中新网株洲12月14日电 (记者 刘柱)14日，居民龙律见因感冒医生给他开了5种抗病毒药，在湖南省株洲市茶陵县人民医院门诊部缴纳的总费用是47.65元。

Beijing zhuzhou, 14 dec (Reporter LiuZhu)14,People see dragon law because of cold doctor gave 5 kinds of antiviral drug,ChaLingXian zhuzhou city in hunan province people's hospital out-patient department of pay total cost is 47.65 yuan.

　　“这些药放在昨天，要55元，因为取消了药品加成，5种药加起来便宜了7元钱。”医院药房药师颜志明说，这是取消“以药补医”后药价有了明显的变化。

"These medicine on yesterday,To 55 yuan,Because cancelled drug addition,Five kinds of medicine up cheap 7 yuan."Hospital pharmacy medicine YanZhi testified,This is cancelled"In medicine for medical"Prices after has changed greatly.

　　记者通过药房电脑查询其他药品价格对比，证实了颜志明所说的“明显变化”。如单磷酸阿糖腺苷原价41.8元，现只有34.98元；拉米夫定片以前是217元，现在只要187.8元。

Reporter through the pharmacy computer inquires the other drug price contrast,Confirmed YanZhiMing said"Obvious change".Such as single phosphate vidarabine original price 41.8 yuan,Now only 34.98 yuan;Lamivudine tablet was 217 yuan,Now as long as 187.8 yuan.

　　这些变化源于一项新的改革。当日，湖南省株洲市茶陵县、炎陵县同时启动县级公立医院改革暨取消“以药补医”机制改革试点，两县的县人民医院、县中医院和县妇幼保健院共6家医院开始探索通过调整医疗服务价格、实行药品“零差价”等方式告别“以药补医”机制。

These changes from a new reform.the,Zhuzhou city in hunan province ChaLingXian/At or above the county level and the launch of the tianxinli public hospital reform and cancel"In medicine for medical"Mechanism reform pilot,Two county county people's hospital/County hospital of traditional Chinese medicine and county maternal and children health care centers of a total of 6 hospitals began to search through the adjustment of medical service prices/Implement drug"Zero spread"Etc to say goodbye to"In medicine for medical"mechanism.

　　试点措施包括通过取消药品加成，所有药品(中药饮片除外)在县级公立医院实行零差率销售，对试点医院由此减少的收入，将通过合理提高体现医务人员技术劳务价值的手术费、治疗费、护理费、诊查费、床位费、中医诊疗费以及中医特色服务等医疗服务项目价格，增加政府投入等途径予以补偿。调整的医疗服务收费项目将被纳入医保和新农合支付范围。同时建立门诊一般诊疗费补偿机制，门诊一般诊疗费的提高部分将全部由医保、新农合基金支付。

Pilot measures include through the cancel drug addition,All pharmaceutical(Except Chinese medicine yinpian)In a public hospital at or above the county level shall implement zero sales rate,To pilot the hospital which reduce the income,Through reasonable improve reflect the medical staff technical service value of the operation/treatment/nurse/Inspecting fee/algorithm/The doctor of traditional Chinese medicine and traditional Chinese medicine fee characteristic service and so on medical service price,Increase government investment compensation way.Adjustment of medical service items for fee collection will be included in the medical insurance and the new agriculture close to pay limits.At the same time establish general outpatient service fee compensation mechanism,The improvement of general outpatient service fee will be part of all by medical insurance/New farmers joint fund pays.

　　取消了药品加成，却提高医疗技术费，是否只是变换名目收费而已？提高的医疗服务费又是否会增加患者的负担？

Cancel the drug addition,But improve medical technology fee,Whether it is simply to change the nominal charge?Improve the medical service charge and will increase the burden of the patients?

　　湖南省卫生厅医政处处长高纪平解释说，取消药品加成，是实实在在切掉了医疗服务中的药品利润，提高医疗服务费，一方面是让医护人员获得与自身劳动相匹配的报酬，一方面也能提高医护人员的服务质量，而与此同时，增加的收费也都将纳入医保和新农合，按政策进行报销，不会增加老百姓负担。

Health department of hunan province medical administration is taller JiPing explained,Cancel the drug addition,Truly, truly, is cut off the medical service of pharmaceutical profit,To improve medical service charge,On the one hand is to let the medical staff with their own labor for matching the reward,On the one hand can also improve the service quality of medical personnel,And at the same time,Increase the fee also will be included in health care and new farming together,According to the policy of reimbursement,Will not increase the burden of common people.

　　“取消药品加成后，医院没有了来自药品的利润，过往存在的开大处方、过度医疗的项目费用就会降低，医院还会降低大型设备检查价格。新增的费用，在通过医保报销后，患者的实际就医费用不仅不会上升，还可能会减少。”高纪平说。

"Cancel after drug addition,The hospital without the drug from the profit,The past DaChuFang are open/Excessive medical project cost will be low,The hospital will also reduce the heavy equipment to check the price.The cost of the new,In the medical insurance reimbursement through after,The actual cost of patients go to a doctor will not rise,Also may decrease."GaoJiPing said.

　　此外，这项新试点改革还将改革人事和收入分配等制度、强化服务能力建设、增加财政投入等，推行总额预付、按病种、按服务单元等付费方式改革，推进管理体制及推进人事分配制度等改革。

In addition,The new pilot reform will reform the personnel and income distribution system/Strengthen the service ability construction/Increasing financial investment, etc,Total implementation in advance/According to the disease/According to the service unit and payment reform,Advance management system and promote the reform of personnel distribution system.

　　据悉，浏阳市、湘乡市、石门县、祁阳县、冷水江市、龙山县等6个试点县市也将陆续出台县级公立医院改革方案，明年有望在湖南全省推开县级公立医院改革。(完)

It is reported,LiuYangShi/The xiangxiang/concession/QiYangXian/LengShuiJiangShi/Longshan county six ShiDianXian city will also comes on stage in succession public hospital reform plan at or above the county level,Next year is expected to push in hunan province at or above the county level public hospital reform.(finish)