市医改办主任韩晓芳今天上午透露，本市公立医院改革今后将继续深化，推进药品和耗材采购、配送制度改革，同时在一级、二级公立医院探索开展改革试点。延庆县医院已经成为全国县级医院医改试点，将在明年正式启动。

Medical director of the city to HanXiaoFang said this morning,The city public hospital reform in the future will continue to deepen,Promote drugs and consumables procurement/Distribution system reform,At the same time in the level/Secondary public hospitals to carry out the pilot reform of exploration.Yanqing county hospital at or above the county level has become the national hospital reform pilot,Will be officially launched next year.

　　韩晓芳说，“如果不做配送制度改革，不把药品中间的水分挤出去，回扣等问题就无法解决。”

HanXiaoFang said,"If you don't do distribution system reform,Don't take drugs in the middle of the water out,Commission will not solve problems."

　　自7月1日友谊医院率先启动以医药分开为核心的综合改革，目前本市已有朝阳医院、同仁医院、积水潭医院、天坛医院加入试点。韩晓芳说，医药分开改革的效果已经呈现出来：一是成本控制进一步加强。医院采取阳光采购、通过财务预算管理软件的应用来全面加强监管，有效降低了医院运营成本；二是用药管理进一步加强；三是医德医风建设进一步加强。医院与医务人员签订承诺书，与供货商签订《治理医药购销领域商业贿赂承诺书》，加强医院各环节的监管与约束。试点医药分开5个多月以来，试点医院的问卷调查都显示：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，并认为看病沟通时间比以前长了。在患者成本降低的同时，医院试行新的绩效考核体系，贯彻了“多劳多得、优劳优得”的原则，友谊医院和朝阳医院医务人员绩效工资较改革前均将增长30%以上。

Since July 1, the friendship hospital start to medicine separately for the core of the comprehensive reform,At present this city for chaoyang hospital/Tongren hospital/Ji shui tan hospital/The temple of heaven hospital to join the pilot.HanXiaoFang said,The reform of medical separate effects have been presented:One is to further strengthen cost control.The hospital to take sunshine purchase/Through the financial budget management software applications to strengthen supervision,Reduce the operation cost of the hospital;The second is to further strengthen the management of drug;The third is to further strengthen the construction of medical ethics.Hospital and medical staff sign letter of commitment,Signed with suppliers[Management pharmaceutical sales field confirmation of commercial bribery],Strengthen the hospital every link of the supervision and restriction.Pilot medicine apart more than five months,Pilot hospital questionnaire are displayed:More than 85% patients can accept the price of medical service,More than 82% of the patients to the services of a doctor with ability,And that the doctor communication time than ever before long.In patients with lower cost at the same time,The hospital for trial implementation of the new performance evaluation system,Implement the"More pay for more work/Optimal pains to optimal"principle,Friendship hospital and chaoyang hospital medical staff performance salary reform are more before will increase by more than 30%.

　　朝阳医院执行院长陈勇透露，改革后，患者缴费、取药平均等候时间从优化服务之前的15分钟降至5分钟内。“试点医院的门诊药占比、次均费用、次均药费和住院患者例均费用等指标均得到了不同程度的下降。通过加强用药，患者次均药费减少70多元。按医保报销70%计算，患者减少药费支出20多元。患者得到了实惠，医保支出和医院收益的合理性提升，过度医疗带给药品厂商的不当得利下降。”

Chaoyang hospital executive director Chen yong said,After the reform,Patients pay cost/Medicine average waiting time from optimization service before the 15 minutes down to 5 minutes."Pilot the hospital outpatient service of medicine than/Second all cost/Second all expenses for medicine and inpatient cases all expenses index were given different degree of decline.By strengthening the use,Patients are times medicine to reduce 70 multivariate.According to the medical insurance reimbursement 70% computation,Patients reduce medicine expenditure and multiple.Patients gained,Health care spending and the rationality of the hospital income ascension,Excessive medical treatment to drug manufacturers claim down."

　　下一步本市将重点做好公立医院改革深化工作，总结试点工作经验，积极稳妥推广改革方案，不断完善相关配套政策，争取尽早在更大范围推广。进一步完善医疗服务体系，加强康复医院和护理医院建设，提高大医院的床位周转率，推进大医院带社区，提高社区服务能力，合理分流大医院患者。推进药品和耗材采购、配送制度改革，探索通过医保采购、集团采购和价格谈判机制，使价格逐步回归到合理水平。明年探索开展一级、二级公立医院改革试点，逐步理顺护理费、手术费，推进医院院长的职业化和年薪制。

The next step will be focusing on the city public hospital reform deepening work,Summary trial work experience,The active and steady promotion of reform plan,Constantly perfect the relevant supporting policies,As soon as possible for greater scope promotion.To further improve the medical service system,Strengthen the construction of hospital care and rehabilitation hospital,Improve the large hospital beds turnover,Promote large hospital with community,Improve the ability of community service,Reasonable split big hospital patients.Promote drugs and consumables procurement/Distribution system reform,Explore through the medical insurance purchasing/The group to purchase and the price negotiation mechanism,The price gradually return to a reasonable level.Next exploration in level/Secondary trial reform of public hospitals,Gradually rationalize nurse cost/operation,Promote the hospital professional and annual salary system.

　　对于本市一级、二级医院医改的内容，市医改办相关人士称，具体的改革方案正在审核中。另外，中央在京医院也将逐步进行医改，目前正在进行相关研究和费用的测算。(记者贾中山)

For the city level/The content of the secondary hospital reform,Medical city do relevant personage says,Specific reform plan is audit.In addition,The central hospital in Beijing will also gradually to cure,Ongoing research and cost estimates.(Reporter JiaZhongShan)