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北京医改5个月药价平均降幅超8% 今年可省30亿药费
北京晨报讯(记者徐晶晶)本市医药分开综合改革至今5个月,与去年同期相比,改革实施以来,三级医院、二级医院门急诊量分别减少12.5%和5%。药品价格平均下降幅度超过了8%,医改效果显现。
今年4月8日,本市正式实施“医药分开综合改革”,据市卫计委主任雷海潮表示,医改新政实施以来,出现了“五升五降”的新局面:医疗机构的基层诊疗量、技术劳动收入、可分配收入、医保保障和医疗救助力度出现了“五上升”;药费、药占比、二三级医院诊疗量、大型设备检查费、医保患者负担则呈现了“五下降”趋势。
根据市卫计委监测数据显示,与去年同期相比,改革实施以来,三级医院、二级医院门急诊量分别减少12.5%和5%,一级医院及基层医疗卫生机构增加11.5%,城区部分社区卫生服务机构诊疗量增加20%左右。门急诊中副主任医师、主任医师号就诊人次分别减少9.9%和22.8%。
据介绍,自从改革实施以来,控费成效显现,费用稳中有降。医药费用仅增长2.2%,剔除上半年全市居民消费物价指数2%的涨幅后,接近零增长。药品阳光采购金额累计206.4亿元,共节省药品费用16.4亿元,药品价格平均下降超过8%。仅药品阳光采购一项,预计今年可节省药品费用30亿元以上,高于预期。
除此之外,二、三级医院药占比由去年同期的42%下降到34%,且仍在下降。门急诊次均药费与去年同期相比,三级、二级医院分别减少了7.4%和9.8%,一级医院和基层医疗卫生机构增加5.4%。住院例均药费在三级、二级和一级医院基层医疗卫生机构分别减少了17.7%、15.9%和17.2%。
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