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15家省级公立医院26日零时起取消药品加成

2017-08-25 07:06:47   中国青年网

本报兰州8月24日讯(记者宜秀萍实习生姜斯佳)今天上午,省政府新闻办召开新闻发布会,宣布从8月26日零时起,15家省级公立医院全部取消药品加成(中药饮片除外),8月底前,全省范围内所有公立医院,包括中央直属单位、企业、厂矿医院和军队、武警医院,全部取消药品加成,实行零差率销售,新的医疗服务价格也将同步实施。至此,我省公立医疗机构将彻底告别“以药补医”时代。

全面推开公立医院综合改革是深化医药卫生体制改革的“重头戏”,为确保新旧体制平稳转换运行,此次,我省将同步推进医疗服务价格调整、医保政策调整、财政补偿、医院运行机制转换等改革。其中,取消药品加成是破除“以药补医”机制、扭转公立医院逐利行为的突破口,医疗服务价格改革是关键环节。根据我省医改方案,公立医院取消药品加成减少的收入,将通过调整医疗服务价格补偿75%、财政补偿15%、医疗机构自我消化10%三个渠道进行补偿。经测算,省财政作为办医主体,每年将补助10家省级医院5000多万元,补偿资金的分配与公立医院综合改革绩效挂钩。

在保证公立医院良性运行、医保基金可承受、群众总体负担不增加的前提下,经过科学测算,按照“总量控制、结构调整、有升有降、逐步到位”原则,提高诊疗、手术、护理、中医等体现医务人员技术劳务价值的项目价格,降低大型医用设备检查和检验类项目价格,优化医院的收入结构。调整后的医疗服务项目,按规定纳入医保支付报销范围,确保总体上患者就医负担不会增加。

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