中新网杭州2月22日电 (记者 赵小燕)一则“卫生部将全面推行先看病后付费制度”的消息近日在民众中引起了轰动，但随后卫生部即辟谣称该制度尚在试行阶段，今年内无望全面推行。

Beijing hangzhou February 22 (xinhua) -- (Reporter ZhaoXiaoYan)a"The full implementation of the sanitation department to see a doctor for system"In the news recently caused a big stir among the people,But then again that the ministry of health said the system is still in the implementation stage,The full implementation of the hopeless within this year.

　　对此，多名杭州市人大代表在正在此间召开的杭州“两会”表示，现阶段要全面推行该制度确实尚不现实。

this,More than hangzhou National People's Congress is held here in hangzhou"lianghui"said,At this stage to the full implementation of the system really is not reality.

　　列席此次杭州“两会”的浙江省人大代表、萧山区中医院院长全仁夫称，其所在医院过去五年共被赖医药费达570多万元，实行该“先看病后付费”现在还不是时候，尚须制度保障。

Sit in the hangzhou"lianghui"The National People's Congress of zhejiang province/Xiaoshan district hospital of traditional Chinese medicine of all RenFu says,The hospital in the past five years is common on medical expenses amounted to more than 570 yuan,Implementing this"After the first doctor pay"It's not time yet,Still must system security.

　　今年1月，卫生部的年度工作会议曾表示，2013年将继续深化医药卫生体制改革，在完善新农合制度方面，将“开展先诊疗后付费模式试点、即时结报等便民服务”。

In January,The ministry of health's annual work meeting has said,2013 will continue to deepen the medical and health system reform,In the perfect new farming system together,will"To carry out diagnosis and treatment for the first pilot model/Instant "news service for the convenience".

　　该模式下，病人看病过程中由医院垫付费用，病人看完病只用交自己的那部分，其余由医保部门支付给医院。该模式具体的实施范围包括：参加医保、新农合范围的病人；无姓名、无陪护人、无地址的“三无”病人；病情严重急需抢救的病人。因交通事故、打架斗殴等责任事故受伤的病人不在范围内。恶意逃费者则会被记入黑名单，取消该资格。

This mode,The patient to see a doctor in the process by hospital disbursements cost,Patients with watching the disease into the part,The rest pay by health care providers to the hospital.The model specific implementation scope includes:medicare/New farmers close range of patients;No name/Without accompanying people/No address of"neutral"The patient;In serious condition need rescue of patients.Because of the traffic accident/Fighting responsibility for accident injury patients not range.Malicious fled the fee will be blacklisting,Cancel the qualification.

　　19日，有媒体报道称今年中国将全面推行上述制度“先看病后付费”，但卫生部迅速辟谣：卫生部倡导在有条件地区开展试点，但从未要求“全面推行”。

19,Media reports said this year China will be the full implementation of the system"After the first doctor pay",But the ministry of health moved quickly:The ministry of health advocate in the conditional region pilot,But never ask"The full implementation of the".

　　卫生部医政司医疗管理处处长焦雅辉19日接受记者采访时表示，对此无法给出时间表，今年肯定是不可能的。

The ministry of health YiZhengSi medical management everywhere telephoto, bright 19 when accepting a reporter to interview said,It can't give a timetable,This is certainly not possible.

　　据介绍，青海、山东等多个省份在省级或地市级层面试点“先住院后付费”模式。试点中，虽未出现大面积的恶意欠费逃费，但个别地区还是有患者逃费现象发生。

According to introducing,qinghai/Shandong province and other provinces in the provincial or prefecture-level level pilot"After the first pay in hospital"mode.Pilot in,Though not a massive malicious owe fled fee,But in some areas there are still patients escape fee phenomenon.

　　就该制度推行问题，杭州“两会”多位代表表示，该制度还未到能全面推行的阶段。

The implementation of the system problem,hangzhou"lianghui"Deputies said,This system is not to the full implementation of the stage.

　　浙江萧山医院院长商炜炜表示，在目前医患纠纷复杂的环境下，过早、过度地实施先看病后付费肯定会带来一系列问题。“目前未施行全面推行的情况下，各家医院都或多或少存在医药费被拖欠甚至是恶意欠账的情况。”

Zhejiang xiaoshan hospital dean ShangHuiHui said,In the current doctor-patient dispute complicated environment,early/Overly implementation to the doctor for sure will bring a series of problems."Not currently the full implementation of the case,Various hospitals are more or less there by default or even malicious medical bills due situation."

　　她建议，有关部门可以推行“预付费”制度，挂号时即拿到一张充值卡，可在各病区刷卡诊疗，提高病人的诊疗效率，而不是一趟趟跑挂号付费。

She suggested that,The relevant departments can implement"prepaid"system,Registration time is to get a prepaid phone CARDS,But in the credit card) diagnosis and treatment,Improve the patient's diagnosis and treatment efficiency,Not YiTangTang run registered pay.

　　全仁夫说，其所在医院五年间已被患者拖欠医药费用570余万元，“坏账就只能挂在那里，讨不回来。”

All RenFu said,The hospital in five years has been in arrears with medical costs more than 570 yuan,"Bad debt can hang in there,Please don't come back."

　　杭州市人大代表、杭州市第一人民医院血液科主任钱申贤说，其所在医院每年被拖欠的医药费用大概在六七百万左右，但不考虑金钱先抢救急诊病人的“绿色通道”是一直存在的。

Hangzhou National People's Congress/Hangzhou first people's hospital, director of the onset QianShenXian said,In the hospital every year default medical costs about 67 million or so,But don't consider money to rescue emergency patients"Green channel"Is always there.

　　他认为，若“先看病后付费”要全面实行，对“三无”人员等可能存在的长期欠账需要由政府来托底，对恶意逃费也应建立追缴机制，否则会助长歪风。“基本核算要有的，不然医院会被拖垮，最终因为高额欠债影响医院功能反而让百姓看病更加不便。”钱申贤说。

He thinks,if"After the first doctor pay"To implement,to"neutral"Staff possible long-term need to TuoDe greatly by the government,For malicious escape fee should be recovered mechanism,Otherwise you will encourage the evil."Basic accounting to some,Otherwise the hospital will be disrupted,Finally because of the high debt affect hospital function instead of making people more inconvenience to see a doctor."QianShenXian said.

　　不过钱申贤也表示，“先看病后付费”是医疗改革事业中很小的一部分，关键是完善医疗保障体系，医疗保障覆盖到什么层面、到什么程度等才是关键。

But QianShenXian also said,"After the first doctor pay"Medical reform is a small part of business,The key is to perfect the medical security system,Medical insurance coverage to what level/To what degree and so on is the key.

　　邵逸夫医院前任党委书记潘国强说，邵逸夫医院是国内第一家通过JCI(国际医疗卫生机构认证联合委员会)认证的医院，凡有相关医疗保险的外籍病人在通过该认证时都是不需要先付费的，“我们对外籍病人都有这个政策，对我们的同胞也应该施行。”

The field hospital former secretary of the party committee PanGuoJiang said,The field hospital is the first through the JCI(The international medical and health institutions the authentication joint committee)Authentication of the hospital,All related medical insurance in foreign patients through the authentication is not need to pay,"Our foreign patients have this policy,To our compatriots should also be enforcement."

　　他认为，推行“先看病后付费”是一个很好的方向，但也要考虑社会诚信体系建设是否已经成熟。他建议，若是要推行也应循序渐进，从基层医院开始，“一方面基层卫生院门诊量偏少，同时去一个地方医院看病多数是当地群众，诚信风险相对较低。”(完)

He thinks,implementation"After the first doctor pay"Is a good direction,But also want to consider the construction of social credit system is mature.He suggested that,If want to implement also should be gradual,Start from the basic hospital,"On the one hand grassroots health center MenZhenLiang partial less,At the same time to go to a local hospital majority is local people,Credit risk is relatively low."(finish)