中新网北京12月14日电 (记者 杜燕)北京市第三批医药分开试点正式实施一周以来，同仁、积水潭、天坛等3家试点医院患者得到有效分流，普通门诊增多约30%、专家门诊减少10%-32%。

Beijing Beijing, 14 dec (Reporter DuYan)The third group of medicine separate formal implementation of the pilot since a week,colleagues/Ji shui tan/The temple of heaven and three pilot hospital patients effectively shunt,General outpatient service increased about 30%/Expert outpatient service reduced by 10% - 32%.

　政策+管理——缓解“看病贵”问题的组合良药 Policy and management, ease"The doctor your"The combination of medicine problem

　　北京市医管局相关负责人今天表示，医药分开政策切断了医院收入和药品销售之间的利益关系，患者尝到了零差率药品的甜头。

The relevant person in charge of the hospital authority said today,Medical separate policy cut off hospital income and benefit relationship between the drug sales,Patients tasted the zero rate from drugs.

　　数据显示，一周来，患者在3家试点医院明显感受“药便宜了”。一位到同仁医院就诊的患者尹女士在接受采访时拿着刚开的药说：“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”。

Data display,A week,Patients in hospital three pilot obviously feeling"Medicine cheap".A colleague of hospital patients with ms Yin in an interview with just open medicine said:"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".

　　另外，医院加强管理有效遏制了大处方、大检查和高耗材等过度医疗现象，患者尝到了合理施治的甜头。比如天坛医院充分利用信息化系统，增加了医生用药提醒和限制功能；采取临床异常用药量监控措施，对异常用量的药商发出告知书，同时约谈医生，严格控制因灰色利益导致的医生不合理用药。

In addition,Hospital, strengthen the management of the DaChuFang effectively/Big check and high consumables and excessive medical phenomenon,Patients tasted the sweet taste of making reasonable.Such as the temple of heaven hospital make full use of the information system,Increasing the drug remind and restriction function;Take clinical patients abnormal monitoring measures,The druggist to abnormal amount issued notice,At the same time the interview,Strict control for grey interests lead to doctor not rational drug use.

　　同仁医院提出“药师走、转、改”，进一步发挥药师在安全合理用药等方面的重要作用，探索药学发展新路。对高值耗材使用的重点科室制定严格的适应症管理体系，对眼科高端人工晶体执行科主任审核制度。

Tongren hospital put forward"Pharmacists go/turn/change",Further play pharmacists in safety rational drug use of important role,Explore new pharmaceutical development.Use of high value consumables key departments formulate strict indications management system,To eye high-end artificial crystal implementation of director of division of audit system.

　　积水潭医院推出高年资主管以上药师审核处方，严把用药关，为患者提供高质量的药学服务；加强高值耗材的引进管理，对使用高值耗材的病例进行点评等。

Ji shui tan hospital launched more than high qualification competent pharmacists audit prescription,Strict medicine shut,For patients with high quality pharmaceutical care;Strengthen the introduction of high value consumables management,To use high value consumables cases comments, etc.

　　北京市医院管理局相关负责人透露，一周的监测数据显示，三家试点医院与前两批试点医院费用下降趋势相同，且下降幅度更大，继续呈现了门诊医保患者次均医疗费用、药占比、次均药费“三下降”趋势，其中平均药占比从55.69%下降到42.21%，下降了13.48%，患者负担明显减轻。

The relevant person in charge of the hospital authority said,A week of monitoring data shows,Three pilot hospital and the first two batch of pilot hospital costs decline the same,And the decline was even greater,Continue to present the medical clinic patients second all medical expenses/Medicine accounted for more than/Second all expenses for medicine"Three down"trend,The average of medicine than dropped from 55.69% to 42.21%,Dropped by 13.48%,Patients significantly reduce burden.

　　医事服务费——缓解“看病难”问题的价格杠杆 Medical service charge - ease"Difficulties in getting"The problem of price lever

　　42元、60元、80元、100元，按普通门诊、副主任医师、主任医师、知名专家四个层级制定的梯次医事服务费制度，不仅让医生回归技术本位，摘掉了“卖药”的标签，同时也让患者就医回归理性，初步合理有序地分流了患者，专家资源的不合理占用情况得到一定缓解。

42 yuan/Sixty yuan/80 yuan/100 yuan,According to the general outpatient service/Of doctor of vice director of/Chief physician/Famous experts four levels last for medical service system,Not only let the doctor regression technology standard,picked"Sell medicine"label,At the same time also let patients go to a doctor regression rational,Preliminary reasonable and orderly shunt the patient,Experts resources unreasonable occupancy under a certain ease.

　　北京市医院管理局对同仁眼科、耳鼻咽喉科，天坛神经内外科、积水潭骨科、烧伤科患者流向及重点学科和非重点学科的分类监测显示，3家试点医院均呈现了普通门诊增多、专家门诊减少、非重点学科专家门诊影响突出的特点。普通门诊中，以医保患者增加为主，平均增幅为30%。

The Beijing hospital authority colleagues in ophthalmology/otolaryngology,The temple of heaven nerve department/Ji shui tan orthopaedic/Patients with acute flow and key subject and the key subject classification monitoring display,Three pilot hospitals are presented increasing average outpatient service/Expert outpatient service to reduce/The key subject expert outpatient service influence outstanding characteristic.General outpatient service,To increase the medical insurance patients give priority to,Average growth was 30%.

　　专家门诊方面，3家医院也与友谊医院、朝阳医院趋势相同，总量下降，降幅为10%-32%，且非重点科室降幅较大，下降比例在25-54%。与非重点学科相比，患者对重点学科专家门诊的需求依然较为旺盛。

Expert outpatient service aspects,Three hospitals also and friendship hospital/Chaoyang hospital the same trend,Total decline,Decreased by 10% - 32%,And the key department large drop,Decline in the proportion of 25-54%.Compared with the key discipline,With a key subject expert outpatient service demand is still relatively strong.

　优化服务——缓解“医患关系”的润滑剂 Optimization service - ease"Doctor-patient relationship"lubricant

　　3家试点医院以医药分开为契机，推出多项综合创新服务措施，改善患者就医体验，形成不少让患者满意的亮点。

Three pilot hospital medicine as an opportunity to separate,Put forward a number of integrated innovation service measures,Improve patients' medical experience,The formation of many of the patients satisfaction to the window.

　　同仁医院调整门诊布局，扩大了眼科门诊就诊空间，推出了眼科、耳鼻喉科普通门诊不限号、眼科开设晚间门诊、非重点学科开设特色门诊等措施。

Tongren hospital outpatient service layout adjustment,Expand the eye clinic on a space,Launched an eye/Ent science through any number of outpatient service/Eye open evening outpatient service/The key subject open characteristics such as outpatient service measures.

　　天坛医院推出患者健康处方，对慢性病患者在开药方的同时，出具健康处方，提醒患者合理饮食和保健，受到患者的广泛欢迎；在门诊设立了安全用药自助服务机，供就医患者查询安全用药知识等。

The temple of heaven hospital out patient health prescription,Of chronic disease patients in a prescription at the same time,Prescription issued by health,Remind patients reasonable diet and health,By patients have been widely welcomed;In the outpatient service set up safety use self-service machine,For patients with medical knowledge of drug safety inquires.

　　积水潭医院则根据外地患者回去报销的需求，开通了特快专递“病案”的业务，深受患者好评。

Ji shui tan hospital is according to the needs of foreign patients back to submit an expense account,Open the express mail service"Medical record"business,Is deeply appreciated by numerous patients.

　　根据北京市医院管理局问卷调查显示，90%以上的患者认为专家解释疾病的时间长了，85%以上的患者对医生的服务质量表示满意。

According to the Beijing hospital authority questionnaire survey,More than 90% of the patients think experts explain the disease for a long time,More than 85% of the patients to the doctor's service quality satisfied.

　　负责人称，改革措施初步交出了患者满意答卷，验证了专科特色突出的综合医院实施医药分开同样能够取得好成效。

Officials say,Reform measures preliminary hand over the patient satisfaction results,Verify the specialized outstanding characteristics of the implementation of the comprehensive hospital medical separate can also get good results.