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<p style="margin-top: 10px; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">近日,国家发改委等部门公布《推进医疗服务价格改革的意见》（以下简称《意见》），明确了医疗服务价格改革的时间表和路线图。其中，医疗器械，尤其是大型医用设备的检查治疗和检验价格等相关内容引起业内人士的关注。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></strong></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 122, 170); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">大型设备检查治疗在降价之列</strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">《意见》提出，到2017年，逐步缩小政府定价范围，改革医疗服务项目管理，改进价格管理方式，结合公立医院综合改革同步调整医疗服务价格。到2020年，逐步建立以成本和收入结构变化为基础的价格动态调整机制，基本理顺医疗服务比价关系。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">围绕公立医院综合改革，《意见》统筹考虑取消药品加成及当地政府补偿政策，重点提高诊疗、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，降低大型医用设备检查治疗和检验等价格。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">“长期以来，部分医疗服务价格偏低，大型设备检查费用偏高，这是受‘以药补医’机制影响，现在要破除‘以药补医’机制，所以要调整医疗服务价格，但不是说所有医疗服务价格都上涨，而是有升有降。”国家发改委价格司医药价格处副处长朱德政7月6日在媒体通气会上说。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">中欧国际工商学院教授蔡江南表示，当前由于医疗服务价格偏低，促使医院以过度检查、“以药补医”等方式补偿。推进医疗服务价格改革，合理调整医疗服务价格，“医疗服务价格偏低、药品价格偏高”的结构问题将得以调整，这有利于理顺医药价格机制，减缓或消除“以药补医”现象。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></strong></p><p style="text-align:center"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvfsahAv0ia7DgbQPGORk8fff3AjYMoWP3XxniaYHXSWJ6uV0xtXqibkfcHfXbDaHDgCyibm6KUYX5NA6A/0?wx_fmt=jpeg" data-ratio="0.6222222222222222" data-w="450" /><br /></strong></p><p style="text-align:center"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></strong></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></strong></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 122, 170); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">政策落地需对症下药</strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">近年来，虽然政府一直在努力推进医改，但“看病贵、看病难”的问题依然没有得到很好的解决。大家知道，导致“看病贵”的因素有很多，但大型医疗</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">设备收费高是其中的一个重要因素。《意见》明确要降低大型医用设备检查治疗、检验价格，从国家政策层面对大型医用设备收费进行了规范，有利于降低患者的检查和治疗费用。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">大型医用设备收费偏高，的确需要挤干价格水分，但大型医用设备的乱象不只是收费虚高，还存在其他需要尽快着手解决的问题，比如医生对大型医用设备过度依赖，比如大型医用设备在购置上的合理性等，都存在争议或瑕疵。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">医生过度依赖大型医用设备。医疗诊治需要精准，容不得半点差错，大型精密医用设备能给出科学的结论，对医师提出更科学的治疗方案提供参考，有时<span style="max-width: 100%; text-indent: 0em; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">甚至会起决定性的作用。可是，有些患者的疾病并不严重，医生也会让他们使用大型医用设备，造成医疗资源的浪费，并无端增加患者的就医负担。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">事实上，很多医生都有着非常深厚的经验积累，完全可以借“望、闻、问、切”诊断出结果，在此情形之下，如果医生还使用大型医用设备，显然有为医院创收之嫌。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">少数医院在大型医院设备的购置上存在盲目性。医院是否应该购置大型医用设备，应当取决于患者的需求量。可是，有些医院希望通过大型医用设备打造医院知名度，或者把大型医疗设备作为医院技术水平的表现。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">为了让《意见》落到实处，让患者得到实实在在的好处，卫生部门不仅要挤干大型医用设备收费中的水分，还要像检查大处方那样，对医生频繁使用大型</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); text-indent: 0em; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);">医疗设备的合理性进行抽查，辨别医生对大型设备的依赖性是否在合理区间。同时，监管部门也应对医院购置大型设备的合理性进行分析，避免医疗设备不必要的浪费。</p><p><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); 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-family: Arial, Verdana, sans-serif; font-size: 14px; line-height: 24px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(249, 249, 249);">广州市设备维修有限公司</span></p><p style="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;">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 邮编：510507</span></p><p style="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 8764 5360 8764 2943 传真：020-8722 8623</span></p><p style="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="max-width: 100%; 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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;">维修咨询：QQ: 712638 404</span></p><p style="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;">设备咨询: QQ: 712638 405</span></p><p style="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%; 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发表于 2020-10-19 23:51:08