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钦州医改释放红利
2017-08-18 09:53:02 中国青年网
本报钦州讯 (记者/韦义华 通讯员/陈粟)记者从钦州市卫计委了解到,该市从今年3月实施城市公立医院综合改革以来,市内12家城市公立医院的平均药占比、卫生材料收入占医院医疗总收入、取消药品加成等方面达到改革的要求,各医院经营结构总体向好。
钦州市此次实施的城市公立医院综合改革,包括改革公立医院管理体制、建立公立医院运行新机制、强化医保支付和监控作用等7个方面。改革中,该市成立市属公立医院管理委员会,出台了“工作规程”,各医院建立了高效的政府办医机制,“管办分离”稳步展开。同时,该市出台了“市直公立医院总会计师管理办法(试行)”,提高公立医院病案、临床路径、药品、耗材、费用审核、财务和预算等方面的精细化管理水平,控制不必要的费用支出。此外,该市卫计委联合发改、财政、人社、物价部门联合发文,明确26项监测指标的控制要求,遏制了医疗费用不合理增长的势头。
改革方案实施5个多月来,患者反映最强烈的“以药养医”被全面取消。钦州市内12家城市公立医院平均药占比下降到29%,卫生材料收入占医院医疗总收入下降到9.32%,均达到自治区的要求,因取消药品加成减少的收费达2913万元。
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