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广东将取消公立医院药品加成 医生薪酬不与药品等收入挂钩

2017-03-30 蔡敏婕 中新网

今年上半年,广东将破除“以药补医”机制,严格控制医药费用不合理增长,7月前全面取消公立医院的药品加成。

广东29日首次召开全省卫生与健康大会。记者从会上获悉,今年上半年,广东将破除“以药补医”机制,严格控制医药费用不合理增长,7月前全面取消公立医院的药品加成。医务人员薪酬不得与药品、耗材、医学检查等收入挂钩。

根据广东卫生与健康“十三五”(2016至2020年)规划,公立医院补偿机制由原先的服务收费、药品加成收入和政府补助三个渠道,改为服务收费和政府补助两个渠道。医院由此减少的合理收入,通过调整医疗服务价格补偿八成。对医院的药品贮藏、保管、损耗等费用列入医院运行成本予以补偿。

根据《广东省深化医药卫生体制综合改革实施方案》,广东将逐步建立科学有效的现代医院管理制度,控制医药费用不合理增长。针对不同公立医院制订医药费用年度控费指标,重点监控超常使用的药品,不合理使用的辅助性、营养性高价药品,以及高值医用耗材等,并及时预警干预。严禁给医务人员设定创收指标,医务人员薪酬不得与药品、耗材、医学检查等收入挂钩。

近年来,内地逐渐兴起家庭医生服务的医疗模式。根据上述方案,广东将全面实施家庭医生签约服务制度,组建以家庭医生为核心、专科医师提供技术支持的签约服务团队,采取分类签约、有偿签约、差别化签约等多种方式,向居民提供长期连续的基本医疗、公共卫生和健康管理服务。

该方案预计,到2020年,签约服务扩大到全人群,基本实现家庭医生签约服务制度全覆盖。

此外,未来,广东省还将着力打造一批中医“名院”、“名科”,推动省级中医重点专科或特色专科建设,提升该省中医药诊疗在全国的影响力和知名度。同时,加强中医药标准化建设,完善行业诊疗规范,提升中医药医疗安全质量。

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    2017-04-01 维他命
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    2017-03-30 明天会更好!

    学习了,很好!

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1681733, encodeId=c02d1681e3340, content=<a href='/topic/show?id=11258e373b8' target=_blank style='color:#2F92EE;'>#药品加成#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87373, encryptionId=11258e373b8, topicName=药品加成)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b8e927859734, createdName=longerg, createdTime=Sun Oct 08 07:15:00 CST 2017, time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935669, encodeId=9f74193566914, content=<a href='/topic/show?id=8a72346e9a1' target=_blank style='color:#2F92EE;'>#医生薪酬#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34679, encryptionId=8a72346e9a1, topicName=医生薪酬)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=951d2500061, createdName=12498717m66(暂无昵称), createdTime=Mon Jan 01 07:15:00 CST 2018, time=2018-01-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1553100, encodeId=1f69155310024, content=<a href='/topic/show?id=f983884456a' target=_blank style='color:#2F92EE;'>#薪酬#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88445, encryptionId=f983884456a, topicName=薪酬)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ccd914357372, createdName=维他命, createdTime=Sat Apr 01 01:15:00 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183773, encodeId=05b7183e7383, content=学习了,很好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Thu Mar 30 12:02:24 CST 2017, time=2017-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183760, encodeId=5ed3183e605a, content=提高医护人员工资才是硬道理!, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kym1A9qicflExZYSdibSZBHDyicKZZj37w4jR44fPa9DI3mVLObHAxzntpTAbwxeHvviclcw8coNrDge/0, createdBy=6dc22001775, createdName=春暖花开8785, createdTime=Thu Mar 30 10:43:58 CST 2017, time=2017-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183742, encodeId=b59a183e42a8, content=提高基层医生待遇,才是硬道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Thu Mar 30 10:27:28 CST 2017, time=2017-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183741, encodeId=8b45183e41da, content=不管怎么改革,把医生工资提高啊。, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Thu Mar 30 10:20:46 CST 2017, time=2017-03-30, status=1, ipAttribution=)]
    2017-03-30 春暖花开8785

    提高医护人员工资才是硬道理!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1681733, encodeId=c02d1681e3340, content=<a href='/topic/show?id=11258e373b8' target=_blank style='color:#2F92EE;'>#药品加成#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87373, encryptionId=11258e373b8, topicName=药品加成)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b8e927859734, createdName=longerg, createdTime=Sun Oct 08 07:15:00 CST 2017, time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935669, encodeId=9f74193566914, content=<a href='/topic/show?id=8a72346e9a1' target=_blank style='color:#2F92EE;'>#医生薪酬#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34679, encryptionId=8a72346e9a1, topicName=医生薪酬)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=951d2500061, createdName=12498717m66(暂无昵称), createdTime=Mon Jan 01 07:15:00 CST 2018, time=2018-01-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1553100, encodeId=1f69155310024, content=<a href='/topic/show?id=f983884456a' target=_blank style='color:#2F92EE;'>#薪酬#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88445, encryptionId=f983884456a, topicName=薪酬)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ccd914357372, createdName=维他命, createdTime=Sat Apr 01 01:15:00 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183773, encodeId=05b7183e7383, content=学习了,很好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Thu Mar 30 12:02:24 CST 2017, time=2017-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183760, encodeId=5ed3183e605a, content=提高医护人员工资才是硬道理!, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kym1A9qicflExZYSdibSZBHDyicKZZj37w4jR44fPa9DI3mVLObHAxzntpTAbwxeHvviclcw8coNrDge/0, createdBy=6dc22001775, createdName=春暖花开8785, createdTime=Thu Mar 30 10:43:58 CST 2017, time=2017-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183742, encodeId=b59a183e42a8, content=提高基层医生待遇,才是硬道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Thu Mar 30 10:27:28 CST 2017, time=2017-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183741, encodeId=8b45183e41da, content=不管怎么改革,把医生工资提高啊。, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Thu Mar 30 10:20:46 CST 2017, time=2017-03-30, status=1, ipAttribution=)]
    2017-03-30 往日如昨

    提高基层医生待遇,才是硬道理

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1681733, encodeId=c02d1681e3340, content=<a href='/topic/show?id=11258e373b8' target=_blank style='color:#2F92EE;'>#药品加成#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87373, encryptionId=11258e373b8, topicName=药品加成)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b8e927859734, createdName=longerg, createdTime=Sun Oct 08 07:15:00 CST 2017, time=2017-10-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1935669, encodeId=9f74193566914, content=<a href='/topic/show?id=8a72346e9a1' target=_blank style='color:#2F92EE;'>#医生薪酬#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34679, encryptionId=8a72346e9a1, topicName=医生薪酬)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=951d2500061, createdName=12498717m66(暂无昵称), createdTime=Mon Jan 01 07:15:00 CST 2018, time=2018-01-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1553100, encodeId=1f69155310024, content=<a href='/topic/show?id=f983884456a' target=_blank style='color:#2F92EE;'>#薪酬#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88445, encryptionId=f983884456a, topicName=薪酬)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ccd914357372, createdName=维他命, createdTime=Sat Apr 01 01:15:00 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183773, encodeId=05b7183e7383, content=学习了,很好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Thu Mar 30 12:02:24 CST 2017, time=2017-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183760, encodeId=5ed3183e605a, content=提高医护人员工资才是硬道理!, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kym1A9qicflExZYSdibSZBHDyicKZZj37w4jR44fPa9DI3mVLObHAxzntpTAbwxeHvviclcw8coNrDge/0, createdBy=6dc22001775, createdName=春暖花开8785, createdTime=Thu Mar 30 10:43:58 CST 2017, time=2017-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183742, encodeId=b59a183e42a8, content=提高基层医生待遇,才是硬道理, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Thu Mar 30 10:27:28 CST 2017, time=2017-03-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=183741, encodeId=8b45183e41da, content=不管怎么改革,把医生工资提高啊。, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Thu Mar 30 10:20:46 CST 2017, time=2017-03-30, status=1, ipAttribution=)]
    2017-03-30 flysky120

    不管怎么改革,把医生工资提高啊。

    0

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