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北京三医院试行医药分开 外地患者难报医事服务费--亲民维稳网络舆情监测室
2012-12-04
《新闻1+1》2012年12月3日完成台本
[News 1 + 1]On December 3rd, 2012 complete playscript with stage directions
公立医院,行医不卖药!
Public hospital,Doctor don't sell drugs!
节目导视:
Program guide depending on the:
解说:
interpretation:
同仁医院、天坛医院、积水潭医院,北京第三批医药分开试点12月1日启动,公立医院改革开始动真格的。
Tongren hospital/The temple of heaven hospital/Ji shui tan hospital,A third group of Beijing pharmaceutical pilot separately on December 1, start,Public hospital reform than start.
伍冀湘北京同仁医院院长:
WuJiXiang Beijing tongren hospital dean:
主要是切断了医院和药商之间的这种联系。
Main is cut off the hospital and the contact between the druggist.
解说:
interpretation:
挂号不难了,门诊增加了,药费下降了,但表象的背后拉开的却是破除“以药补医”机制的改革大幕。
Registered easy,Outpatient service increased,Medicine down,But behind the representation is break open"In medicine for medical"The mechanism reform.
伍冀湘:
WuJiXiang:
作为医务人员和药品公司之间的这种关系,通过这项改革目前还不能够完全遏止。
As a medical staff and the relationship between drug companies,Through the reform is still not fully suppress.
解说:
interpretation:
2012年中国的公立医院改革将由局部试点转向全面推开。
In 2012, the Chinese public hospital reform from local pilot to full implementation.
朱之鑫国家发展和改革委员会副主任:
The national development and reform commission zhu zhixin, deputy director:
(下一步医改)力争使百分之九十的群众的看病问题能够在基层医院得到解决。
(The next step reform)Strive to make ninety percent of the mass of the doctor problem can be solved in basic-level hospitals.
解说:
interpretation:
《新闻1+1》今日关注:中国医改进入深水区!
[News 1 + 1]Attention today:China's reform, into the deep water area!
主持人白岩松:
The host BaiYanSong:
您好观众朋友,欢迎收看正在直播的《新闻1+1》。
How do you do the friend of the audience,Welcome to live in[News 1 + 1].
北京有三家非常著名的医院从12月1日开始进行医药分开的试点。医药分开可以说一下子触碰了大家非常敏感的神经,因为这是大家议论了很久、也期待了很久被认为与医疗改革以及解决我们看病难、看病贵等等紧密相关的一个改革的举措。
Beijing has three very famous hospital from December 1 to medicine separate pilot.The medicine can separate a touch everyone very sensitive nerve,Because it was everybody discussion for a long time/Also look forward to for a long time is considered and the medical reform and solve our difficult to see a doctor/The doctor is closely related to your and so on one of the reform measures.
12月1日,这三家著名的医院开始试点的时候,由于是周六,因此门诊量跟平常相比较并不是太大,但是今天却是这三家医院开始试点之后第一个正常的工作日里头,也就是门诊量极大的一天。究竟情况怎么样?医改会给我们未来的看病带来很大的希望吗?
On December 1,,The three famous hospital began when the pilot,Because it is Saturday,So with ordinary MenZhenLiang compared and is not too big,But today is the three hospitals began to pilot the first normal working days after that,MenZhenLiang is a great day.What how is it going?Medical doctor will give us the future bring a lot of hope?
来,我们一起去关注一下这次试点。
to,We go to pay close attention to the pilot.
解说:
interpretation:
作为北京市第三批医药分开改革试点,今天是北京市同仁医院、积水潭医院和天坛医院改革之后的第一个工作日。记者发现前来就医的患者较之周末明显增多,而医院内关于改革试点的标语、政策解读栏也随处可见。那么对于患者而言,看病先挂号,挂号费发生了哪些变化呢?
As the third batch of medicine separate reform pilot,Today is the Beijing tongren hospital/Ji shui tan hospital and the temple of heaven hospital reform after the first working day.Reporter discovery to go to a doctor of patients significantly more than the weekend,And in the pilot reform of hospital about the slogan/Policy reading bar also can be seen everywhere.So for indiiduals,Doctor register first,The registration fee? What are the changes?
记者:
reporter:
您这一次挂号花了多少钱?
You this time registered spent much money?
本地患者:
Local patients:
这次挂号花了42(元)。但是公布的信息是如果是有医疗保险是可以报销的,等于自己负担只是两块钱。
The registered spent 42(yuan).But published information is if there is a medical insurance can be reimbursed,Equal to bear his own just two dollars.
本着患者:
In patients:
我挂号是60(元)的,我支付了20(元),医保支付了40(元)。
I registered is sixty(yuan)of,I paid twenty(yuan),The medical insurance payment and(yuan).
解说:
interpretation:
关于这次试点的改革方案,取消门诊的挂号费、诊疗费,并按照医师级别增设42元、60元、80元、100元的门诊医事服务费,享受医保的患者每人每次可以报销其中的40元。然而,这三家医院专科特色显著,前来询医问诊的外地患者居多,他们的医事服务费就要自掏腰包了。
About the pilot reform plan,Cancel outpatient service of the registration fee/fee,According to the physician level add $42/60 yuan/80 yuan/100 yuan of outpatient service medical service charge,To enjoy medical treatment of patients, and each person can submit an expense account one of the forty yuan.however,The three hospitals specialized characteristics significantly,To come to consult the foreign patients medical interrogation in the majority,Their medical service charge will be paid from the.
记者:
reporter:
您挂的是普通号还是专家号?
You hang is common size or ZhuanGuHao?
外地患者:
Foreign patients:
专家号。
ZhuanGuHao.
记者:
reporter:
多少钱?
How many money?
外地患者:
Foreign patients:
100块钱。
100 dollars.
记者:
reporter:
咱们有医保卡吗?您是本市的吗?
We have medical insurance card?Are you in the city?
外地患者:
Foreign patients:
我不是本市的。
I am not in the city.
记者:
reporter:
您是外地的?
You are outside?
外地患者:
Foreign patients:
秦皇岛的。
Qinhangdao's.
记者:
reporter:
您这一百块钱能报销吗?
You this one hundred dollars can submit an expense account?
外地患者:
Foreign patients:
我不能报,我自报自销。
I can't quote,I sign up self locking.
解说:
interpretation:
为了优化预约挂号流程,天坛医院在门诊大厅设立了自动售票机,积水潭医院购置了自助挂号、取号机,预约成功的患者在自助取号机上缴纳医事服务费并取号,减少了中间环节。除了挂号费的变化,改革的另一项内容就是取消15%的药品加成,也就是说,患者开药比以前便宜了。
In order to make an appointment process optimization,The temple of heaven in hospital outpatient service hall set up the ticket machine,Ji shui tan hospital bought self-help registration/Take number machine,Make an appointment success of the patients in the self-service take no pay on medical service charge and take number,Reduce the intermediate links.In addition to the change of the registration fee,Another content reform is to eliminate 15% of drug addition,That is,Prescribe patients than ever cheaper.
本地患者尹女士:
Local patients ms Yin:
尤其是这个甘精(胰岛素注射液)下降是最快的,原来是258元,刚才我看了看(现在)是220多元,这一下子相差了30多元。
Especially the Kennedy essence(Insulin injection)Fall is the fastest,It is 258 yuan,Just now I took a look(now)Is 220 yuan,This difference at 30 multivariate.
解说:
interpretation:
在同仁医院门诊大厅的电子屏上,时时显示着药品改革前后的价格对比,而且患者还可以通过药价查询机自助查询药品的价格,药品价格、挂号方式都发生了不小的变化。然而,记者在同仁医院和积水潭医院采访时,一些患者也提出了自己的担心。
In tongren hospital outpatient service hall on the electronic screen,Always show the drugs before and after the reform of the price of the contrast,And the patients can also through the prices checking terminal self-help inquires the price of drugs,Drug price/Registered way had happened a lot of change.however,Reporter in tongren hospital and ji shui tan hospital in an interview,Some patients also puts forward his own worry.
本地患者:
Local patients:
收费的渠道分开了,但是要做得不好的话,整体的费用可能还是会增加。
Charge of channel separation,But to do good words,The whole cost may be increased.
解说:
interpretation:
取消15%的药品加成,取消挂号费、诊疗费,增设医事服务费,关心这几项改革内容的除了患者当然还有医生。三家医院在设立了医事服务费后,还将把医事服务费收入的一部分拿出来参与绩效分配,成为医生收入的一部分。
Cancel the 15% of the drug addition,Cancel the registration fee/fee,Additional medical service charge,Concerned about the several reform content in addition to patients and of course the doctor.Three hospitals in medical service set up after,Will the medical fees take out part of the distribution in performance,Part of the income to become a doctor.
卢海北京同仁医院眼科副主任:
LuHai Beijing tongren hospital, deputy director of the eye:
这次改革把医药分开以后,同时提出了一个医事服务费这样一种政策,也就是说医生他在出门诊,他在给病人进行诊治的活动过程中,他的劳动力价值,有着相应的价值的体现。
The reform of the medicine after separately,At the same time put forward a medical service charge such a policy,He is a doctor in the clinic,He in the diagnosis and treatment for patients in the process of the activities,His labor value,Have the corresponding value reflect.
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