今后，北京将控制公立医院的盲目扩张，单体公立医院床位数禁止超过1000张。另外，在控制药品价格方面，今年北京将试行由医保部门参与药品耗材的招标采购，以增强控费动力。同时，将推动医院采取联合采购、集团采购的方式挤出药价水分。

In the future,Beijing will control public hospital blind expansion,Free public hospital bedspace banned more than 1000 copies.In addition,In the control drug prices,This year Beijing will trial by health care providers to participate in the bid for the purchase of the drug consumables,In order to enhance control charge power.At the same time,Will promote the hospital take joint procurement/The group to purchase way to squeeze out water prices.

　　

鼓励社会力量办医疗机构 Encourage social forces to do medical institutions

　　昨天，北京市人代会新闻发布会上，市卫生局新闻发言人雷海潮表示，北京市医疗机构设置规划历经3年研究，近期已得到北京市人民政府的批准，2月初将发布。按此规划，配置的床位数将从每千人口4.9张提高到每千人口5.5张。“预计未来4年内，北京的医疗床位将会增加一万到两万张。”

yesterday,Beijing last press conference,The municipal bureau of health LeiHaiChao spokesman said,The program of the establishment of medical institutions after three years of research,Recently has been approved by the Beijing municipal people's government,2 will be released early.According to the planning,The configuration of the bedspace from 4.9 per thousand population zhang increased to 5.5 per thousand population zhang."The expected future four years,Beijing medical beds will increase from ten thousand to twenty thousand copies."

　　雷海潮表示，今后会重点扶持和鼓励社会力量举办各级各类的医疗机构，来适应老百姓日益增多的高层次、舒适型医疗服务的需求。

LeiHaiChao said,The future will focus on support and encourage social forces held at various levels and of various kinds of medical institutions,To adapt to the common people increasingly high level/Comfortable model medical service requirement.

　　按照规划，到2015年，北京由社会力量举办的医疗机构的床位数，将会达到每千人口一张左右，且不设置上限。“所以，在可预见的四五年时间，私立医疗机构在北京医疗服务市场的作用和地位将会得到巩固和进一步发展，床位数将会增长一万张左右。”

According to the planning,By 2015,Beijing held by social forces of the medical institutions bedspace,Will achieve per thousand population around a,And do not set limit."so,In the foreseeable four or five years,Private medical institutions in Beijing medical service market role and status will be consolidated and further development,Bedspace will increase about ten thousand copies."

　　

医疗机构重点向五环外发展 Medical institutions to focus on the development of the rings

　　此前，北京已提出除了已经批准和立项的项目，城区的五环以内不再新建、改扩建医疗机构，重点向五环以外城区和郊区发展。今后，将进一步控制公立医院的盲目扩张，提出单体公立医疗机构床位规模不应该超过1000张，应该在600—1000张左右，作为对公立医院扩张的限制。

after,Beijing has put forward besides has approved the project and project,The city is no longer new within/The reconstruction of medical institutions,The key to the development of urban and rural areas outside.In the future,Will further control public hospital blind expansion,Puts forward monomer public medical institution beds scale should not be more than 1000 copies,Should be in 600-1000 about zhang,As to public hospital expansion limit.

　　同时，规定公立医疗机构要想扩充床位，床位使用率必须达到一定比例，比如综合医院床位使用率须达85%，否则不予批准。“预计规划实施后，北京各类医疗机构的关系和定位将更加清晰。”雷海潮说。

At the same time,Requires public medical institutions to expand beds,Utilization of beds must meet certain proportion,Such as general hospital bed utilization rate shall be 85%,Or not to approve."After the implementation of the planning is expected,Beijing all kinds of medical institutions and the relationship between the location will be more clear."LeiHaiChao said.

　　

改变单独采购挤药价水分 Change the single purchase prices squeeze water

　　“医药分开”切断了医院收入和药品收入的利益链。对于如何更好解决医生和药品收入之间的关系，比如红包、回扣，市发改委委员、市医改办主任韩晓芳表示，今年，医改办将推动医院采取联合采购、集团采购的方式，改变各医院单独采购的现状，挤出药品价格里的不合理水分。

"Medicine separate"Cut off the hospital income and drug income interests chain.As to how to better solve the doctor and the relationship between the drug income,Such as a red envelope/rebate,Municipal development and reform commission of/Medical director of the city to HanXiaoFang said,This year,To reform will promote the hospital take joint procurement/The group to purchase way,Change the present situation of the hospital separate purchase,Extrusion drug price unreasonable water.

　　同时，今年医保部门将首次试点参与药品、耗材的招标采购，使招标采购过程中的控费动力增强。目前，市医改办正在研究详细方案。

At the same time,This year for the first time to participate in medical insurance department will pilot drug/Consumable bidding procurement,Make bidding procurement process cost control power boost.At present,Medical city do is study detailed scheme.

　

　医疗新布局 Medical new layout

　　未来3年康复护理床位将达五千张 The next three years rehabilitation nursing bed will be five photos

　　发展康复医院解决大医院压床难题；西城、延庆等4区县试点 The development of rehabilitation hospital to solve large hospital press problem;wl/Yanqing and pilot counties

　　此前北京有计划通过康复院、护理院试点，形成社区——大医院——康复院和护理院的有序就医格局。但目前，康复院和护理院缺乏，不能满足患者需求，大医院压床情况仍很突出。

After Beijing planned through rehabilitation hospital/Nursing home pilot,Form the community -- big hospital - rehabilitation hospital nursing home and orderly pattern of medical treatment.But now,Rehabilitation hospitals and nursing home lack,Can't meet demand patients,Large hospital press is still very prominent.

　　雷海潮介绍，北京已经确定了西城、朝阳、石景山及延庆4个区县为发展康复医疗体系的试点区县，开展部分医疗机构的转型等工作。目前，4个试点区县也均确定了试点医院。

LeiHaiChao introduced,Beijing has determined the wl/chaoyang/Shijingshan and yanqing four districts and counties for the development of rehabilitation medical system of pilot counties,Carry out part of the transformation of medical institutions, etc.At present,Four pilot counties are also determine the pilot hospitals.

　　按照北京规划，到2015年，北京康复护理型医院床位每千人口增长0.5张。这意味着，在未来3年内，康复护理床位将达到5000张。

According to the Beijing planning,By 2015,Beijing rehabilitation nursing type hospital beds per thousand population growth 0.5 zhang.This means that,In the next three years,Rehabilitation nursing bed will reach 5000 copies.

　　雷海潮表示，现已确定将小汤山医院转型为康复医院，批准北京博爱医院增加床位至1100张，北京康复中心改扩建并增加床位至800张。同时，积极引导社会力量举办营利或非营利康复机构，已有和睦家康复医院、中国聋儿康复中心等项目通过审批，正在建设中。

LeiHaiChao said,Now will determine the xiaotangshan hospital transformation for rehabilitation hospital,Approved by Beijing humanitarian hospital beds increase to 1100 copies,Beijing rehabilitation center and increase the reconstruction beds to 800 copies.At the same time,Actively guide social forces held profit or non-profit rehabilitation facility,For harmony home rehabilitation hospital/Chinese children rehabilitation center projects through the examination and approval,Is under construction.

　　同时，护理院试点工作已完成了设置标准、出入院与转诊标准、服务标准、质量标准、评价标准及运行机制的研究。相关部门已经考察、调研了多所不同类型的老年护理院，并就收费标准和财政补贴等问题，提出了试点方案。

At the same time,Nursing home pilot work has been completed the set standard/ChuRuYuan and referral standards/Service standard/Quality standard/Evaluation standard and operation mechanism of the research.Relevant departments have investigated/Research the different types of elderly nursing home,And charging standards and financial problems, such as subsidies,The pilot scheme is put forward.

　　

医改焦点 Reform focus

　　【医药分开】 一、二级医院将启动改革试点 [Medicine separate] a/Secondary hospital will start pilot reform

　　北京目前已有5家医院试点“医药分开”。昨天，雷海潮拿出了“医药分开”改革最新成绩单——截至去年年底，5家试点医院医保患者平均药占比从42.15%减少到34.72%；门诊医保患者次均医疗费用从440元降低到351元；门诊医保患者自付费用从196元下降到98元；住院医保患者的例均医疗费用平均减少了3162元，自付费用从5092元下降到4371元。

Beijing currently has five hospitals pilot"Medicine separate".yesterday,LeiHaiChao took out"Medicine separate"Reform the latest report - by the end of last year,Five pilot hospital medical insurance patients than the average of medicine decreased from 42.15% to 34.72%;Outpatient service medical insurance patients second all medical treatment cost reduced from 440 yuan to 351 yuan;Outpatient service medical insurance patients out-of-pocket cost from 196 yuan ($) to 98 yuan;In all cases of medical insurance patients to reduce medical costs an average of 3162 yuan,Out-of-pocket costs from 5092 yuan ($) to 4371 yuan.

　　雷海潮表示，北京市正在对5家医院的试点情况进行评估，总结问题，下一步将在三级医院范围内增加试点范围的同时，也探索在一级和二级医院内启动改革试点。

LeiHaiChao said,Beijing is in 5 hospitals of pilot were evaluated,Summarize problem,The next step will be in tertiary hospital range increase the scope and at the same time,Also explores in the first and second hospital in pilot reform start.

　　市发改委委员、市医改办主任韩晓芳介绍，央属医院目前对试点的积极性非常高，国务院有关部门正研究协调推进这项工作。总体看，央属医院也要从试点开始，逐步扩大。

Municipal development and reform commission of/Medical director of the city to HanXiaoFang is introduced,Central hospital at present is to pilot's enthusiasm is very high,The relevant departments under the state council are coordination promote the work.On the whole,Belong to central hospital will start from the pilot,Gradually enlarged.

　　【总额预付】 将研究更合理定总额指标 [Amount prepaid] Will study more reasonable total set index

　　“医保总额预付制”曾在去年成为热词。这一制度在控费方面效果显著，但外省市实施该制度时，曾爆出导致医院推诿病人的情况。

"The total advance medical insurance system"In the last year has become a hot word.This system in control fee aspects effect is remarkable,But other provinces and cities in the implementation of the system,Have to shuffle out hospital the patient's condition.

　　韩晓芳表示，医保总额预付制度正在逐步完善。从效果来看，“医药分开”后很多资金费用指标明显下降，这也是医保付费制度改革等多个政策综合作用的结果。

HanXiaoFang said,The total advance medical insurance system is gradually perfect.See from the effects of,"Medicine separate"A lot of capital cost index declined obviously,This is also pay medical insurance system reform, and other policy result of the integrated effects of.

　　她坦承，总额预付的难度较大。如何科学确定预付总额的指标，人社部门也在研究探索。“比如考虑病的复杂难度，比如进行绩效方面的评估，在此基础上更科学合理地确定总额的指标。”

She admits,The total advance difficult.How to scientifically determine the advance of the total amount of the index,People club department also in the study."Such as consider disease complicated difficulty,As the performance evaluation,On the basis of more scientific and reasonable to determine the total index."

　　“北京绝不会出现医院推诿病人的问题。”韩晓芳表示，对此问题将会从制度上进行防范，预防出现“总额到头，病人就不接收了”的类似问题。

"Beijing will never appear hospital shuffle the patient's problem."HanXiaoFang said,This problem from the system will be on guard against,Prevent appear"The total,The patient is not received"Of similar problems.

　　

惠民新政 New we

　　专科医院将加盟预约挂号平台 Specialized subject hospital will join make an appointment platform

　　雷海潮表示，截至去年12月底，全市已有142家医院接入统一挂号平台，累计394.1万人在统一平台注册使用，所有上线医院(含二、三级医院)投入到统一平台的号源累计达到3364万个。今年内将逐步把专科医院也纳入此平台内。

LeiHaiChao said,By the end of December last year,The city has 142 hospitals access unified registered platform,Up to 3.941 million in unified platform use registration,All online hospital(Contain two/Tertiary hospital)Into the unified platform number source came to 33.64 million a.This year will be gradually in the specialized subject hospital also included in the platform inside.

　　“目前爽约率达到30%，50%的居民不知道有统一预约挂号平台。”针对目前爽约率较高的情况，雷海潮表示，今年内将在加强宣传的同时，扩大平台内号源的数量，探索分时段预约和专家层级预约，减少资源浪费。

"At present fail rate reached 30%,50% of people don't know how unified make an appointment platform."In view of the present break an appointment the higher rate of situation,LeiHaiChao said,Within this year will be to strengthen the propaganda and at the same time,Expand the platform, in the number of source,Explore the reservation period of time and the expert level make an appointment,Reduce the waste of resources.

　　

心脏移植抗排异将纳入特殊病 The heart transplant rejection resistance will be included in the special disease

　　针对减轻患者大病、特殊病负担方面，市人力社保局新闻发言人宋丰景介绍，北京已相继将6种特殊病的门诊报销纳入了住院报销范围，包括肿瘤放化疗、肾透析、肾移植后抗排异，以及血友病、再生障碍性贫血、肝移植抗排异。

To relieve the patient a serious illness/Special disease burden of,City human social security bureau spokesman SongFengJing is introduced,Beijing has successively will 6 kinds of special disease outpatient expense in the hospital to submit an expense account range,Including tumor radiation and chemotherapy/Kidney dialysis/After kidney transplantation rejection resistance,And hemophilia/Aplastic anemia/Liver transplantation rejection resistance.

　　宋丰景表示，前期调研中，心脏、肺移植抗排异费用较高的反映突出，所以今年准备将这两项纳入特殊病治疗。

SongFengJing said,In prophase research,heart/Lung transplantation rejection resistance of higher cost reflects the outstanding,So this year ready to these two into the special disease treatment.

　　另外，国务院已出台大病医疗保险政策，即在基本医疗保障的基础上，对大病患者发生的高额医疗费用给予进一步解决。宋丰景介绍，目前北京市的此项方案正在制订过程中，可能会采取按比例分段报销的思路来确定方案。 本版采写/新京报记者 温薷

In addition,The state council has issued medical treatment of a serious illness insurance policy,That is the basis of basic medical insurance,In patients with serious illness to the high medical treatment charge gives further solution.SongFengJing introduced,The present Beijing the plans are under formulation process,May take scale section to submit an expense account of thought to determine the scheme. This article/Beijing news reporter Ru temperature