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广州本月15日起药品零加成,部队医院也一样

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发表于 2020-10-19 23:17:22 | 显示全部楼层 |阅读模式

                    

                    

                    
                    
                    <p style="text-align: center;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/dx3KibwtDhvd80nqkkLQWVXicQGwdOiaicqCbUiciaC8gCt1cll0HDS9RwFW2djMkU1PHNVW9zw3dxaEicQVkiaLCorHFQ/0?wx_fmt=jpeg" class="" data-ratio="0.6669921875" data-w="1024"  /></p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">根据国家、省关于深化医药卫生体制改革、价格机制改革的决策部署,广州市统筹推进广州市行政区域内中央、省、军队、武警在穗公立医院以及广州市属、区属城市公立医院的综合改革工作,并于今年7月15日起全面取消药品加成、启动公立医院综合改革。届时,将全面启动广州地区公立医院医疗服务价格调整工作。日前,广州市发改委草拟了《广州地区公立医院医疗服务价格调整方案(征求意见稿)》(下称“征求意见稿”),并向社会公开征求意见。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);"><strong>调整医疗服务价格实行同城同级同价</strong></p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">征求意见稿所称的“广州地区公立医院”,包括中央、省、军队、武警在穗公立医院以及广州市属、区属城市公立医院,不包含基层医疗卫生机构(镇卫生院、村卫生站及社区卫生服务机构)。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">征求意见稿指出,广州地区公立医院将同步调整医疗服务价格,实行同城同级同价。同步强化价格和医疗、医保、医药等相关政策衔接联动,逐步建立分类管理、动态调整、多方参与的价格形成机制,确保医院良性运行、医保基金可承受、患者负担总体不增加。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">根据有关要求,取消药品加成(不含中药饮片)后,公立医院因此而减少的合理收入,通过调整医疗服务价格补偿80%、财政专项补偿10%、医院自我消化10%的原则进行补偿。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">广州市发改委介绍,本方案重点调升了诊疗、手术、康复、护理、中医等体现医务人员技术劳务价值的医疗服务价格,调降了大型医用设备检查治疗和检验等项目的价格。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);"><strong>普通门诊诊查费10元总体调价幅度7.7%</strong></p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">据了解,目前广州地区公立医院执行的基本医疗服务项目价格共有4238项。而征求意见稿按照“总量控制、结构调整、有升有降、逐步到位”的要求,调整项目3568项,总体调价幅度7.7%。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">调整项目包括调升体现医务人员技术劳务价值的临床各诊疗系统类、手术治疗类、物理治疗与康复、护理类、中医及民族医类医疗服务价格的项目等2457项;调降大型设备检查治疗价格、检验类、医学影像类、打印照片类等价格的项目1110项。同时,将挂号费并入诊查费,减少1项。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">比如,门诊诊查费调整后:普通门诊诊查费10元、副主任医师门诊诊查费20元、主任医师门诊诊查费30元。CT、MRI、PET—CT等大型检查设备价格下调,三级医院的CT平扫、MRI(磁共振平扫0.5T以下)降价后分别为280元、420元。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);"><strong>门诊诊查费纳入医保患者负担总体不增加</strong></p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">为减轻患者负担,医保和价格政策密切衔接配合,调整后的基本医疗服务价格按规定纳入医保报销范围。比如,调整后普通门诊诊查费标准10元,门(急)诊诊查费纳入广州市社会医疗保险统筹基金支付范围,支付限额标准为每人每诊次7元,个人仅需支付3元,与原标准普通门诊诊金(含挂号费)4元相比,患者少支付1元。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);">由于调整的项目有升有降,患者因治疗项目不同,调价对个体的影响存在差异,但患者的医药费用总体水平是下降的,医疗服务项目调整增加费用相当于取消药品加成减少费用的80%左右,患者负担整体不会增加。</p><p style="margin-top: 15px; margin-bottom: 15px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 33.6px; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);"><br  /></p><p style="margin-top: 15px; margin-bottom: 25px; font-family: Arial, Verdana, Helvetica, sans-serif, 宋体; line-height: 28.8px; white-space: normal; font-size: 12px; color: rgb(153, 153, 153); background-color: rgb(255, 255, 255);">来源:南方日报</p><p style="line-height: 25.6px; white-space: normal;"><span style="color: rgb(62, 62, 62); font-family: Arial, Verdana, sans-serif; line-height: 1.75em; text-indent: 0em; max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">地址:广州市天河区银利街银利茶叶博览中心E栋4楼E4030室 &nbsp;&nbsp;</span><span style="color: rgb(62, 62, 62); font-family: Arial, Verdana, sans-serif; text-indent: 0em; max-width: 100%; font-size: 14px; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important;">&nbsp; &nbsp;&nbsp;</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important;">邮编:510507</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电话:(+86)020-8722 8723 &nbsp; &nbsp;8764 5360 &nbsp; &nbsp;8764 2943 &nbsp; &nbsp;&nbsp;</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">传真:020-8722 8623</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">全国统一免费服务热线:400-020-6788</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">微信公众帐号:</span></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; line-height: 1.75em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="1" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvfCZvZq5PcthnDKlnnq3AalhbichW77J3B70osicTickklZybNKUZqc44DZ0oaWaHm2p0TaA9478icwPg/640?wx_fmt=jpeg" data-type="jpeg" data-w="120" width="auto" style="box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important; width: auto !important;"  /></p><p style="text-indent: 0em; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-size: 12px; font-family: Arial, Verdana, sans-serif; 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