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卫生部:北上广推行先看病后付费值得商榷--亲稳网络舆情监控室
2013-03-07
昨天上午,全国政协委员、卫生部副部长黄洁夫表示,目前药价虚高和医生劳动价值过低的问题亟待在改革中解决。同时,他还认为推广“先诊疗后付费”易诱发社会福利病。黄洁夫还认为,作为医改重点的公立医院改革,目前前景并不明朗。
Yesterday morning,The CPPCC national committee/Deputy health minister huang jiefu said,Doctors currently drug prices artificially high and labor value is too low problem demanding prompt solution in the process of reform.At the same time,He also thinks promotion"Diagnosis and treatment before they are paid"Disease predisposes to social welfare.Huang Jiefu also think,As a key reform of public hospital reform,Now that is not clear.
黄洁夫表示,医疗行业的特性决定了不能去“争取利益最大化”。如果想要切断医生的灰色收入,除了破除以药补医,还要提高医生的阳光收入,但他认为,现在的医疗服务价格长期没有调整,医生的劳动价值得不到合理体现。
Huang Jiefu said,Characteristics of the medical industry determine can't go"Interests to maximize".If you want to cut off the doctor grey income,In addition to explode to medicine cure,Doctor sun as income,But he thinks,Now the price of medical services did not adjust for a long time,The doctor's labor value is not reasonable.
另外,针对“先看病后付费”的试点,黄洁夫则表示,很容易因为操作不当产生社会福利病,造成财政负担过重,福利泛滥,最后受害的还是老百姓。他认为,“在中小城市可以推广,但像北上广这些大城市就值得商榷了。”
In addition,According to"To see the doctor before they are paid"The pilot,Huang Jiefu said,Social welfare disease easily because of improper operation,Due to the heavy financial burden,Benefits spread,The last victims or the people.He thinks that,"In the small and medium-sized cities can be promoted,But like 3 of these cities is questionable."
黄洁夫还表示,医改近四年来,取得了很大成绩,但作为改革重点的公立医院改革前景并不明朗。黄洁夫建议,通过医院体制改革,让一批公立医院分流出来的医生能建立以私人诊所或合伙人医疗中心为主体的竞争性全科医生社区“守门人”制度,看病难问题才能得以解决,才能有效控制医疗费过快增长,保障医保资金合理使用,缓解城乡居民看病贵问题。 (记者李秋萌 韩旭)
Huang Jiefu also said,Health care reform nearly four years,Made a great achievement,But as the focus of the reform of public hospitals reform prospects is not clear.Huang Jiefu advice,Through the reform of hospital system,Make a batch of public hospital doctors away to establish a private clinic or partner competitive general practitioner community medical center as the main body"The gatekeeper"system,See a doctor difficult problem to solve,To effectively control the excessively rapid growth of medical expenses,Guarantee the rational use of health care funding,Ease of urban and rural residents to see a doctor expensive problems. (The reporter Li Qiumeng han)
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