【事件】目前，全国有20多个省份正在对“先看病后付费”模式进行探索，山东、青海等地也在试点推行，不过卫生部医政司医疗管理处处长焦雅辉19日表示，卫生部从未要求今年年内“全面推行”。

[events]At present,The country's more than twenty provinces is in"After the first doctor pay"Model to explore,shandong/Qinghai is in the implementation of the pilot,But the ministry of health YiZhengSi medical management everywhere telephoto, bright 19 said,The ministry of health has never demand this year"The full implementation of the".

　　中广网北京2月21日消息 据中国之声《央广新闻》报道，卫生部：年内无法全面推行“先看病后付费”模式，中国之声特约观察员王维佳对此发表评论。

Wide network in Beijing on February 21 news according to the sound of China[Wide central news]reports,The ministry of health:Not the full implementation of the year"After the first doctor pay"mode,The sound of China special observer WangWeiJia comment.

　　王维佳：最近有媒体报道说，我国今年将全面推行先看病后付费的医疗制度，原来看病是自己先垫付，看完走医保报销，现在是医院来垫付，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，另外原来住院需要交一大笔押金，现在只要签署一份协议书就可以直接住院了，但是卫生部随后对媒体的报道做出了一些补充和更正，说今年只是倡导在有条件的地区开展试点，还不具备全面推行的条件。

WangWeiJia:Recent media reports said,This year China will be the full implementation of the first to see a doctor for medical system,Originally the doctor is his first disbursements,Finish see go medical insurance reimbursement,Now is the hospital to disbursements,Patients with watching the disease into the part,The rest pay by health care providers to the hospital,In addition the original hospital to need to pay a large sum of deposit,Only now sign a agreement can be directly in the hospital,But then the ministry of health to media reports made some supplement and correction,Say this year just initiate in the conditional region pilot,Still do not have the full implementation of the condition.

　　虽然不是全国推行，但是之所以出台这样的政策，就意味着先看病后交钱可能成为今后医疗体制改革的一个重要的方向。从当前医疗领域的问题来看，如果能全面而顺利的执行这项举措，那么将推动医疗体制向健康的方向去迈进一大步。以往看病，医院在治病救人之前，要求患者先交清各项的费用，否则就得吃闭门羹，无论从治病救人的天职上，还是从医院公共机构的服务属性上来看，这样的做法都有不妥之处，甚至会带来医患之间的这种相互的敌视和矛盾。最重要的是这种先交钱的方式在一定意义上改变了医院公共服务的性质，给医疗事业掺入了一些浓重的商业味道。

Though not the national implementation,But was issued such a policy,Means that the doctor first after the money may be the future medical system reform is an important direction.From the current problems in the medical field to see,If can comprehensively and smooth implementation of the move,So will promote health medical system to the direction of a big step forward to.Ever see a doctor,The hospital is in before cure the sickness to save the patient,Request the patient to make clear all the costs,Otherwise have to kiss the post,No matter from the cure the sickness to save the duty,Or the hospital public service attribute to see,Such practices are not the proper place,Even with the mutual between patient hostility and conflict.The most important thing is to make money this way in a certain sense, change the nature of the public service of the hospital,To the medical enterprise incorporating some strong commercial flavor.

　　实行新的政策不仅重新理顺了医患关系，而且还解决了很多技术问题，比如说取消预先付费，减轻了患者的经济压力，这样能够使他们更加安心的配合医生来治疗，与此同时不用每做一项检查就排一次队来缴费，让医疗服务的流程更加高效，减少看病就医的等候时间等等，从这些方面来看，先看病后交钱的这样一种改革，无疑是一项深远的善举。

A new policy not only to straighten out the doctor-patient relationship,But also solved many technical problems,For instance cancel pay in advance,Reduce the patient's economic pressure,This can make them more at ease with the doctor to treat,At the same time don't make a check will row a team to pay cost,Let the medical service process more efficient,Reduce hospital waiting time and so on,From the side,After the first doctor make money such a reform,No doubt is a profound act of kindness.

　　当然当前这项善举能否顺利的推行还面临很多难题，医疗保障制度的覆盖面和筹资水平，当地经济发展水平，居民支付能力和信用水平都是决定这项政策是否实行的关键，其中最重要的问题是，当先看病后付费从区域试点到全国推行，发达城市和贫困乡村之间的这种地区的差异，高收入者和低收入者的群体差异等等这些问题都会凸显出来。在当前经济发展不平衡的状况下，其实任何一项全国性公共政策的推行都会遇到结构性的难题，这也提醒我们改善居民生活质量，关键的还是要做好经济结构和发展方式的调整，让改革的成果惠及大众。

Of course the present good works can smooth implementation is still faced with many problems,Medical security system coverage and funding level,The local economic development level,Residents ability to pay and credit level is decided to this policy will be the key,One of the most important problem is,"After the doctor pay from regional pilot to national implementation,The developed cities and rural poverty between the difference of the area,High earners and low-income group differences and so on these problems will be highlighted.In the current economic development under the condition of unbalanced,In fact any a national public policy will meet the implementation of structural problems,It also reminds us to improve the living quality,The key is to do economic structure and development mode of the adjustment,To reform the achievement benefiting the public.