北京市3600多家医疗机构正式推行医药分开综合改革

2017-04-08 周益帆 杨博宇 央广网

北京市3600多家医疗机构将从今天起正式推行医药分开综合改革。今天0点开始,北京医院的收费系统,将有所调整。


据中国之声《新闻和报纸摘要》报道,北京市3600多家医疗机构将从今天起正式推行医药分开综合改革。今天0点开始,北京医院的收费系统,将有所调整。

咨询台:整个系统全变了。

记者:那还是正常挂号?

咨询台:流程是一样的,费用发生变化,药反正不是说药变了,是价格变了。

北京协和医院医导说,对于患者来说,最直观的感受就是没了挂号费、诊疗费。

咨询台:都没有挂号费、就诊费了,就现在都改成医事服务费。

以三级医院为例,今后普通门诊的医事服务费50元、副主任医师60元、主任医师80元、知名专家100元,以上费用医保报销额度均为40元;急诊医事服务费70元,医保报销60元;

与增收医事服务费相对应,大型医用设备检查价格和药品价格将有所降低,按照核算,通过阳光采购及取消药品加成,药品价格甚至将下降20%。

也就是说,此次改革不是简单的降低或提高看病费用,而是希望在“患者负担总体不增加”的基础上,调整医疗收费结构,让药费、大型设备检查价格下降的同时,提高医务人员技术劳务价值。

改革中的一增一减,能否平衡?如果失衡,要么是看病贵、要么是医院出现亏损。这个问题,五年前就已经开始试点的朝阳医院,给出了答案。

副院长童朝晖: 总体还是能够平移,甚至还略有富裕。老百姓的负担也没有增加,因为15%的(药品加成)没有了,我们朝阳医院落实这几年运行还是比较平稳。

同时童朝晖认为,此次改革能够更好的促进优质服务,长远来看,还将促进分级诊疗的实现。

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    2017-04-10 cathymary
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