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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

基层医院:长期用药患者受益最明显

中国医科大学附属第一医院大东医院原本日门诊量仅200人次左右。2013年,大东医院与中国医科大学附属第一医院建立医联体,到现在日门诊量达到600人次左右,翻了三倍。大东医院书记张兰介绍,该院辖区内老旧小区多,居民老龄化比较明显,老年人口约占居民总数的四成左右。“慢病患者约占我院门诊量的70%到80%,根据医改前的相关测算,慢病患者的平均花费,从常用药品来讲,能减少20%-25%。可以说需要长期用药的慢病患者是这次医药价格调整的最大获益者。”

中医院、专科医院:技术“含金量”促使医护提高技能

市骨科医院副院长刘哲枢介绍,骨科医院的患者中,外科骨伤患者较多,多需住院手术。随着部分床位、护理、手术等费用的上调,医护人员的服务价值得到了体现,但同时对医护本身也是一种督促,促使他们必须精进技术,不断提高服务水平,这样才能让自己的服务对得起价格,真正得到百姓认可。

关雪峰院长也认为,医改取消15%的药品加成,但中药饮片的加成得以保留,这也可以说是对医护人员劳动价值的一种体现。因为中药饮片在生产、运输、储存中会发生损耗,同时开具中药饮片需要医生针对每个患者辨证开药,个体辨证的“技术含量”很高,因此加成是对药品损耗和人工成本的一种补偿。同时,针灸等中医特色医疗服务的价格上调,也体现了医务人员的技术价值。从这一角度来看,医药价格结构调整有助于促进医护人员回归本质、钻研业务,不是靠“卖药”而是靠“卖服务”来养活自己,从而从长期上令全体患者真正获益。

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