取消耗材加成，大批骨科医生或将走向市场

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                    <p><img class="__bg_gif" data-ratio="0.10555555555555556" src="http://mmbiz.qpic.cn/mmbiz/M2H0aGBjWUTRia7nqkArYeKZUqEfdmpNibMPiaZk4gvlWk5v5lUKyXhjJP4CENKQeQt5HI8zwcTCWJOkicfWJiatdJQ/0?wx_fmt=gif" data-type="gif" data-w="720" width="auto" style="font-size: 16px;white-space: normal;line-height: 25.6px;font-family: Arial, Verdana, Helvetica, sans-serif, 宋体;color: rgb(63, 63, 63);text-align: justify;box-sizing: border-box !important;word-wrap: break-word !important;visibility: visible !important;width: auto !important;"  /></p><p><img data-s="300,640" data-type="png" src="http://mmbiz.qpic.cn/mmbiz_png/dx3KibwtDhvfuFhEHOCeQibegwLKmvZK8panl5oiafaRXluZfRGJKtUax4B43IiadGchdnsFIHER0fGwSksOI8KyaA/0?wx_fmt=png" data-copyright="0" style="" class="" data-ratio="0.8101694915254237" data-w="590"  /></p><p><br  /></p><p>&nbsp;</p><p>&nbsp;</p><p>　　建立高值医用耗材价格常态化监测机制，动态监测高值医用耗材的出厂价格、口岸价格，以及在我国、产地和周边国家（地区）零售价格，并以适当方式对社会进行公布，充分发挥社会监督作用。</p><p>&nbsp;</p><p>　　研究将质量差异不大、价格水平相当的部分高值医用耗材打包纳入医疗服务项目，通过制定医疗服务收费<strong><span style="color: rgb(0, 153, 102);">标准</span></strong>间接控制医用耗材价格水平。</p><p>&nbsp;</p><p>　　也就是说，新一轮的取消 “以械补医”改革来了！</p><p>&nbsp;</p><p>　　别看医用耗材加成仅为5%至10%，并没有药品的15%加成高，但一旦耗材加成取消，不仅对公立医院影响巨大，对医生来说影响也将非常大，日子或将很难过。</p><p>&nbsp;</p><p>　　对此，一位私立骨科专科连锁负责人向《看医界》表示，以前三甲医院的骨科专家很少愿意加入私立医院，但如果耗材加成取消，大批骨科医生主动走向市场将是大概率事件，对于私立医院来说将是重大利好。</p><p>&nbsp;</p><p>　　在一位业内人士看来，毫无疑问，医改的主力是医生群体，只有医生群体充分发挥主观能动性，医改才能成功。</p><p>&nbsp;</p><p>　　目前一方面在公立医院改革、医疗反腐风暴的巨大压力下，将会把大批医生推向市场；另一方面，医疗市场的持续开放、社会办医的快速发展，市场对于医生的吸引力也在大大加强，在推力和吸引力的双重作用下，必然将会有大批医生走向市场，可以兼职、全职，也可以合伙或自主<strong><span style="color: rgb(0, 153, 102);">创业</span></strong>，办医生集团、诊所医院等。</p><p>&nbsp;</p><p>　　并表示，“这些医生的进入，将让医疗市场活跃壮大起来，并将扩大这些医生的社会价值、商业价值，形成患者、医生、政府、社会多赢的格局。”</p><p>&nbsp;</p><p>　　据一位走向市场组建医生集团的骨科专家向《看医界》介绍，以一个专病的门诊为例，尽管他的门诊“挂号费”是原来公立医院的15倍，但总体的治疗费用比公立医院还低。</p><p>&nbsp;</p><p>　　 “我们省掉了很多没必要的耗材费，在耗材选择上也是选择合适的，而非贵的。”据该专家介绍，上述专病的患者在治疗过程中需要多次打石膏，根据他长期的临床经验，如果医生能够严格实施质量控制，即便使用比较便宜的石膏材料，仍能实现非常理想的治疗效果。</p><p>&nbsp;</p><p>　　 “另一方面，医生的劳动一旦在市场实现了自己的价值，会倒逼公立医院改革，进一步尊重医生的劳动价值，提升公立医院医生的阳光收入。”上述业内人士如是说。</p><p style="font-size: 16px;white-space: normal;line-height: 25.6px;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-align: center;font-family: 微软雅黑;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 255);"><br  /></p><p style="font-size: 16px;white-space: normal;line-height: 25.6px;max-width: 100%;min-height: 1em;color: rgb(62, 62, 62);text-align: center;font-family: 微软雅黑;box-sizing: border-box !important;word-wrap: break-word !important;background-color: rgb(255, 255, 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