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河南所有公立医院 8月底前全部取消药品加成

2017-07-11 09:27:04   大河网-河南商报

原标题:河南所有公立医院 8月底前全部取消药品加成

河南商报首席记者李肖肖

以前医院卖药是可以加价15%的,但在我省,8月以后,这将成为历史。

昨日,河南商报记者从河南省卫计委获悉,我省将全面推开城市公立医院改革,8月底前所有公立医院全部取消药品加成。这个时间表,比国家卫计委规定的提前了一个月。

改革目标

就医费用负担明显减轻

7月5日,陈润儿省长主持召开省政府第128次常务会议,审议通过了《关于推进城市公立医院综合改革的实施意见》,确定我省城市公立医院综合改革的总体要求、主要目标和重点任务,为全面推开城市公立医院改革绘就了路线图,明确了时间表。

改革的目标是,到2020年,基本建立现代医院管理制度,城市三级医院普通门诊就诊人次占医疗卫生机构总就诊人次的比重明显降低,卫生总费用增幅与本地区生产总值的增幅相协调,就医费用负担明显减轻,总体上个人卫生支出占卫生总费用的比例降低到30%以下。

药品价格

公立医院取消药品加成

主要内容:破除以药补医机制,8月底前,全省城市公立医院全部取消药品加成(中药饮片除外)。取消药品加成后,以前对公立医院补偿有服务收费、药品加成收入和政府补助三个渠道;将来,要改为服务收费和政府补助两个渠道,通过合理调整医疗服务价格、加大政府投入、改革医保支付方式、降低医院运行成本等建立科学合理的补偿机制。

解读:药品加成始于上世纪50年代,目的是弥补公立医院收入不足,维持正常的运行和发展。作为一种补偿机制,医院可以在药品批发价基础上加15%。

这次推进的城市公立医院综合改革,是继县级公立医院综合改革之后的又一项深化医药卫生体制改革的重要举措。目前,我省县级公立医院已经全部取消药品加成,作为改革试点的洛阳、焦作、濮阳、漯河、三门峡、鹤壁等6市,也取消药品加成并取得了良好成效。

全面取消药品加成,医院将以批发价卖药,可以更多地体现公立医院的公益性,也能逐步改变医疗机构靠药品加成来获得经济收入的行为。

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