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就医大变化 江西省公立医院综合改革政策问答

2017-09-07 19:36:46   中国青年网

人民网南昌9月7日电(吴菁)7日上午,本网从江西省全面推开公立医院综合改革新闻发布会上获悉,从9月9日零时开始,南昌、吉安、省直医院启动以“取消药品加成”为标志的公益医院综合改革。9月底,江西省所有公立医院的药品加成将全部取消,破除“以药补医”的政策,建立科学合理的运行新机制,今后老百姓看病买药将更加实惠方便。

记者:参与改革的医院有哪些?

答:政府(含政府组成部门)和事业单位举办的公立医院、国有独资企业所属医院以及驻赣军队医院全部纳入改革范围,全部取消药品加成(中药饮片除外)。已经改制或被社会资本托管的公立医院、已参加基层医疗卫生机构综合改革的公立医院,暂不纳入公立医院综合范围。

记者:南昌地区公立医院综合改革名单有哪些?

答:在昌省直医院(17所):江西省人民医院、南昌大学第一附属医院、南昌大学第二附属医院、南昌大学附属口腔医院、南昌大学第四附属医院、江西中医药大学附属医院、江西省肿瘤医院、江西省妇幼保健院、江西省儿童医院、江西省胸科医院、江西省惠民医院(省直属门诊部)、江西省职业病防治研究院(江西职业病医院)、南昌大学附属眼科医院、江西中医结合医院、江西中医药大学附属第二医院、解放军第九四医院、江西省武警总队医院。

南昌市直医院(9所):南昌市第一医院、南昌市中西结合医院、南昌市第三医院、南昌市第九医院、江西省精神病院、南昌市洪都中医院、江西省皮肤病专科医院、南昌市精神病院、南昌市按摩医院。

区属医院(2所):南昌市第四医院、南昌市第十医院。

记者:此次改革让群众感受到的最大变化是什么?

答:归纳起来就是“三降一升”,药品价格、大型医用设备检查治疗和检验等费用下降,体现医务人员技术劳务价值的诊疗、手术、护理、床位、康复和中医等医疗项目价格有所上升,患者总体就医负担不会增加。

记者:门诊诊察费做了哪些调整?医保如何报销?

答:挂号费(1元/次)并入门诊诊察费,原挂号费说明中的初诊建病历、病历手册、计算机预约挂号费并入门诊诊察费。同时,按照“保基本”的原则,调增的门诊诊察费以普通门诊新增价格为报销定额,纳入医保报销。南昌市及已开通异地结算设区市的患者,可持医保卡前往窗口挂号,按原有流程持卡就医,实时结算。其他患者,按照其参保地政策执行。

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