昨天，央视报道的一则新闻，引发全国人民的关注：今年我国将推行“先看病后付费”制度。其实，“先诊疗后付费”模式在河北省部分医院已经开始“试水”。今年河北省将稳步推行“先诊疗、后结算”模式，以方便群众就医，简化就医环节，缩短候诊时间。

yesterday,CCTV news reported,A national people's attention:This year will be introduced in China"After the first doctor pay"system.In fact,"For the first diagnosis and treatment"Mode in hebei province part of the hospital has started"Test the waters".This year will be steady implementation in hebei province"First diagnosis and treatment/Settlement after"mode,With convenient masses go to a doctor,Simplified medical link,Shorten the waiting time.

　事件 events

　　“先看病后付费” "After the first doctor pay"

　　备受人们关注 Attention is

　　“真的吗？是真的吗？”“好！好！好！早就盼着这一天了！”……昨天下午，记者通过对省会部分医院数十位住院患者的采访发现，这则最早由央视报道的新闻，让人们备感激动和惊喜。住院患者赵先生再三询问了记者，在得到肯定的答复后，脸上满是激动。他说，对老百姓来说，“先看病后付费”这一制度出台得太好了，也太及时了，“今后，百姓看病更方便啦。同时，去医院看病一定要带够钱将成为历史”。

"Really??Is really??""good!good!good!Already looking forward to this day!"...Yesterday afternoon,Reporter through the capital hospital part of hospitalized patients with dozens of interviews found,This is the first reported by CCTV news,Let people feel excited and surprise.Hospitalized patients with Mr. Zhao repeatedly asked the reporter,Get in the affirmative reply,Face is full of excited.He said,To common people,"After the first doctor pay"The system issued too good,Too timely the,"In the future,People see a doctor more convenient.At the same time,Go to hospital must have enough money will become history".

　　在互联网上，“先看病后付费”同样备受广大网友的关注。在新浪、搜狐、网易等各大门户网站上，这则新闻牢牢占据了新闻网页的重要位置。众多网友纷纷留言拍手称赞这一政策，但也有网友提出了一些疑问，比如患者看好病了，出现恶意逃费，怎么办？如何才能保证这一惠民便民政策的落实？“网友们的关心和疑问不无道理，这些问题需要政府及相关部门出台或制定相关办法，并加以解决。”省会一家大型医院的负责人说。

On the Internet,"After the first doctor pay"Also has the attention of Internet users.In sina/sohu/Netease and so on various major portal website,The news firmly occupy the important position of news web pages.Many users have message applauding the policy,But there are also net friend put forward some questions,Such as good ill patients,Appear malicious escape fee,do?How can we ensure that the policy for the convenience of the implement?"Net friends care and doubt is not without reason,These problems needs the government and related departments issued or formulate relevant measures,And solved."A large, capital of the hospital director says.

　调查 survey

　　“先诊疗后付费” "For the first diagnosis and treatment"

　　河北省早已试水 Hebei province had test the waters

　　其实，“先诊疗后付费”模式从去年甚至从前年开始在河北省部分医院已经开始“试水”。记者调查发现，在这一模式的试水过程中，恶意逃费现象极少发生，对建立和谐的医患关系起到很大的促进作用。

In fact,"For the first diagnosis and treatment"Model from last year even begin from the year before last year in hebei province part of the hospital has started"Test the waters".Reporter survey found,In the model test in the process of water,Malicious escape fee rare phenomenon,To establish the harmonious doctor-patient relationship play a great role in promoting.

　　作为河北省首批试点县的医院——沧州市南皮县中医院就是其中一员。这家医院早在2011年12月1日便开始实行“先看病、后付费”模式。据该院有关人士介绍，在新的诊疗模式下，凡参加职工医保、城镇居民医保和农村新农合的群众，在该县中医院住院诊治的，无须交纳住院押金，仅须与医院签订《住院治疗费用结算协议书》并留存身份证复印件、医保证后，就可入院治疗；待治愈出院时，也只须向医院支付医保或新农合报销后个人承担的费用。同时，该院对于家庭经济困难的群众，出院结算时难以一次性结清的，可凭当地乡镇民政部门证明，与医院签订延期或分期还款合同，最长还款期限为2年；对于因贫困等原因确实无法支付医疗欠款的，病人还可凭有关证明向院方申请对诊疗费用进行减免。

As the first batch of hebei province ShiDianXian hospital - cangzhou NaPiXian hospital of traditional Chinese medicine is a member.The hospital in early December 1, 2011 began to implement"First the doctor/for"mode.According to concerning personage introduction hospital,In the new medical mode,All employees to participate in medical insurance/Medical insurance for urban residents and rural new farming people together,In the county hospital of traditional Chinese medicine in the diagnosis and treatment,Do not need to pay the deposit in hospital,Must only be signed with the hospital[Hospitalization cost settlement agreement]Copies of id card and retained/After medical guarantee,Can to the hospital for treatment;To cure the hospital,Also just to pay the hospital medical insurance or new farming together after the share of the cost borne individual reimbursement.At the same time,The hospital for needy people,Discharge settlement is the disposable settlement,But by the local civil affairs departments that villages and towns,And hospital sign delay or in installment reimbursement contract,The longest reimbursement deadline for 2 years;For reasons such as poverty really cannot afford medical claim,The patient can also with relevant evidence for diagnosis and treatment to the hospital for a fee for relief.

　　恶意逃费的患者极少 Malicious escape fee of patients rarely

　　记者了解到，该模式自推出以来，有效确保了病人在第一时间得到安全有效的治疗，医院日均门诊和住院收治病人数量全都实现了翻番，诸多患者直接因这一新诊疗模式从中受益。过去因看病难、看病贵导致的“小病拖，大病挨，病倒才往医院抬”的现象迎刃而解。那么，该模式在执行过程中，是否存在患者恶意逃费现象呢？昨天下午，记者就此电话采访了该院相关人士。据该人士介绍，“先诊疗后付费”在执行过程中，患者恶意逃费的现象极少，具体数据可忽略不计。

The reporter understands,Since the model since the launch,Effective to ensure that the patient in the first time get safe and effective treatment,Average hospital outpatient service and be in hospital patients were all realized the number of double,Many patients directly for the new medical mode benefit from it.In the past because the doctor difficult/The doctor to your"Ailment pulls,Serious illness get,Ill just went to the hospital lift"Phenomenon be readily solved.so,The model in the implementation process,Whether there is the phenomenon of patients with malicious escape fee??Yesterday afternoon,The reporter telephone interview hospital relevant personage.According to the parties,"For the first diagnosis and treatment"In the implementation process,Patients malicious escape fee phenomenon rarely,Specific data can be neglected.

　　建议将恶意逃费患者 Suggestions will be malicious escape fee patients

　　拉入黑名单 Pull into the blacklist

　　面对记者的采访，多家医院负责人坦言，“先看病后付费”不仅在很大程度上方便了患者就医，让患者在第一时间得到救治，还有助于医疗机构树立良好的形象，对建立和谐的医患关系能起到很大的促进作用。但问题是，该模式在执行和落实过程中尚有一定难度，如面对恶意逃费、欠费的患者等等。”

In the face of the reporter's interview,Many hospitals person in charge said,"After the first doctor pay"Not only in the lavatory greatly patients go to a doctor,Let the patient in the first time to get treatment,Also help medical institutions set up a good image,To establish the harmonious doctor-patient relationship can play a great role in promoting.But the problem is,This model is in the process of implementation and carry out there is certain difficulty,Such as face malicious escape fee/Owe of patients and so on."

　　一位不愿透露姓名的医院负责人建议，在推行“先看病后付费”模式的同时，政府应及时建立并完善相关法规和配套措施，这包括通过宣传加强人们的诚信意识；建立医疗消费黑名单制度，将逃费者拉入黑名单；出台专门的法律法规，对恶意拖欠住院费用的患者，通过法律途径予以解决。再有就是政府及相关部门应当承担起救济责任，尝试设立单独的救助基金，加大对医疗机构的补助力度。

One does not wish to disclose the name of the hospital advice,In the implementation of the"After the first doctor pay"Mode at the same time,The government should be set up and perfect the relevant regulations and supporting measures,This includes through the propaganda to strengthen people's awareness of integrity;Establish the medical consumption blacklist system,Will flee fee is pulled into the blacklist;Issued special laws and regulations,For malicious default hospitalization expenses of the patients,Through legal ways to solve.Another is the government and relevant departments shall assume responsibility relief,Try to set up a separate rescue fund,Strengthen the medical institutions subsidies strength.

　行动 action

　　河北省将推进“先诊疗、后结算”模式 Hebei will boost"First diagnosis and treatment/Settlement after"mode

　　“医疗服务水平和医疗服务质量不仅患者最关心，也是卫生部门重点监察和改善的内容之一。”记者从卫生部门获悉，为了改善就医环境，今年河北省将改善医院门、急诊设施和条件，稳步推进“先诊疗、后结算”模式，简化就医环节，缩短候诊时间。

"The medical service level and medical service quality is not only the major concerns for patients,The health department also major supervision and improve the content of."Reporters learned from the department of health,In order to improve the medical environment,In hebei province this year will improve the hospital door/Emergency facilities and conditions,steadily"First diagnosis and treatment/Settlement after"mode,Simplified medical link,Shorten the waiting time.

　相关新闻 卫生部： The ministry of health related news:

　　“先看病后付费”值得倡导 "After the first doctor pay"Is worth advocating

　　“全面推行”无时间表 "The full implementation of the"No timetable

　　据新华社电 “开展先诊疗后付费模式试点”，2013年又一次被写入卫生部年度工作要点。“先看病后付费”究竟何时才能全面实现？卫生部医政司医疗管理处处长焦雅辉19日表示，对此无法给出时间表，今年肯定是不可能的。

According to xinhua "To carry out diagnosis and treatment for the first pilot model",In 2013, the ministry of health was again write annual work points."After the first doctor pay"When on earth can achieve?The ministry of health YiZhengSi medical management everywhere telephoto, bright 19 said,It can't give a timetable,This is certainly not possible.

　　她说，卫生部倡导在有条件地区开展试点，但是，“先看病后付费”短期内无法全国推广，卫生部也从未提出过“全面推行”的要求。据焦雅辉介绍，近年来，针对门、急诊患者，各地积极探索开展“先诊疗后结算”试点；不仅如此，针对住院患者，目前全国已经有青海、山东、河南等20多个省份在省级或地市级层面试点“先住院后付费”模式。但是，这种模式要在全国推行，一些基本条件尚不具备。

She said,The ministry of health advocate in the conditional region pilot,but,"After the first doctor pay"In the short term can't national promotion,The department of health has never raised"The full implementation of the"requirements.According to JiaoYaHui introduced,In recent years,According to the door/Emergency patients,In all actively explore"After the first diagnosis and settlement"pilot;Not only that,In hospitalized patients,The country has qinghai/shandong/Henan, etc more than twenty provinces in the provincial or prefecture-level level pilot"After the first pay in hospital"mode.but,This model to implement in the country,Some basic conditions still does not have.

　　焦雅辉说，“先诊疗后付费”模式只能逐步推进、试点先行，不能硬推。各地若觉得具备条件、切实可行，可以选择借鉴。(首席记者 王凤伟)

JiaoYaHui said,"For the first diagnosis and treatment"Model can only be promoted step by step/pilot,Can't push hard.If you think all qualified/feasible,Can choose reference.(WangFengWei chief reporter)