据中国之声《全球华语广播网》报道，一说起看病，就容易和"看病难、看病贵"连在一起。今年，卫生部将在全国20多个有条件的省份进行探索推行"先看病后付费"制度。一时间百姓是既高兴又担忧。

According to the sound of China[The global Chinese radio network]reports,A doctor about,It is easy and"Difficulties in getting/The doctor your"together.This year,Health department in the national more than twenty provinces have conditions to explore implementation"After the first doctor pay"system.At that time people are happy and worry.

　　市民：这样当然好了，是一种利民的措施，医院应该是先治病救人。

citizens:This, of course, good,Is a kind of the nation and the measures,The hospital should is to cure the sickness to save the patient.

　　市民：消息是好消息，但是不能根本解决问题，就是当时你要手头紧可以不付款，这样对病人和家属是个照顾。但是如果要治疗大病，几个月下来是多少万，医院也会随时要钱。

citizens:News is good news,But can't solve the problem,That was you want to short of money can not payment,This is a care for patients and their relatives.But if you want to treat a serious illness,A few months down is the number of,The hospital will always want money.

　　据了解，"先看病后付费"是一种较为笼统的说法，目前包括先诊疗后结算和先住院后付费两种制度性的探索，而媒体大量转载的先看病后付费，实际上更为准确的说法应该是第二种制度探索，也就是先住院后付费。原来医保病人在看病的时候需要自己先垫付药费，看病之后再走医保的报销流程；而现在是由医院垫付，病人看完病只需要交自己所缴费的那一部分，其余的都由医保部门直接交给医院。这样能够给病人提供很多便利，在看病前个人不需要再交一大笔押金，只需要签署住院治疗费用结算协议书，就可以直接入院；而在看病的过程中也不需要排长队缴费才能取药，还省去了后续报销的麻烦。不过目前这一模式的主要受益人群是在试点地区的新农合住院病人，而且只是在县和县以下的基层医疗机构进行试点。

It is understood,"After the first doctor pay"Is a more general statement,Currently include first after diagnosis and treatment in hospital for settlement and first two institutional exploration,And the media a lot of transfer to the doctor for,In fact more accurate statement should be the second kind of system to explore,Also is the first pay after be in hospital.The original medical insurance patients in the doctor need to be paid for,The doctor to walk again after the medical insurance reimbursement process;And now the hospital disbursements,The patient finish see disease only need to pay that part of his capture,The rest are made by health care providers directly to the hospital.This can give patients a lot of convenience,Before a doctor in the individual does not need to pay a large sum of deposit,Only need to sign hospitalization cost settlement agreement,You can directly to the hospital;And in the process of the doctor don't need long queues pay cost to get medicine,Also tell the subsequent reimbursement of trouble.But at present, the mode of the main benefit is in the pilot area of new farming combined hospital patients,And just in the county and county the following basic medical institutions pilot.

　国内"先看病后付费"全面推开不容易 domestic"After the first doctor pay"Full implementation of not easy

　　目前"先看病后付费"已经在河北、河南、山东等20多地先后试行，正在积累相关经验。如何把这个模式在全国全面推开，卫生部医政司医疗管理处处长焦雅辉表示并不容易。

At present"After the first doctor pay"Has been in hebei/henan/Shandong has more than twenty to trial,Experience is accumulated.How to put the mode in the national comprehensive push away,The ministry of health YiZhengSi medical management everywhere telephoto, fai said is not easy.

　　焦雅辉：做这件事情必须得有一定的工作基础和相应的条件配套政策支持，而且肯定得先从试点开始做，不可能一下子就全面推开。第一个是诚信体系的问题，第二，医保必须能够跟医院及时结算。患者住院不交押金了，等于先期的治疗都是医院来垫付的资金，所以医保要及时跟医院结算。还有，现在医保还没有实现异地结算，异地结算报销政策上还有障碍。

JiaoYaHui:Do it must have some working foundation and the corresponding conditions supporting policy support,And surely have to start to do from the pilot,Can't suddenly opened the overall.The first one is the problem of credit system,The second,With the hospital medical insurance must be able to timely settlement.In-hospital don't pay the deposit,Equal to the advance of therapy are paid money to the hospital,So medical insurance in time to the hospital and settlement.and,Now medical insurance is not implemented different ground settlement,Different settlement reimbursement policy and disorder.

　　香港公立医院实行包干制付费 Hong Kong public hospitals to pay supply system

　　事实上"先看病后付费"在一些地区和国家并不少见，各地有着怎样的经验值得借鉴？首先看看香港地区。中国日报驻香港记者李涛介绍，香港地区的医院分公立私立两种，公立医院的包干制付费是大多数香港市民的选择。

In fact"After the first doctor pay"In some regions and countries is not rare,What is all the experience is worth reference?First look at Hong Kong.The China Daily newspaper reporters in Hong Kong LiTao is introduced,Hong Kong hospital points public private two,Public hospital supply system pay is most Hong Kong people choice.

　　李涛：患者去公立医院看病是包干制，无论是网上预约还是急诊病人，只要在看病前一次性支付100元港币，就包括了他们在医院几乎所有的检查治疗以及医药的费用。当然如果患者需要做大型手术或者住院，可能还需要支付非常少量的用品费用以及住院费。比如急诊病人每天住院费用的标准是100港币，而康复住院等费用是60元港币。住院病人在医院的简单饮食都是免费提供的，在公立医院看病是不需要付任何押金的，如果住院，患者只需要在出院之时支付相关的住院费。

LiTao:Patients go to a public hospital is supply system,Whether online booking or emergency,As long as a doctor in the former one-time payment of 100 Hong Kong dollars,They will be included in the hospital almost all of the inspection and the cost of medical treatment.Of course if patients need to do large surgery or hospitalization,May also need to pay very small amount of supplies cost and hospitalization expenses.Such as emergency patients in hospital every day the cost of standard is 100 Hong Kong dollars,And rehabilitation hospital expenses is sixty Hong Kong dollars.Hospital patients in the hospital of simple diet are available free of charge,In the public hospital is not need to pay any deposit,If hospitalization,Patients in the hospital only need to pay relevant hospitalization expenses.

　　100港币可以在公立医院包干式搞定包括诊疗、医药甚至住院等一干费用，但香港公立医院看病价格平易并不代表其成本低廉。

Hk $100 in public hospital local type rock including diagnosis and treatment/Medicine and even a cost in hospital,But Hong Kong public hospital price common doesn't mean the cost is low.

　　李涛：其实在香港看病非常昂贵，根据香港医疗体系调查，每天住院的标准成本大概是三千元左右，但香港的医院每天住院费只收100元，其他的三千多元都是由香港政府承担，这是因为香港政府每年会在医疗系统里投入数十亿港币，保证香港身份证持有人的看病问题。

LiTao:In fact in Hong Kong are very expensive to see a doctor,According to the investigation of the Hong Kong medical system,Every day in the hospital standard cost is about three thousand yuan,But Hong Kong hospital daily hospitalization expenses only take 100 yuan,The other three thousand yuan are made by the Hong Kong government bear,This is because the Hong Kong government a year in medical system into billions of hk,Ensure that Hong Kong identity card holders of the problem to see a doctor.

　　日本采取全民健康保险制度 Japan take the national health insurance system

　　再把目光转向邻国日本，旅居日本的黄学清女士表示，"先看病后付费"的就医模式早已在日本司空见惯。

Then turned to look neighbouring Japan,Living in Japan's HuangXueQing lady said,"After the first doctor pay"The medical model in Japan already commonplace.

　　黄学清：日本的医疗保险制度和医疗水平在世界上受到高度评价，它采取全民健康保险制度，国民健康保险的资金来自税收、受保人缴费和政府的补贴。日本是先看病后付费，一般情况下，参保人拿着保险证去就医，需缴付的医疗费用70%由医疗保险机构支付，个人承担30%。孩子到初中毕业为止在本地区就医免费，老人自己支付10%或20%。但是近年看病后未缴纳医疗费的情况也不断发生，给一些医院的经营带来了压力。如果不缴费，医院可以对患者进行起诉，但是因为医院工作繁忙，除非是高额医疗费，医院一般很少采取法律手段，只是不断发出催促缴费的通知，如果未缴费时间超过三年，一些公立医院还面临债权失效的问题。

HuangXueQing:Japan's medical insurance system and medical level in the world is highly valued,It take the national health insurance system,National health insurance funds from tax/Insured persons pay cost and government subsidies.Japan is a first for a doctor,generally,Ginseng protect people with a card to go to a doctor,Need to pay the medical costs 70% by medical treatment insurance agency paid,Individual to assume 30%.The child to junior high school graduation so far in this region free medical treatment,The old man his pay 10% or 20%.But in recent years, the doctor does not pay the medical treatment after the situation is constantly happen,To some of the hospital management brought pressure.If you don't pay cost,The hospital can be carried out on the patient prosecution,But because the job is busy hospital,Unless it is a high medical treatment,The hospital general rarely take legal action,Just forth urged the notice of pay cost,If you do not pay cost time more than three years,Some public hospitals are facing the problem of failure of creditor's rights.

　美国实行健康保健计划解决民众看病问题 The United States health care plan to solve the public health

　　全球华语广播网美国观察员庞哲表示，美国医疗保健支出对政府和民众，都是生活中最大的支出。

The global Chinese network American observers PangZhe said,American health care spending for the government and the public,Life's biggest spending.

　　庞哲：美国医疗保健支出无论对政府还是对民众，都是生活中最大的支出。如有健康保健计划的民众，要看他们所选择的计划和所在工作单位的计划优异程度，决定民众看病的总支出。一般的保健计划民众的挂号费是10美元到20美元不等，之后的支出要看病人所获得的医院和医生的服务项目和医疗程度，但是不会事前收费，而是在看病之后，病人会收到医疗保险公司的支付说明和帐单。病人也要根据保险计划规定的百分比来支付自己所应该承担的部分费用。另外，民众的保险计划要求一般常规病由病人自己选定保险公司的计划中认可的家庭医生诊断，如果病情需要专门的医师特诊，也一定要由家庭医生介绍转科，否则医疗保险公司则拒绝支付费用。无论病人选择的保险公司是在哪个州，只要当地的医生或者医院与该保险公司有业务合作关系就可以就医。而对于没有身份的非法移民和没有保险的贫困民众，急诊室一般都是免费就医，妇女难产也可以免费得到服务，这些费用就由美国纳税人集体承担了。(记者李欣)

PangZhe:American health care spending no matter for the government or the people,Life's biggest spending.If you have health care plan of people,Want to see their choice of plans and the work plan high degree,People see a doctor to total.General health care plan the registration fee is $10 to twenty dollars,After spending to watch people received the hospital and the doctor's services and medical degree,But they will not advance fees,But after the doctor,The patient will receive medical treatment insurance company payment instructions and bill.The patient also according to the provisions of the insurance plan percentage to pay for his own should bear part of the cost.In addition,People's insurance plan calls for general conventional disease by the patient himself selected insurance company plan recognized the family doctor diagnosis,If the disease need special doctor's diagnosis,Must also be introduced by the family doctor change one's major,Or medical insurance company refused to pay the cost.Whether the patient choice of insurance company is in which state,As long as the local doctor or hospital and the insurance company has business relationship can go to a doctor.For no status of the illegal immigrants and the poverty of people without insurance,The emergency room is usually free medical treatment,Women dystocia can also get free service,These charges by the United States for tax payers collective.(Reporter li xin)