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style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;">全面實施藥品零差率銷售</span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p> </p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"> 2017年8月31日24時起，贛州市公立醫(yī)院綜合改革正式啟動，屆時我院信息系統(tǒng)將完成切換，全面啟用醫(yī)改后的新收費標準。醫(yī)改后，我們老百姓來市中醫(yī)院看病能感受到哪些變化呢？</span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;">1、</span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">全面取消藥品加成（中藥飲片除外），按照實際進價銷售藥品</font> </span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;">什么是藥品加成？</span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體"> 相信大家對這個名詞都很陌生、疑惑。這是過去國家在財力不足，對公立醫(yī)院補助有限的情況下規(guī)定的。公立醫(yī)院可以在藥品實際進價的基礎上，上浮不超過</font>15%的價格銷售藥品，而現(xiàn)在國家強大了，藥品加成也應該取消了，老百姓買藥也不怕被坑了。</span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"> <font face="宋體">同時，醫(yī)院會對價格高、用量大、輔助性、營養(yǎng)性藥品以及抗菌等重點監(jiān)控藥物在官網(wǎng)、院務公開欄等公開使用情況，醫(yī)務人員個人薪酬不得與醫(yī)院的藥品、耗材、檢查、化驗等業(yè)務收入掛鉤，患者可自主選擇在醫(yī)院門診藥房或憑處方到零售藥店購藥。</font></span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;">2、逐步擴大醫(yī)保支付范圍 </span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;">　 </span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">醫(yī)改后將加快實行以按病種付費為主，按人頭付費、按床日付費、總額預付等復合型付費方式，減少按項目付費。逐步擴大納入醫(yī)保的支付范圍，取消治療性藥品的自付比例，提高輔助性藥品的自付比例。</font></span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"> 政府將設立公立醫(yī)院改革發(fā)展專項資金，公立醫(yī)療機構提供的基本醫(yī)療服務實行政府指導價，建立以成本和收入結(jié)構變化為基礎的價格動態(tài)調(diào)整機制，調(diào)整后的醫(yī)療服務收費，城鄉(xiāng)居民和城鎮(zhèn)職工均按規(guī)定納入醫(yī)保支付范圍。</span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;">3、強化綜合監(jiān)管</span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體"> 破除以藥補醫(yī)，建立現(xiàn)代醫(yī)院管理制度：完善管理制度和治理體系，加強醫(yī)院的黨建工作，建立符合醫(yī)療衛(wèi)生行業(yè)特點的人事薪酬制度，逐步提高人員經(jīng)費支出占業(yè)務支出的比例，完善考核評價機制。贛州將建設醫(yī)保在線監(jiān)控審核系統(tǒng)，實現(xiàn)對醫(yī)務人員診療行為的實時監(jiān)管。</font></span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"> 醫(yī)療改革減輕了老百姓的負擔，讓人民群眾得到實實在在的實惠。我院將全力配合醫(yī)改進行，全心全意為群眾的健康服務！</span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p class="MsoNormal"><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"> </span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><font face="宋體">如需了解更多醫(yī)改動向，請繼續(xù)關注我們的公眾號，或撥打我院醫(yī)改辦電話（</font>0797-8109170）進行咨詢。</span><span style="mso-spacerun:'yes';font-family:宋體;font-size:14.0000pt;mso-font-kerning:1.0000pt;"><o:p></o:p></span></p> <p><o:p></o:p></p> <p class="MsoNormal" style="text-align: center;"><span 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