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<p style="font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体, SimSun; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">近日，国务院医改办会同国家卫生计生委等8部门联合下发的一份通知明确，综合医改试点省（区、市）和公立医院改革试点城市的公立医疗机构要率先推行药品采购“两票制”，鼓励其他地区执行“两票制”，争取2018年在全国全面推开，以期进一步降低药品虚高价格，减轻群众用药负担。</span></p><p style="margin-top: 10px; font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体, SimSun; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">从理论上讲，实行“两票制”后，药品流通环节大幅减少，流通成本会降低，且流通关系简单透明，有利于监管——倒票、洗票、商业贿赂的难度加大，成本和风险变高，将会受到遏制，药价中的水分会被进一步挤出，药价也就会下降。</span></p><p style="line-height: 25.6px; white-space: normal;"><br /></p><section class="" data-source="bj.96weixin.com" style="font-size: 16px; line-height: 25.6px; white-space: normal; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><img class="" data-ratio="0.05555555555555555" src="http://mmbiz.qpic.cn/mmbiz/QKDxrVYehicfLJxg7bpPgMPUape9ldo0YhTgrV6slFusydTju1TXb2nzzYEuX2lA1CmDLbSVh16TlUfr5jNCwXA/640?wx_fmt=png" data-type="png" data-w="630" style="box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;"></p></section><p style="font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; font-family: 宋体, SimSun; box-sizing: border-box !important; word-wrap: break-word !important;">政策虽好，但最怕“下有对策”。在执行过程中，很可能会遭到既得利益者的阻拦和破坏，一些人可能会充分发挥“聪明才智”，想出保持药价虚高、实现不法利益输送、获得不法收入的“对策”。比如，推高药品的出厂价或中标价，再通过某种方式将利益输送给医院、医生或相关经销商。<br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></span></p><p style="margin-top: 10px; margin-bottom: 10px; font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体, SimSun; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">由于以公立医院为主的医疗体系正在逐步推行药品“零差价”模式，在账面上，无论是低药价购药，还是高药价购药，都无法带给医院收入，因而，低药价对医院没有吸引力，医院没有采购低价药的积极性。但在账外，高药价会给医院和医生带来利益。在利益的驱使下，医院在购药时对高价药会更感兴趣。</span></p><p style="font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体, SimSun; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">同时，医院可以将药房运营与管理、医疗器械采购与管理、后勤管理、学术支持服务等，都外包出去，医院借此从承包企业获益，而承包企业又会从药品等环节获利。医院还可以自己干，成立药品经销企业，按市场批发价购入药品，然后再以“虚高”中标价向医院“供货”。这些可能的“对策”能让“两票制”的功能和效果大打折扣，值得高度警惕。</span></p><p style="line-height: 25.6px; white-space: normal;"><br /></p><section class="" data-source="bj.96weixin.com" style="font-size: 16px; line-height: 25.6px; white-space: normal; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section style="margin-top: 5px; margin-bottom: 5px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="max-width: 100%; border: 1px solid rgb(157, 180, 194); box-sizing: border-box !important; word-wrap: break-word !important;"><section style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="max-width: 100%; border-top-width: 4px; border-top-style: solid; border-top-color: rgb(157, 180, 194); box-sizing: border-box !important; word-wrap: break-word !important;"></section><section style="margin-top: 3px; max-width: 100%; border-top-width: 1px; border-top-style: solid; border-top-color: rgb(157, 180, 194); box-sizing: border-box !important; word-wrap: break-word !important;"></section></section><section style="padding: 10px; max-width: 100%; display: inline-block; vertical-align: top; box-sizing: border-box !important; word-wrap: break-word !important;"><section style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><section style="max-width: 100%; text-align: justify; box-sizing: border-box !important; word-wrap: break-word !important;"><section style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体, SimSun; line-height: 21px; text-align: start; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">要让“两票制”发挥应有的作用，政府必须对可能出现的“对策”早做准备，设计出应对方案，完善实施细则和监管细则，重点打击遏制推高药品出厂价或中标价的行为，掐断输送不法利益的渠道。</span></p><p style="margin-top: 10px; max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体, SimSun; line-height: 21px; text-align: start; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">还需强调的是，遏制药价虚高，除了推行“两票制”外，还必须“综合给药”，通过落实营改增、加强对药品质量管控、核查坐实药品的成本价、逐步提升医疗服务价格、加大对公立医院的补贴力度、严把药品集中采购关等措施，破除医和药之间的不正常关系，让药价回归正常，让民众得实惠。</span></p></section></section></section></section></section><section style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><section style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="max-width: 100%; border-top-width: 1px; border-top-style: solid; border-top-color: rgb(157, 180, 194); box-sizing: border-box !important; word-wrap: break-word !important;"></section><section class="" style="margin-top: 3px; max-width: 100%; border-top-width: 4px; border-top-style: solid; border-top-color: rgb(157, 180, 194); 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;" /></section></section></section></section></section><section class="" data-source="bj.96weixin.com" style="font-size: 16px; line-height: 25.6px; white-space: normal; max-width: 100%; color: rgb(62, 62, 62); box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section style="margin-top: 20px; padding: 5px; max-width: 100%; box-sizing: border-box; border: 1px solid rgb(204, 204, 204); line-height: 24px; text-align: justify; box-shadow: rgb(165, 165, 165) 5px 5px 2px; word-wrap: break-word !important; background-color: rgb(250, 250, 250);"><section style="margin-top: -18px; margin-left: 20px; max-width: 100%; box-sizing: border-box; text-align: left; word-wrap: break-word !important;"><section class="" style="padding: 4px 10px; max-width: 100%; box-sizing: border-box; display: inline-block; border-radius: 0.1em 1.5em; box-shadow: rgb(165, 165, 165) 4px 4px 2px; color: rgb(255, 255, 255); text-align: justify; border: 1px solid rgb(28, 122, 157); word-wrap: break-word !important; background-color: rgb(28, 122, 157);"><span style="max-width: 100%; font-size: 14px; 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;">相关新闻</strong></span></section></section><section style="max-width: 100%; box-sizing: border-box; word-wrap: break-word !important;"><p style="max-width: 100%; min-height: 1em; line-height: 2em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; 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;"><span style="max-width: 100%; color: rgb(0, 0, 0); line-height: 21px; text-align: start; box-sizing: border-box !important; word-wrap: break-word !important;">“两票制”压减层层加码虚高药价有望再挤水分</span></strong></span></p></section></section></section><p><br /></p><p style="margin-top: 10px; font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; 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;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">中国妇女报·中华女性网记者耿兴敏 发自北京 1月9日，国家卫计委举行关于“两票制”的新闻发布会，解读了备受关注的《在公立医疗机构药品采购中推行“两票制”的实施意见（试行）》（以下简称实施意见），“国家版”的“两票制”方案正式对外公布，业内人士指出，“两票制”压减了流通环节中间商的层层加码，有望再挤药价虚高水分。</span></strong></span></p><p style="margin-top: 10px; margin-bottom: 10px; font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; 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;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">所谓“两票制”是指药品从生产企业到流通企业开一次发票，流通企业到医疗机构开一次发票。国家卫计委今年将在11个综合医改试点省和200个公立医院改革试点城市全力推进，争取2018年在全国推开。实施意见明确，综合医改试点省（区、市）和公立医院改革试点城市的公立医疗机构要率先实行“两票制”，鼓励其他地区执行“两票制”。</span></strong></span></p><p style="margin-bottom: 10px; font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; 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;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">国家卫计委体改司司长梁万年指出，为保障基层药品的有效供应，规定药品流通企业为特别偏远、交通不便的乡镇和村级医疗卫生机构配送药品时，允许在“两票制”的基础上再开一次药品购销发票。</span></strong></span></p><p style="font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; 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;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">药价虚高的问题由来已久，国家食品药品监管总局药化监管司司长丁建华表示，目前全国有1.2万家批发企业，“两票制”的实行有助于药品流通企业的优胜劣汰、兼并重组，进而提升行业的集中度。食品药品监管部门将把“两票制”执行情况纳入监管内容。</span></strong></span></p><p style="font-size: 16px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 1.5em; 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;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></span></strong></span></p><p style="font-size: 16px; line-height: 25.6px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-family: 微软雅黑; box-sizing: border-box !important; word-wrap: break-word !important; text-align: right; background-color: rgb(255, 255, 255);"><strong style="max-width: 100%; line-height: 25.6px; color: rgb(178, 178, 178); font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">内容来源：浙江省卫计委</strong><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><hr style="font-size: 16px; line-height: 25.6px; white-space: normal; max-width: 100%; color: rgb(62, 62, 62); font-family: 微软雅黑; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);" /><p style="font-size: 16px; line-height: 25.6px; white-space: normal; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); font-family: 微软雅黑; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(178, 178, 178); font-size: 14px; 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;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(165, 165, 165); 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;">本文为转载，我们不对本文所包含内容的准确性、可靠性或者完整性提供任何明示或暗示的保证，不对本文观点负责。</strong></span></strong></strong></span></strong></span></p><p><span style="max-width: 100%; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(178, 178, 178); font-size: 14px; 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;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(165, 165, 165); 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;"><br /></strong></span></strong></strong></span></strong></span></p><section class="pEditor " style="line-height: 25.6px; white-space: normal;"><section data-css="background-color: rgb(239, 239, 239);border-radius: 5px;border: 1px solid rgb(153, 153, 152);margin: 0px;padding: 5px" style="padding: 5px; border-radius: 5px; border: 1px solid rgb(131, 147, 209); 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text-transform: uppercase; box-sizing: border-box !important; word-wrap: break-word !important;">·END·</strong><br style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important;" /></p><p style="max-width: 100%; word-wrap: normal; min-height: 1em; box-sizing: border-box !important;"><strong style="max-width: 100%; text-transform: uppercase; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></strong></p></section><section class="gulangutitle" style="margin: 0em 0.5em 0.1em; max-width: 100%; color: rgb(16, 146, 113); font-size: 1.8em; line-height: 1; font-weight: inherit; word-wrap: break-word !important; box-sizing: border-box !important;"><p><span style="font-size: 20px;"><strong class="pBrush" style="padding-right: 50px; padding-bottom: 3px; padding-left: 50px; border-bottom-style: solid; border-bottom-width: 1px; border-color: rgb(2, 2, 2); display: block; line-height: 28px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"></strong></span></p></section><section class="pbrush" style="margin: 0.5em 1em; max-width: 100%; font-size: 1em; line-height: 1; font-weight: inherit; text-align: inherit; text-decoration: inherit; color: rgb(120, 124, 129); word-wrap: break-word !important; box-sizing: border-box !important;"><p><span style="font-size: 14px;"><strong><span class="pBrush" style="color: rgb(131, 104, 28); font-family: Avenir, sans-serif; line-height: 28px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">ID: </span></strong><strong><span class="pBrush" style="max-width: 100%; color: rgb(131, 104, 28); font-family: Avenir, sans-serif; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;"></span></strong></span></p><p><span style="font-size: 14px;"><strong><span class="pBrush" style="max-width: 100%; color: rgb(131, 104, 28); font-family: Avenir, sans-serif; line-height: 28px; box-sizing: border-box !important; word-wrap: break-word !important;">大家都在关注的医疗器械维修新媒体平台</span></strong></span></p><p><strong style="color: rgb(131, 104, 28); font-family: Avenir, sans-serif; font-size: 16px; line-height: 28px;"><span style="color: rgb(127, 127, 127); font-size: 12px;"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/A1DicCH9Vl6MoypciaNOibiaxmVLk8eA6ibKL14uWjKsZwrWboQYKTfXqPicXycwL1icfia1pAG0VzlTX3MRR4FPV0ZtZA/0?wx_fmt=jpeg" data-ratio="1.0136054421768708" data-w="147" class="" style="float: none;" /></span></strong></p></section></section></section></section><p><br /></p><p><br /></p>
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发表于 2020-10-21 12:36:47