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北京勇闯医改“深水区” 多项新政探索前路--亲稳网络舆情监控室
2012-12-28
中国正在进行的医疗体制改革,堪称是全球史上涉及人数最多、情况最复杂的重要改革。作为全国医疗中心的北京市,在医改中“勇闯深水区”,以空前的力度、先进的理念根除医疗体制积弊,力图建立中国医疗体制中的“北京模式”。
China is the medical system reform,This is the largest number of global history involved/The most complicated important reform.As the national medical center in Beijing,In the reform"Go to deep water area",With the unprecedented strength/Advanced the concept of the medical system any,Try to set up the Chinese health care system"Beijing model".
新政1:破解“医药分开” New Deal 1:crack"Medicine separate"
“医药分开”一直是公立医院改革的难点。
"Medicine separate"Has been the difficulty of public hospital reform.
“医药分开”并不是单单取消药品加成,而是对医院收入结构进行调整,把医院收入原来依靠药费、医疗费和财政三个渠道,调整为依靠诊疗服务费用和财政两个渠道,并抑制医院开大处方、不规范用药等问题。
"Medicine separate"And not just cancel the drug addition,But the hospital income structure adjustment,The hospital income originally rely on medicine/Medical treatment cost and financial three channels,Adjusted for rely on medical services cost and financial two channels,And inhibition of hospital DaChuFang open/Don't regulate problems such as drug.
新政2:五家医院预约挂号免取号 New Deal 2:Five hospitals make an appointment from take number
2012年,北京市医管局将优化医院内部流程,预约挂号将能够约到具体时段。另外,目前医院的门诊服务比较零散,还有服务标志不够清晰的问题。今后,在22家市属医院内部,门诊服务中心将统一标志和服务内容,市民在不同医院看病都能够比较容易地辨识。
In 2012,,The Beijing hospital authority will optimize the hospital internal process,Make an appointment will be able to about specific period of time.In addition,At present the hospital outpatient service is scattered,And service mark is not clear problem.In the future,In 22 home city hospital internal,Outpatient service center will be unified marks and the service content,People in different hospital can more easily identify.
新政3:设立医事服务费 New Deal 3:Set up medical service charge
医事服务费是指医务人员为患者提供医疗服务收取的费用。
Medical service is refers to the medical staff to provide patients with medical service fees charged.
收取医事服务费,可望对医院收入来源作出结构性调整。一方面,将医院收益体现在医疗服务的技术、水平、能力上,激励医生回归“治病救人”的职业本位;另一方面,切断医院收入与药品销售之间的利益关系,从利益机制上规范诊疗行为,遏制无序用药、过度用药、滥用药现象,切实减轻患者的负担。
Collect medical service charge,To the hospital is source of income to make structural adjustment.On the one hand,Will the hospital income reflected in medical service technology/level/ability,Incentive doctor regression"Cure the sickness to save the"Professional standard;On the other hand,Cut off the hospital income and drug sales benefit relationship between the,From the interest mechanism regulating medical behavior,Contain disordered drug/Excessive use/Drug abuse phenomenon,To reduce the burden of the patients.
新政4:医院拟首试药品“带量采购” New Deal 4:The hospital intends to try drugs"Belt quantity purchase"
今年,北京市属医院的药事管理模式将有所调整。此前,北京市医管局已同香港达成协议,拟聘请一名总药剂师,借鉴香港经验协助市属医院管理药事服务。为此,北京市医管局明确表示,将探索建立医院药剂师制度,今年北京市属医院采购药品也将由医管局统一负责。
This year,Beijing municipal hospital pharmacy management mode will have to be adjusted.after,The hospital authority has reached an agreement with Hong Kong,Intends to employ a total chemist,Hong Kong experience for reference to help under the management of hospital pharmacy practice.therefore,Beijing was made clear,Will explore to establish hospital pharmacist system,This year Beijing municipal hospital drug procurement will also be responsible for the unified by the hospital authority.
新政5:公立医院重大决策集体定 New Deal 5:Public hospital making important decisions collective set
针对市属医院的公立医院改革,北京市医管局表示,将在试点医院建立法人治理运行机制。医院的重大事项须进行集体决策,实现了对医院院长权力的“回收”。与此同时,也对院长赋予了一定权力,包括预算内财务审批权、考核分配权、员工奖惩权等。
According to the municipal hospital of public hospital reform,The hospital authority says,The pilot will be in hospital to establish corporate governance mechanism.The hospital to the major issues of the collective decision,Realize the power of the hospital"recovery".meanwhile,Also to dean endows the power,Including budget financial rights/Evaluation division/Staff rewards and punishment right, etc.
新政6:率先大考医院院长 New Deal 6:Take the lead in big test of the hospital
出台政府考核院长新办法,是北京市医院管理局推进公立医院改革的关键一步,目前不仅在全市,在全国也是首次,目的在推动干部任用制度改革,让院长将更多的精力用在管理上,向职业化管理迈进,以更好地引导市属医院贯彻政府办医为民的宗旨。
The government issued new methods of assessment,Is the hospital authority promote public hospital reform key step,At present not only in the city,In the country is the first time,Aimed at promoting cadres employment system reform,Let the more energy will be used in management,To professional management forward,To better guide under the government carry out the hospital medical aim.
新政7:医生待遇有所提高 New Deal and:The doctor treatment improved
开设双休日门诊、增加医生出诊时间等一系列措施,将医生的精力挤压到极限。
Opening weekend outpatient service/Increase the doctor home visit time and so on a series of measures,Will the doctor's energy extrusion to the limit.
北京医改既要“医者先行”,同时也要让医务人员满意。
Beijing is to reform"Healers first",At the same time also to make medical staff satisfaction.
医改是一项综合性战略性的改革,既包括基层的乡村医生、社区医院,也包括最顶级的三甲医院,同时兼顾各方利益,并考虑未来10年的可持续性发展。
Cure is a comprehensive strategic reform,Both grassroots rural doctors/Community hospital,Also include the top 3 armour hospital,At the same time give consideration to the interests of all parties,And consider the future 10 years of sustainable development.
北京医改力度之大、涉及内容之多,已引起内地其他省市区的关注。北京依照中央各级领导的总体要求和期望,在管理体制、运行机制和服务模式等方面进行了大胆尝试和创新,希望能对全国产生积极影响。(记者 李颖)
Beijing medical reform of strength/The contents,Mainland China has aroused the concern of the other.Beijing central leaders at all levels in accordance with the general requirements and expectations,In the management system/Operation mechanism and service mode of the bold attempt and innovation,Hope to have a positive impact to the nation.(Reporter kit-tai)
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