医改，一个世界难题。“以药养医”被认为是“看病难、看病贵”的主要原因之一。针对这一症结，2012年7月起，北京市在21家试点医院试行医药分开改革。试点推进情况和效果如何？患者看病支出到底是增加了还是减少了？26日，针对北京医疗方面的重要问题，北京市医改办主任韩晓芳，北京市人力资源和社会保障局副局长、新闻发言人宋丰景，北京市卫生局副局长、新闻发言人雷海潮通过媒体向社会进行解析和回应。

medical,A world problem."To raise the medical medicine"Is considered to be"Difficulties in getting/The doctor your"One of the main reasons.The sticking point,July 2012,Beijing in the 21 home pilot trial medicine hospital reform separately.Pilot propulsion condition and the effect how?What is the doctor patient spending increased or reduced?26,According to the Beijing medical aspects of the important issues,Medical director of the Beijing HanXiaoFang do,Beijing human resources and social security bureau deputy director/SongFengJing spokesman,Deputy director of the municipal bureau of health/News spokesman LeiHaiChao through the media to the social system and response.

试点医院“看专家难”有所缓解 Pilot hospital"See the expert difficult"To ease

　　北京自2012年7月启动公立医院改革，到目前已在21家医院试行医药分开试点，对于这些试点现阶段的效果，北京市卫生局副局长、新闻发言人雷海潮首先介绍，2012年7月1日以来，北京陆续在北京友谊医院、朝阳医院等五家医院实行医药分开，效果明显。例如，推出医事服务费后，比较轻的患者放弃专家号，促进有限的专家资源高效率利用，“看专家难”问题有所缓解。随着下一步改革范围的逐步调整和扩大，将会有越来越多的北京市医疗卫生机构实施医药分开改革，包括北京市属和非市属三级医院和二级医院。

Beijing since July 2012 start public hospital reform,Up to now has set up a file in the 21 hospitals for medical separate pilot,For these pilot current effect,Deputy director of the municipal bureau of health/News spokesman LeiHaiChao firstly,On July 1, 2012 since,In Beijing friendship hospital in Beijing/Chaoyang hospital five hospitals, such as a separate medicine,effect.Such as,Medical service launched after,The lighter patients give up ZhuanGuHao,Promote the efficient use of resources co., LTD., experts,"See the expert difficult"Problem to ease.With the reform of the range of adjustment and enlarge gradually,There will be more and more the implementation of the medical and health institutions and medical separate reform,Including Beijing city and the city tertiary hospitals and secondary hospital.

　　北京市医改办主任韩晓芳认为，北京医改是以医药为核心的综合改革，涉及的不仅是医药分开，还有法人治理等。客观讲，现在取得的只是初步成效。友谊医院、朝阳医院是综合医院，我们想试一试不同类型的医院试点的效果。

Medical director of the Beijing do HanXiaoFang think,Beijing is cure medicine is the core of the comprehensive reform,Involves not only medicine apart,And corporate governance, etc.Objective speak,Now get is preliminary achievements.Friendship hospital/Chaoyang hospital is general hospital,We'd like to try different types of hospital pilot effect.

　　“试点就是要找到出问题，提出解决办法。在五家医院的基础上，几个部门都在密切跟踪试点的情况，对试点当中暴露出来的问题及时研究解决的办法，同时还要扩大试点范围。比如其他一些二级医院、一级医院都要试点，然后逐步全市推开。”韩晓芳说，“过去病人花钱越多，价格越高，医院挣钱越多，就变成医患两个群体。现在医、患、保有相同的取向，费用低了，成本降低了，个人的负担降低了，医院不受损失，收入还有明显的增长。过去医院靠卖药，现在医院靠卖服务，这是我们看到最高兴的变化。”

"The pilot is to find out a problem,Puts forward solutions.On the basis of five hospitals,Several departments are closely followed the pilot,To pilot of the problems exposed to develop a solution,At the same time also to expand the scope.Such as some other secondary hospital/Level 1 hospital pilot,Then gradually pushed the city."HanXiaoFang said,"The more money in the past patients,The higher the price,Hospital earns,Becomes the doctor-patient two groups.Now medical/with/Keep the same orientation,Cost low,Cost reduced,Personal burden reduced,The hospital not to lose,Income and increased obviously.In the past the hospital by selling drugs,Now the hospital by selling services,This is our most happy to see changes."