变革，将让医院和医务人员依靠医疗服务挣钱，提高社会价值。而试点就是要“试错”，即发现试行的政策是否有问题。如果相对成熟，明年将扩大试点范围。(完)

Beijing medical director do HanXiaoFang said,Medical expenses pilot reform touches the hospital management system/Operation mechanism and deep change,Will let the hospitals and medical personnel rely on medical service to earn money,Improve social value.And the pilot is must"Trial and error",That is found for trial implementation policy if there is a problem.If the relative mature,Next year will expand the scope.(finish)