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官方:2017年全国公立医院医疗费涨幅拟不超10%
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Topic: 官方:2017年全国公立医院医疗费涨幅拟不超10% (Read 141 times)
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官方:2017年全国公立医院医疗费涨幅拟不超10%
May 02, 2017, 05:57:17 AM
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中新网5月2日电 据财政部网站消息,卫计委、财政部等七部门近日下发关于全面推开公立医院综合改革工作的通知。通知指出,全面推开公立医院综合改革,全部取消药品加成。通知要求,2017年全国公立医院医疗费用平均增长幅度控制在10%以下。
资料图:北京医改首日的协和医院。汤琪 摄
通知要求,2017年全国公立医院医疗费用平均增长幅度控制在10%以下。各省(区、市)及兵团要设定2017年度医疗费用增长控制目标,结合实际分解到各地市、县(市、师)和公立医院,并于5月15日前报国家卫生计生委、国家中医药局备案。国家将对各省(区、市)及兵团公立医院医疗费用增长情况进行排名和通报。
通知明确,全面推开城市公立医院综合改革。7月31日前,所有地市出台城市公立医院综合改革实施方案;9月30日前,全面推开公立医院综合改革,所有公立医院全部取消药品加成(中药饮片除外)。
通知提出,巩固完善前4批试点城市公立医院综合改革。巩固取消药品加成成果,进一步健全公立医院维护公益性、调动积极性、保障可持续的运行新机制和科学合理的补偿机制。到2017年底,前4批试点城市公立医院药占比(不含中药饮片)总体下降到30%左右;百元医疗收入(不含药品收入)中消耗的卫生材料降到20元以下;实行按病种收付费的病种不少于100个;预约转诊占公立医院门诊就诊量的比例要提高到20%以上;区域内所有二级及以上公立医院和80%以上的基层医疗卫生机构与区域人口健康信息平台对接;60%的基层医疗卫生机构与上级医院建立远程医疗信息系统。
通知要求,拓展深化县级公立医院综合改革。进一步总结提炼推广公立医院综合改革示范县(市)经验,积极推进县域医疗服务共同体建设。到2017年底,全面实行以按病种付费为主,按人头付费、按床日付费等复合型付费方式,探索符合中医药特点的支付方式,鼓励中医药服务提供和使用;县级公立医院门诊、住院患者人均费用和总收入增幅下降,医疗服务收入(不含药品、耗材、检查、化验收入)占业务收入比重提升,自付医疗费用占总医疗费用比例下降。
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官方:2017年全国公立医院医疗费涨幅拟不超10%
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