中新网太原2月20日电 (范丽芳)近日，卫生部称倡导“先看病后付费”在有条件地区开展试点。20日，记者从山西多家已试行该模式的医疗机构了解到，为减少欠费现象，此优惠政策多针对医保或新农合的患者。

Taiyuan in Beijing on February and report (FanLiFang)recently,The ministry of health says advocate"After the first doctor pay"In the conditional region pilot.Twenty days,Reporters from shanxi several already trial this mode of medical institutions to know,In order to reduce the phenomenon of owe,The more preferential policies for medical insurance or new farmers joint of the patients.

　　2月19日，据央视新闻报道，2013年卫生部将全面推行“先看病后付费”制度。此消息发出不久，卫生部对媒体回应称，受社会征信体系、医保报销水平等条件限制，这种模式短期内无法全面推行，目前全国20多个省份正对此进行探索。

On February 19,,According to CCTV news report,In 2013, the full implementation of the sanitation department"After the first doctor pay"system.Send the message soon,The ministry of health said to the media response,The social credit system/Medical insurance reimbursement level conditions,This model in the short term can't the full implementation,At present the national more than twenty provinces are to explore.

　　据山西当地媒体的公开报道，早在2005年山西中医学院附属医院率先在该省提出“有钱无钱，救命第一”，对急危重症患者一律实行“先救治后交费”；2012年该院将服务范围扩大至参加省市医保、新农合的太原居民及需紧急医疗救治的患者。

According to local media reports of shanxi open,As early as in 2005 in shanxi college of traditional Chinese medicine hospital in the province take the lead in put forward"Rich without money,Help first",To the critical patients are practice"After the first treatment fee";In 2012, the hospital service scope to expand the provinces and cities to participate in medical insurance/New farmers, taiyuan residents and emergency medical treatment of patients.

　　此外，太原市卫生局也于2012年8月起，在市、县区、乡镇三级医院启动“先住院后付费”，服务对象仅针对新农合参合农民。

In addition,Taiyuan city health bureau in August 2012,In the city/counties/Township hospitals start"After the first pay in hospital",The service object only according to the new agriculture $ginseng add up to farmers.

　　“所以我们这些长期在太原打工，但没有新农合或医保的人来说，是在‘政策’之外的。”来自吕梁的长期租住在太原瓦窑村的80后小吕表示。事实上，太原市50多万外来人口中，没有医保或新农合的不在少数。

"So we these long-term in taiyuan work,But no new farming together or health of the people,Is in‘policy’Outside of the."From luliang long-term lodges in taiyuan WaYaoCun after 80 xiao lu said.In fact,More than half nonnative mouth in taiyuan city,No medical insurance or new agriculture, not a few.

　　“其实医院也要考虑患者欠费或逃费的情况，如果对方恶意赖账，医院可以冻结其医保或新农合账户，所以多数推行该模式的医院都将此作为前提。”一位业内人士表示。截止到2月20日的数据，山西中医学院附属医院476人及太原市2万多享受到此项政策优惠的或者中无一例欠费。

"In fact the hospital also want to consider patients owe or escape the fee,If the other party malicious repudiate a debt,The hospital can freeze its health care or new farmers joint account,So most of the implementation of the model of hospital will this as a prerequisite."A personage inside course of study says.By the end of February, and data,Shanxi college of traditional Chinese medicine hospital in taiyuan city of 476 people and more than 20000 to enjoy the preferential policies or none of owe.

　　山西大学政治与公共管理学院公共管理博士晏英认为，从长远来看，欠费的毕竟是极少数，而且有的人的确是有困难，从医院的仁爱精神的角度来说，应该允许这部分人的存在。但每一个人都有责任减少欠费的发生，这需要政府加大医疗保险的力度，扩大医保的覆盖范围，建立真正的全民医保。“今后的趋势应该是全国所有的医院、所有的医疗项目对所有的患者都应实行‘先诊疗后付费’，且不论患者有无医疗保险，希望这种模式能成为一种基本常识。”(完)

Shanxi university institute of politics and public administration of public management YanYing think Dr,In the long run,Ross, after all, is a rare,And some people do it is difficult,From the hospital charity spirit point of view,This part should be allowed to human existence.But everyone has responsibility to reduce the occurrence of owe,This requires the government increased the strength of medical insurance,To expand health care coverage,Set up a real universal coverage."The trend of the future should be all of the country's hospitals/All of the health program for all the patients should implement‘For the first diagnosis and treatment’,And no matter whether patients with medical insurance,Hope this model can become a basic common sense."(finish)