前晚，市政协医疗卫生界以界别名义向大会递交提案，希望尽快调整北京市医疗服务价格，尽快制定新增医疗服务价格。

The night before last,In the name of the CPPCC medical WeiShengJie sectors to submit the proposal,As soon as possible to adjust the price of medical service,For new medical service price as soon as possible.

　　这份提案的执笔人之一、政协委员、友谊医院肝病中心主任贾继东介绍，北京市医疗服务价格目前执行的仍然是1999年制定的《北京市统一医疗服务收费标准》。现在的医疗服务价格过低，已经严重背离了价值规律，本应体现医护人员知识、劳动的医疗服务价格远远低于成本，成为导致“以药养医”弊端的重要原因。

This proposal of one of the author/Political consultative conference (CPPCC)/Friendship hospital, director of the center for liver disease JiaJiDong is introduced,Beijing medical service price at present still implementation was instituted in 1999[Beijing united medical service fees].And now medical service price is too low,Has seriously deviated from the law of value,The medical staff should reflect the knowledge/The labor of medical service price is far below cost,Has become the leading cause"To raise the medical medicine"The important reason for the disadvantages.

　　此外，贾继东称，北京是全国医疗中心之一，医疗机构开展新技术新方法非常多。然而2010年以来，北京很少审批新医疗服务项目价格，至今已积累数百个项目，不仅严重影响了首都卫生事业的发展，也造成一些患者无法得到更加先进的治疗。

In addition,JiaJiDong says,Beijing is one of the national medical center,Medical institutions in developing new technology and new method is very much.However since 2010,Beijing seldom examination and approval of new medical service project price,Has been accumulated hundreds of projects,Not only the serious influence the capital health development,Also causes some patients are not able to get more advanced treatment.

　　提案向市政府建议：应尽快调整北京市医疗服务价格，尽快制定新增医疗服务项目价格。建立医疗服务价格的定期调整和监督机制，根据北京市经济发展、物价变化及医保承受能力，定期(每3年左右)小幅度调整价格，以减少相应的社会风险。

Proposal to the municipal government advice:Should adjust the Beijing medical service price as soon as possible,For medical service as soon as possible the project price.Set up the price of medical service routine adjustment and supervision mechanism,According to the Beijing economic development/Price changes and medical insurance to bear ability,regular(Every 3 years or so)Small amplitude adjust price,In order to reduce the corresponding social risk.

　调研数据 Research data

　　21医院医疗服务亏损34亿 And the hospital medical service 3.4 billion losses

　　2011年度，市卫生局牵头对21家市属医院开展的全成本核算数据显示，21家市属医院医疗服务项目总收益均呈严重的亏损状态。21家医院共开展标准医疗服务项目4192项，其中亏损项目2969项，占标准医疗服务项目总数70.83%，21家医院医疗服务项目合计亏损33.9亿元。

2011 year,The municipal bureau of health in the 21st home under the lead of the hospital total cost accounting data display,21 home under the hospital medical service project gross income are in serious losses state.A total of 21 hospitals out standard medical service item 4192 items,The defective item 2969 items,The standard of medical service items total 70.83%,21 hospital medical service project total loss 3.39 billion yuan.

　　三级医院的普通门诊挂号费和诊疗费成本72.90元，仅能收费4.5元；住院患者平均每天的诊疗成本费为186.87元，而住院诊疗费实际仅收费7元；阑尾切除术成本1192.36元，收费标准仅234元，还维持着16年前的水平。

Tertiary hospital general outpatient service registration fee and fee cost 72.90 yuan,Can only charge $4.5;A day on average hospitalized patients with the diagnosis and treatment cost is 186.87 yuan,But in actual fee for just $7;Appendectomy cost 1192.36 yuan,Charging standard only 234 yuan,Also maintain the level of 16 years ago.

观点 view

　　医疗服务不调价医改无动力 Medical services price adjustment reform, no power

　　政协委员、友谊医院心脏中心主任医师吴永全：一个阑尾炎手术，手术费200多元，至少需要医生、麻醉师、护士等五六个人一起工作几个小时；一次静脉注射，1元钱；打一针肌肉针，护理费只有5毛钱。这么低的定价，如何能体现医务人员的技术能力和劳动价值？医生得不到合理的酬劳，没有积极性，甚至靠过度检查、过度用药治疗来维持收入，医改如何持续？

Political consultative conference (CPPCC)/Friendship hospital, director of the center for WuYongQuan heart doctor:A appendicitis surgical operation,Operation 200 multivariate,At least need a doctor/An anesthesiologist/The nurse and five or six people work together for several hours;An intravenous injection,1 yuan;A shot muscle needle,Nurse cost only 5 cents.Such a low price,How can you reflect the technical ability of the medical staff and labor value?The doctor is not reasonable reward,No enthusiasm,Even by excessive examination/Excessive drug therapy to maintain revenue,Reform, how to continue?

　　至今，北京已有6家三甲医院启动了以“医药分开”为核心的公立医院改革。但“医药分开”，主要是一种筹资形式或政府补偿形式的改革，取消以前药品15%的政策性加成，平移到医事服务费。同时，为不增加患者负担，普通门诊的医事服务费由医保报销。这样一种改革，需要财政增加一定投入，如果今后公立医院的改革扩大到全市，政府是否还能够负担得起？如果政府不能完全负担，我们是否可以通过将医疗服务费上调到一个合理的价位，引导医院内部形成靠医疗服务，而不是靠“药或检查”挣钱的合理运行机制。

has,Beijing has six 3 armour hospital started with"Medicine separate"As the core of public hospital reform.but"Medicine separate",The main is a kind of financing form or government compensation form of reform,Cancellation policy before drug 15% bonus,Translation to medical service charge.At the same time,To increase the burden of patients,The average outpatient service medical service charge by medical insurance reimbursement.Such a reform,Need to increase financial input must be,If in the future the reform of public hospital expanded to the whole city,Whether the government can afford?If the government can't completely burden,Whether we can through the medical service charge will be raised to a reasonable price,Guide formed within the hospital by the medical service,Not by"Medicine or check"To earn a reasonable operation mechanism.

　调价同时更应杜绝过度医疗 Price adjustment at the same time we should put an end to excessive medical treatment

　　政协委员贾继东：目前是该花的钱没花(医生知识、技术和辛勤劳动)，不该花的钱没少花(非必需的昂贵检查和不规范的治疗)。所以调价不是简单地涨，而是合理地调，即有升有降。应该向公众强调，在调整医疗服务价格的同时，政府必须加强对医院和医生医疗行为的监督和规范。比如，加强处方点评制度，避免过多利用CT、核磁等大型仪器设备的检查、昂贵化验项目和过度用药治疗。这样，在调价的同时还能遏制总体费用的过度增加，甚至可能会降低总体费用。

JiaJiDong political consultative conference (CPPCC):At present is should spend the money didn't spend(The doctor knowledge/Technology and hard work),Shouldn't spend money to do not have little flower(Not necessary expensive inspection and not standard treatment).So the price adjustment is not simply a,But reasonable adjustment,That can rise and fall.Should be emphasized to the public,In the adjustment of the price of medical service at the same time,The government must strengthen the hospital and the doctor medical behavior of supervision and specification.Such as,Strengthen prescription comment on system,Avoid excessive use of CT/Nuclear and other large equipment inspection/Expensive test project and excessive drug therapy.this,In the price adjustment of in the meantime also can contain overall cost increase too,May even reduce the overall cost.

政府应购买质优医疗服务 The government should buy high quality medical service

　　政协委员、中日友好医院疼痛科主任樊碧发：现在的医院里，“物比人贵”、“脑体倒挂”现象确实很严重，但要上调医疗服务价格，还应谨慎。因为现在这个社会大环境下，公众对医疗费用的心理预期呈明显的刚性，“只能降，不能涨”。如果单纯提医疗服务涨价，将会引来大量反对之声。个人认为，政府应增加投入，通过医保报销等形式，购买质优价高的医疗服务提供给患者，最终别增加患者负担。

Political consultative conference (CPPCC)/The sino-japanese friendship hospital FanBiFa of director of division of pain:Now in the hospital,"Things than your"/"NaoTi fuchsia"Phenomenon is really serious,But to increase the price of medical service,Should also be cautious.Because now the social environment,The public medical treatment charge psychological expectations are obvious rigid,"Can drop,Cannot rise".If only mention the medical service price,Will draw against a large number of the sound.Personally think,The government should increase investment,Through the medical insurance reimbursement forms,Buy upmarket medical services to patients,Finally don't increase the burden of patients.

回应 response

　　将推进相关配套改革 Will boost related reform

　　1月22日，北京市政府工作报告中，已明确提到，今年，北京将“扩大市级医院医药分开改革范围，做好区县医院改革试点，推进医疗服务价格调整”。

On January 22,,The Beijing municipal government work report,Has clearly mentioned,This year,Beijing will"Expand the municipal hospital medical reform limits separately,Well area county hospital reform pilot,Promote medical service price adjustment".

　　当日下午，市政协委员、市医改领导小组组长吉林在参加政协分组讨论时表示，北京的医疗服务费比较低。现在，市政府正在酝酿对此予以调整，“发改委在牵头，几个部门在参加”。吉林称，此次医疗服务价格的调整一共涉及9300项。

That day afternoon,CPPCC members/The city of jilin medical reform leading group leader in the political consultative conference said group discussion,Beijing medical service charge is lower.now,The municipal government are brewing give this adjustment,"Development and reform commission (NDRC) lead in,Several departments in the".Jilin said,The medical service price adjustment in a total of 9300 items.

　　昨日，市卫生局相关负责人表示，公立医院“医药分开”改革是个系统工程。今年，相关部门还将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；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。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。

yesterday,The municipal bureau of health, officials say,Public hospital"Medicine separate"Reform is a system engineering.This year,Relevant departments will also 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;Exploration development level/Secondary trial reform of public hospitals;Gradually rationalize nurse cost/operation,Promote the hospital professional and annual salary system.The central hospital in Beijing will also gradually to cure,Ongoing research and cost estimates.

　建言 "

　　加强落实限制建设规划和地下水限采、压采规划力度，落实地下水开采总量控制目标。加快制定地下生态系统科学保护和修复的法规条例，将地下生态系统保护和修复纳入法制化轨道，对擅自开采、过度开采地下水以及其他严重危害地下生态系统的行为，明确法律责任和制裁措施。

To strengthen the implementation of restrictions on construction planning and groundwater limit mining/Pressure mining planning efforts,Carry out total amount control target of the groundwater exploitation.We need to promptly formulate underground ecological system science to protect and repair regulations regulation,The underground ecosystem protection and restoration into the legal track,To do STH without authorization mining/Excessive groundwater and other serious harm underground ecological system behavior,Clear legal responsibility and sanctions.

　　——市政协委员、北京市水利规划设计研究院副院长张彤

- the CPPCC members/Beijing water conservancy planning design and research institute vice President zhang tong

　　政府应加强管理，合理控制外来人员经营小商店、小饭馆、小商摊的数量，用劳动效率较高的超市取代小商店、小商摊、小菜摊。同时，市政府研究在街道及社区建立居民服务体系，包括社区治安门卫等社区工作，安排下岗失业人员和低龄退休老人工作。合理控制外来人员的数量，提高社会劳动效率。

The government should strengthen the management,The reasonable control of foreign personnel management small shops/Small restaurant/The number of small booth,Use labor efficiency higher supermarket instead of small shops/Small booth/Small vegetable stall.At the same time,The municipal government research in the streets and community residents to establish service system,Including community security guard, and community work,Arrange laid-off workers and young retired old man work.The reasonable control of the number of foreign workers,Improve the work efficiency.

　　——中国农工民主党北京市委员会(记者 魏铭言 杜丁 郭超 张轶骁)

Beijing -- China's peasants' and workers' Democratic Party committee(Reporters wei MingYan dutin GuoChao ZhangYi Xiao)