记者昨日从江苏省物价局获悉，镇江市及下属三个市县、宜兴市、如皋市、东台市医药价格综合改革实施方案元旦前夕集中获批，这也意味着继南京江宁区、镇江市之后，公立医院医药价格改革很快将在多地试水。根据省物价局文件要求，试点改革的公立医院将确保药品价格降低15%左右。

Yesterday, reporters learned from the bureau of jiangsu province,Zhenjiang and subordinate three city and county/Yixing city/RuGaoShi/Dongtai pharmaceutical price reform plan focus on New Year's eve is approved,This means that the nanjing jiangning area/Zhenjiang after,Public hospital medical price reform will soon be in more water.According to the provincial price bureau file,Pilot reform of public hospitals will ensure that drug price 15% lower.

A这些费用将减少—— These costs will reduce A --

　　药品全按进价卖降幅15%左右 Drugs all sold by the purchase price drop of about 15%

　　昨日，省物价局集中公开了关于东台市、如皋市、宜兴市三地公立医院医药价格改革方案的批复，涉及东台市人民医院、市中医院、市第三人民医院、市妇保院，如皋市人民医院、市中医院、市精神病防治医院，宜兴市人民医院、市中医院、市第二人民医院、市肿瘤医院等11家县级公立医院。省物价局相关负责人告诉记者，除去年最先启动的南京江宁区、今年元旦启动的镇江市医药价格改革外，目前省里15个试点县的实施方案已批复一半。根据省里的意见，各市将在完善方案的基础上很快推出改革。

yesterday,Provincial bureau of concentrated public about dongtai/RuGaoShi/Yixing city three public hospital medical price reform plan,Involved in dongtai people's hospital/The city hospital/The third people's hospital/City FuBao court,RuGaoShi people's hospital/The city hospital/The mental health hospital,Yixing city people's hospital/The city hospital/The second people's hospital/The tumor hospital, etc. 11 public hospitals at the county level.Relevant person in charge of the provincial price bureau told reporters,In addition to the first start of nanjing jiangning area last year/This year New Year's day start of zhenjiang medicine price reform,At present, the province 15 试点县 half the implementation of the scheme has been approval.According to the views of the province,In various cities will perfect plan soon on the basis of the reform.

　　这轮以破除“以药养医”为核心的改革，最直接体现在药价的变化上，要求医院所有药品，除中药饮片、医院制剂外，全部实行零差率销售，也就是按进价销售，确保医院医药价格降低15%左右。

The wheel to break"Medicine to support medical"As the core of the reform,The most direct embodiment in the change of the prices,For hospital all drugs,In addition to the traditional Chinese medicines into ready-to-use forms/Outside the hospital preparations,All the zero rate differential marketing,That is according to the purchase price,To ensure the hospital medicine price 15% lower.

　降低CT、磁共振等检查价格 Reduce the computed tomography (Computed tomography (CT))/Magnetic resonance (NMR), etc. To check the price

　　从省物价局批复给三市的文件看，部分检验检查价格将有大幅度降低。一是磁共振扫描(MRI)、X线计算机体层(CT)扫描将在试点医院取消上浮15%的规定；二是大生化、乙肝两对半定量检测等常规检验套餐价格分别降至196元/次、130元/次，省物价局要求，各试点地方在规范的基础上抓紧合理制定小生化组套价格,使检验实际价格有所下降。

From the provincial price bureau approval to the city of three documents,There will be greatly reduce part inspection to check the price.Is a magnetic resonance scan(Magnetic resonance imaging (MRI))/X-ray computer intercalation(Computed tomography (CT))Scanning will be cancelled in the pilot hospital rise 15%;2 it is to big biochemical/Second liver two half quantitative detection routine inspection package price down to 196 yuan/time respectively/130 yuan/time,Provincial price bureau requirements,Each pilot areas on the basis of the standard to make small biochemical group set reasonable price,To test the actual prices fell.

　B手术、病位费、诊查费价格将提高 B the operation/Is a fee/Inspecting cost price will increase

　　以宜兴市为例，四家参与改革的县级公立医院，2011年药品差价收入总额高达8107万元，取消“以药养医”后，医院的这部分收入将如何补偿？大头来自于调整医疗服务价格。

The yixing city as an example,Four to participate in the reform of public hospitals at the county level,Drug total profits as high as 81.07 million yuan in 2011,To cancel"Medicine to support medical"after,How will this part of the hospital income compensation?Big head from the adjustment of the price of medical service.

　　据悉，此前提高的医疗服务价格主要包括门诊和住院诊查费、手术费、护理费及床位费。“比如护理费，我们现在一个护士一天的护理费才几块钱，调整后将按三个级别，分别提高到10元、20元、30元/天；再比如诊查费，是将现有的挂号费、急诊挂号费、药事服务费进行整合，价格最高将提高到8-12元左右。”

It is reported,After improving the medical service price including outpatient and hospitalization charges made/operation/Nurses cost and charges."Such as a nurse,We are now a nurse care of only a few dollars a day,After adjustment will be effected according to the three levels,Increased to 10 yuan/20 yuan/30 yuan/day;Such as inspecting fee again,Is to present the registration fee/Ed the registration fee/Pharmacy service charge,The highest price will increase to 8 to 12 yuan."

　　C住院患者总体支出不增 C in hospital patients with overall spending does not increase

　　降低药价，提高服务价格，是否意味着今后去医院，看门诊会划算，而住院就得多花钱了呢？省物价局相关负责人不这么认为，物价部门表示，最明显感受到支出减少的将是一些慢性病患者，因为不需要经常诊查，只需要开药，所以支出肯定是大幅降低。而对于住院病人和手术病人，也未必就感到支出增加。原因在于，此次改革是与人社部门的医保配套政策同步进行的，对于涉及调整的医疗服务项目也将进行医保支付政策的调整，提高医保支付比例。比如诊查费提高到8元，但是医保支付了大部分，患者需人自费的可能也只有2-3元钱左右。总终将通过综合配套，使改革的公立医院平均门诊和住院收费水平与过去持平。(记者 石小磊）

Lower drug prices,Improve the service price,Does that mean to the hospital in the future,The outpatient service will be cost-effective,And in the hospital will have to spend more money?Relevant person in charge of the provincial price bureau don't think so,Commodity price departments said,The most obvious feel spending are going to reduce some chronic diseases patients,Because you do not need often effective,Only need a prescription,So spending is greatly reduced.For the patients and surgical patients in hospital,Also not feel spending increase.The reason is that,The reform is the medical insurance of social departments with people supporting synchronization carry on the policy,Involved for the adjustment of medical service items and will pay for medical insurance policy adjustment,To improve the medical insurance payment proportion.Such as effective cost increase to 8 yuan,But pay most of the medical insurance,Patients should be people at one's own expenses may also is only about 2-3 yuan.Always will through the comprehensive,Make the reform of public hospital average outpatient and hospitalization charges with the past.(The reporter ShiXiaoLei)