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沈阳115家公立医院综合改革今日启动

2017-08-26 06:55:54   中国青年网

今日零时起,辽宁省内沈阳、大连等10个城市的298家医院同步启动了公立医院改革,其中沈阳参与改革的医院最多,达到了115家。全面取消药品加成、部分检查检验费用下调、医疗服务价格上调、力推分级诊疗制度建设,这一系列的改革对沈城大中小各类医院究竟会带来哪些变化?昨日,沈城多家医院的院长及相关负责人将医改详情细细道来。

医改核心是结构调整

促进长期发展

采访中,多位院长解读了本次医改的核心内容:医改的本质不是单纯降价或涨价,而是调整结构,建立起公立医院运行新机制,推进分级诊疗建设。辽宁中医药大学附属医院院长关雪峰表示:“可能平时长期用药,很少做检查检验的一类患者,在26日后会感觉得到了实惠;一些做手术的,尤其是高难度手术的患者,以及需要通过诊疗服务进行康复的患者等,在就医的直观感受上可能觉得自费部分有所上涨。但这都不代表医改的全貌。”关雪峰说,本次医药价格改革在总体上带来的变化,不是简单的经济上的“实惠”,而是长期的实惠,是公立医院能够回归公益本质,医务人员也能破除“以药养医”、回归专业本质。

省属医院:力保患者合理利益不受损

很多患者关心,自己在医改启动的26日之前,已经成功进行了26日以后的预约挂号,或者开具了磁共振等检查单,缴费后没来得及做检查,这类情况到26日价格调整后该如何处理呢?中国医科大学附属第四医院副院长都健表示,原则上医院门、急诊就诊患者诊疗费用以缴费时间为结点,从26日零时起执行新的医疗服务价格,按新标准收费。但是实际操作中,遇到患者因价格调整出现挂号、检查甚至急诊治疗等受影响的情况,医院会酌情处理,“宁可让医院受损失,也不让患者受损失。”关雪峰也表示,该院在26日前已经有100余人次预约挂号到28日、29日两天,这百余位患者理论上应按照新标准诊查费,如以前50元的专家号26日后升至了96元,但为了保证患者利益不受损,医院决定按照已预约的价格执行。

市属医院:你关心的价格变化都有醒目公示

市第四人民医院院长张娟、市肛肠医院院长滕卫宁均表示,医院要求全员熟知医改政策,人人都是政策“解读员”,可以随时为患者解答相关变化。记者在多家医院也看到,一楼门诊大厅内全都有本次医改相关政策、价格调整表等重要信息的公示,并设有专人接受咨询,患者可以在医院大厅的电子显示屏、宣传板等处看到常用项目的调整后价格,对变化一目了然。

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