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北京医改方案公布:患者将可凭处方到药店购药

2016-03-17 03:09:06    新京报

同时,医院院长和副院长由理事会按规定聘任或解聘,并探索实行公开竞聘。实行院长任期目标责任考核和问责制,考核结果作为院长工作评价、薪酬确定和职务任免的重要依据。

2016年至2017年,北京还将完善医疗机构行业监督管理办法,开展全市医院巡查活动。

医疗价格

  大型医用设备检查治疗将“降价”

北京市卫计委此前提出,今年将配合制定医疗服务价格调整方案,具体调整可能涉及几千项内容的调整。

对于医疗价格如何调整,方案进一步说明称,将取消药品加成,降低大型医用设备检查治疗价格,“合理调整体现医务人员技术劳务价值的医疗服务价格,特别是诊疗、手术、护理、中医等服务项目价格”。

医疗布局

  行政副中心将新建大型综合医院

随北京行政副中心的建设进度,方案特别指出,将会在通州区规划建设大型综合医院、高水平妇儿医院和公共卫生服务机构,提升市行政副中心的整体医疗服务能力。

据悉,具体途径将包括通过疏解中心城医疗资源、政府投资新建、鼓励社会力量参与等方式进行。

在优化医疗布局方面,方案称,鼓励采取迁建、整合、转型等途径将部分城区利用率较低的医院改造为社区卫生服务中心、专科医院、老年护理和康复机构。加快专业康复护理机构建设,鼓励引导其与大医院合作。

 分级诊疗

  大医院逾两成门诊将来自预约转诊

今年,北京在落实分级诊疗方面也将出台相应标准,比如将制定常见病种出入院标准,完善双向转诊程序。

方案称,将完善与分级诊疗相适应的医疗、医保、价格、财政和人事薪酬等政策,构建基层首诊、双向转诊、急慢分治、上下联动的分级诊疗模式,引导常见病、慢性病患者在社区医疗机构就诊,有效减少三级医院门诊量。

2016年,北京将出台糖尿病、高血压、冠心病、脑卒中4种病的分级诊疗指导意见和基本规范,开展以上病种的分级诊疗试点。

预计今年内,北京预约转诊量占公立医院门诊就诊量的比例提高到20%以上,三级医院普通门诊就诊人次将随之减少。

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