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重庆市全面推开公立医院综合改革政策解读

2017-09-04 01:25:49   中国青年网

5.取消药品加成的目的是什么?

答:取消药品加成的目的:就群众而言,是为了切断医院与药品之间的利益联系,促进医院规范用药,减少“多开药、开贵药”现象,让群众少花不必要的药费,减轻群众医药负担。就医院而言,是为了破除以药补医的运行旧机制,让广大医务人员通过提供优质的医疗服务获得合法的、有尊严的收入,建立新的科学的补偿机制,促进医院良性运行。

6.取消药品加成有依据吗?

答:有依据。一是国务院办公厅《关于城市公立医院综合改革试点的指导意见》等文件中有具体要求。二是国家2017年医改工作安排中,明确规定今年9月30日前所有公立医院全部取消药品加成。

7.哪些医院需要取消药品加成?

答:全市行政区域内政府(含部门和事业单位)举办的公立医院(主要包括综合医院、中医医院,专科医院、妇幼保健院、精神病院、传染病院、结核病院、职业病防治院)以及国企医院、在渝部队医院均将取消药品加成。

8.我市全面取消公立医院药品加成何时正式实施?

答:我市纳入改革范围的医院,于2017年9月9日0时开始实施。

9.为什么中药饮片不取消加成?

答:中药饮片一般是指中药材按中医药理论、中药炮制等方法,经过加工炮制或煎煮后,可直接用于中医临床治疗的中药。它具有农产品的属性,易耗损、易霉变、易虫蛀等,且管理成本、仓储成本等较高。中药饮片的加成收入是用于补偿它在各种环节造成的损失。因此,根据国家有关政策,中药饮片不取消加成。

10.我怎么知道医院的药品是取消加成,按进价销售的呢?

答:一是医院有公示。每个医院会在醒目位置公示改革前后药价对照表。二是政府有督查。改革后,政府将组织有关部门现场督查医院执行物价政策情况,对医院不按进价销售药品的行为,发现一起查处一起。

11.取消公立医院药品加成后,医院减少的这部分收入怎么补呢?

答:国家文件中明确,取消公立医院药品加成通过调整医疗服务价格、加大政府投入、改革支付方式、降低医院运行成本等,建立科学合理的补偿机制。我市与全国大多数省市的做法一致,主要是通过调整医疗服务价格来进行补偿。

三 我市医疗服务价格是怎么调整的?医保是如何报销的?

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