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北京医改新政实施半年:医药费增幅达17年来最低

2017-10-13 19:47:53   

新华社北京10月13日电(记者 毛伟豪)北京医改新政实施已有半年,参加改革的3700多家医疗机构完成门急诊量1亿多人次,扣除CPI影响,医药费用增长不足2%,为2000年以来费用增幅的最低期,累计节约医药费用44亿元。

北京市卫计委相关负责人表示,医改总体平稳有序,变化积极,符合预期,反响良好。改革实施六个月,已完成门急诊量1亿多人次,190多万住院病人治疗有序,改革效果初显。

分级诊疗制度建设成效显现。普通病、常见病逐步分流到基层机构,扭转了十多年来基层诊疗量占比下降的局面,大医院人满为患的状态得到有效缓解。监测表明,与去年同期相比,三级、二级医院门急诊量分别减少11.5%和3.9%,一级医院及基层医疗卫生机构增加14.7%,城区部分社区卫生服务机构诊疗量增加20%以上。门急诊副主任、主任医师号就诊人次分别减少8.5%和21.7%,有限的专家名医资源能更好地服务于危重急难患者。

医药费用总体平稳。药品阳光采购金额累计298亿元,共节省药品费用24.4亿元,药品阳光采购带来的价格平均下降达8.2%,仅此一项,预计今年可节省药品费用35亿元左右。

医疗机构对药品收入的依赖机制不复存在,新补偿机制基本建立。监测表明,医事服务费可置换原来的挂号费、诊疗费、药品加成收入,医疗机构收入在总量基本稳定的情况下,结构得以优化,含金量提高。与去年同期相比,医疗机构可支配收入总体上趋势良好。

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