寻乌新闻 发表于 2017-9-4 15:42:17

权威解读:赣州市医院医改后,价格到底是降还是涨!

<p><br></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 255, 255); font-family: 微软雅黑; font-size: 18px; line-height: 30px; text-align: justify; text-indent: 28px; widows: auto; box-sizing: border-box !important; background-color: rgb(95, 170, 255);">9月1日</span>赣州城市公立医院医改正式启动。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><span style="max-width: 100%; line-height: 25.6px; text-align: justify; box-sizing: border-box !important;">这段时间,我市城市公立医院医改成为市民最为关注的话题之一。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;">赣州各大医院也通过多渠道做好医改宣传工作</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;">(赣州市立医院工作人员耐心向市民解释医改新政<span style="max-width: 100%; line-height: 25.6px; box-sizing: border-box !important;">)</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p><br></p><section class="" style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><section style="margin-right: auto; margin-left: auto; max-width: 100%; font-size: 14px; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box; line-height: 25px; border: 0px none;"><section style="max-width: 100%; box-sizing: border-box; text-align: center;"><span style="line-height: 30px; widows: auto; max-width: 100%; font-size: 20px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); text-align: justify; box-sizing: border-box !important;">注意</span></strong></span><span style="line-height: 30px; widows: auto; max-width: 100%; font-size: 16px; box-sizing: border-box !important;"><span style="max-width: 100%; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); text-align: justify; box-sizing: border-box !important;"></span></strong></span><strong style="max-width: 100%; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 0, 0); box-sizing: border-box !important;"><span style="max-width: 100%; text-align: justify; box-sizing: border-box !important;">(可不能断章取义,要总体看问题哦!</span>)</span></strong></span></section><section class="" style="margin-top: -2em; padding: 30px 10px 10px; max-width: 100%; box-sizing: border-box; line-height: 30px; border: 1px solid rgb(216, 40, 33);"><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(0, 0, 0); font-size: 16px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">全部取消药品加成(中药饮片除外),实行药品零差价销售。</strong></span></p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(0, 0, 0); font-size: 16px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">适当降低CT、磁共振等大型医用检查设备以及部分检验项目的收费价格。</strong></span></p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(0, 0, 0); font-size: 16px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">取消挂号费,新增便民门诊诊查费,</strong><strong style="max-width: 100%; box-sizing: border-box !important;">门诊诊查费调增部分由医保基金支付</strong><strong style="max-width: 100%; box-sizing: border-box !important;">。</strong></span></p><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important;"><span style="max-width: 100%; font-size: 16px; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">体现医疗技术劳务价值的医疗项目的价格将有所上</strong><strong style="max-width: 100%; box-sizing: border-box !important;">调</strong></span>。<span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(216, 40, 33); font-family: 微软雅黑; text-align: justify; box-sizing: border-box !important;"></span></strong></span></span></p><p style="max-width: 100%; min-height: 1em; text-align: justify; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(0, 0, 0); font-size: 16px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">调增后的医疗服务收费价格纳入医保统筹范围。</strong></span></p></section></section></section></section><p><br></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; font-size: 18px; box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;"><span style="max-width: 100%; color: rgb(255, 76, 65); box-sizing: border-box !important; background-color: rgb(255, 251, 0);">“智慧章贡”</span></strong></span>本周二推送了相关消息,受到大量网友关注,不少网友留言评论。我们且看部分评论:</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-indent: 2em; box-sizing: border-box !important;">大家注意到没有,这些网友在对本次医改“吐槽”:有的认为改后比改前更不合理,有的认为涨的多降的少,有的认为是好政策。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); widows: auto; text-align: justify; line-height: 1.75em; text-indent: 2em; box-sizing: border-box !important;">有些观点是片面的,是一种误解。不过,话说回来,对于医改,市民最关心就是一旦患病的话,医疗费用这笔账到底该怎么算呢?</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p><br></p><section style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></section></section></section></section></section></section></section></section><section class="" style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><section style="max-width: 100%; font-family: 微软雅黑; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box; border: 0px none;"><h2 class="" style="margin-top: 8px; max-width: 100%; line-height: 28px; color: rgb(216, 40, 33); min-height: 32px; border-bottom-width: 2px; border-bottom-style: solid; border-color: rgb(216, 40, 33); text-align: justify; box-sizing: border-box !important;"><span class="" style="margin-right: 8px; padding: 4px 10px; max-width: 100%; border-radius: 80% 100% 90% 20%; color: rgb(255, 255, 255); display: block; float: left; line-height: 20px; box-sizing: border-box !important; background-color: rgb(216, 40, 33);">1</span><section class="" style="max-width: 100%; border-color: rgb(216, 40, 33); box-sizing: border-box !important;"><span style="max-width: 100%; font-family: SimSun; text-indent: 28px; box-sizing: border-box !important;">医院将全部取消药品加成(中药饮片除外),实行药品零差价销售</span></section></h2><section style="max-width: 100%; box-sizing: border-box; width: 0px; height: 0px; clear: both;"></section></section></section></section><p><br></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;">改革前,公立医院收入由服务收费、药品加成收入和政府补助三个渠道组成。在服务收费和政府补助相对不变的情况下,医院要维持正常的运行,必然会更依赖于药品加成收入,存有一定的逐利倾向。这就是所谓的“以药补医”机制。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;">改革后,医院取消药品加成,实行药品零差价销售,公立医院的收入变为服务收费和政府补助两个渠道。药品零差价是指医疗机构在销售药品(中药饮片除外)的过程中,以购入价卖给患者,即“原价进、原价出”的销售方式。本次医改药价整体降幅15%,最大限度的让利于民。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-indent: 2em; box-sizing: border-box !important;">且看市民廖大爷今天的看病经历。廖大爷患有糖尿病等慢性疾病,每个月月初都要在赣州市立医院拿一次药。廖大爷八月初和今天在市立医院的药品费用如下:</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-indent: 2em; box-sizing: border-box !important;">廖大爷8月3日拿的两种药总价为311.65元。<br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-indent: 2em; box-sizing: border-box !important;">廖大爷9月1日拿的完全相同的两种药,价格均有下降,总价为271元。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-indent: 2em; box-sizing: border-box !important;">廖大爷前后两次拿一模一样的药,价格从311.65元变为271元。</p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;">下面为部分药品调价表</p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p><br></p><section class="" style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><section style="max-width: 100%; font-family: 微软雅黑; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box; border: 0px none;"><h2 class="" style="margin-top: 8px; max-width: 100%; line-height: 28px; color: rgb(216, 40, 33); min-height: 32px; border-bottom-width: 2px; border-bottom-style: solid; border-color: rgb(216, 40, 33); text-align: justify; box-sizing: border-box !important;"><span class="" style="margin-right: 8px; padding: 4px 10px; max-width: 100%; border-radius: 80% 100% 90% 20%; color: rgb(255, 255, 255); display: block; float: left; line-height: 20px; box-sizing: border-box !important; background-color: rgb(216, 40, 33);">2</span><section class="" style="max-width: 100%; border-color: rgb(216, 40, 33); box-sizing: border-box !important;"><strong style="max-width: 100%; border-color: rgb(216, 40, 33); box-sizing: border-box !important;">适当降低CT、磁共振等大型医用检查设备以及部分检验项目的收费价格</strong></section></h2><section style="max-width: 100%; box-sizing: border-box; width: 0px; height: 0px; clear: both;"></section></section></section></section><p><br></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-indent: 2em; box-sizing: border-box !important;">以往市民看病,特别是需要做CT、磁共振等相关检查的时候,往往觉得费用昂贵,难以承受。本次医改就针对这一点,降低了CT、磁共振等大型医用检查设备以及部分检验项目的收费价格。<br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-indent: 2em; box-sizing: border-box !important;">市民王先生9月1日在市第三人民医院做了X线计算机体层(CT)平扫复查,他这次就享受到了实实在在的优惠。因为以前这项检查要280元,现在只要266元,便宜了14元。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;">下面为部分项目的收费价格变化<span style="max-width: 100%; color: rgb(51, 51, 51); font-family: arial; font-size: 13px; box-sizing: border-box !important;">↓↓↓</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p><br></p><section class="" style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><section style="max-width: 100%; font-family: 微软雅黑; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box; border: 0px none;"><h2 class="" style="margin-top: 8px; max-width: 100%; line-height: 28px; color: rgb(216, 40, 33); min-height: 32px; border-bottom-width: 2px; border-bottom-style: solid; border-color: rgb(216, 40, 33); text-align: justify; box-sizing: border-box !important;"><span class="" style="margin-right: 8px; padding: 4px 10px; max-width: 100%; border-radius: 80% 100% 90% 20%; color: rgb(255, 255, 255); display: block; float: left; line-height: 20px; box-sizing: border-box !important; background-color: rgb(216, 40, 33);">3</span><section class="" style="max-width: 100%; border-color: rgb(216, 40, 33); box-sizing: border-box !important;"><strong style="max-width: 100%; border-color: rgb(216, 40, 33); box-sizing: border-box !important;">取消挂号费,新增便民门诊诊查费,门诊诊查费调增部分由医保基金支付</strong></section></h2><section style="max-width: 100%; box-sizing: border-box; width: 0px; height: 0px; clear: both;"></section></section></section></section><p><br></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;">自调价方案实施之日起,城市公立医院取消门、急诊挂号费,开设便民门诊,新增便民门诊诊查费。<span style="max-width: 100%; color: rgb(255, 0, 0); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">门诊诊查费调增的部分全部纳入城镇职工和城乡居民基本医疗保险支付范围,由医保基金支付,不增加参保患者个人负担。</strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;"><span style="max-width: 100%; line-height: 25.6px; box-sizing: border-box !important;">便民门诊诊查费的收费标准为:<span style="max-width: 100%; line-height: 25.6px; box-sizing: border-box !important;">三级医院3元/次,二级医院2元/次,一级医院1元/次</span>。门诊诊查费及便民门诊诊查费有效期为48小时,同一患者在同一医院、同一科室多次就诊的,48小时内不得重复收取。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;">下面为赣州市立医院门诊诊查费的相关情况<span style="max-width: 100%; font-size: 13px; color: rgb(51, 51, 51); font-family: arial; box-sizing: border-box !important;">↓↓↓</span></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;">一般患者挂普通号、副高号、正高号。便民门诊是医院为方便慢性病及其他需多次开处方患者就医而设立的门诊,便民门诊诊查费全部由个人支付。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;">如果某位患者在赣州市立医院(三甲医院)挂了普通号,不需要支付挂号费,但需要支付17元的门诊诊查费。但其中有14元将由医保基金统筹支付,患者自己只需负担3元。且患者在同一医院、同一科室多次就诊的话,48小时内不得重复收取门诊诊查费。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;">如果某位慢性病患者要在赣州市立医院(三甲医院)开检查单或者拿药的话,该患者可直接挂便民门诊号,但需要自己承担3元的便民门诊诊查费<span style="max-width: 100%; box-sizing: border-box !important;">。且患者在同一医院、同一科室多次就诊的话,48小时内不得重复收取便民门诊诊查费。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p><br></p><section class="" style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><section style="max-width: 100%; font-family: 微软雅黑; box-sizing: border-box !important;"><section style="max-width: 100%; box-sizing: border-box; border: 0px none;"><h2 class="" style="margin-top: 8px; max-width: 100%; line-height: 28px; color: rgb(216, 40, 33); min-height: 32px; border-bottom-width: 2px; border-bottom-style: solid; border-color: rgb(216, 40, 33); text-align: justify; box-sizing: border-box !important;"><span class="" style="margin-right: 8px; padding: 4px 10px; max-width: 100%; border-radius: 80% 100% 90% 20%; color: rgb(255, 255, 255); display: block; float: left; line-height: 20px; box-sizing: border-box !important; background-color: rgb(216, 40, 33);">4</span><section class="" style="max-width: 100%; border-color: rgb(216, 40, 33); box-sizing: border-box !important;">体现医疗技术劳务价值的医疗项目的价格将有所上调,调增部分按规定纳入医保报销。</section></h2><section style="max-width: 100%; box-sizing: border-box; width: 0px; height: 0px; clear: both;"></section></section></section></section><p><br></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;">诊疗、手术、康复、护理、中医等,特别是一些技术难度和风险程度较高的医疗服务,体现了医务人员技术劳务价值,但之前相应的服务价格都偏低。这次医改上调了这部分医疗项目的价格。<span style="max-width: 100%; color: rgb(255, 0, 0); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">调增部分按规定纳入医保报销。</strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;">下图显示了部分一般性的检查治疗费用变化情况,这些都是体现医务人员技术劳务价值的项目。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="text-align: center; max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: justify; text-indent: 2em; box-sizing: border-box !important;">同时,还调整了其他医疗服务收费。<span style="max-width: 100%; color: rgb(255, 0, 0); box-sizing: border-box !important;"><strong style="max-width: 100%; box-sizing: border-box !important;">其中调增后的医疗服务项目收费,根据医保“三个目录”支付类别分别纳入城镇职工基本医疗保险、城乡居民基本医疗保险政策报销范围,并纳入相应的大病保险、疾病医疗补充保险、民政医疗救助的政策报销范围。</strong></span>参保人员报账仍按照原来的流程,凭医保卡刷卡报销诊疗费用,即时结算。</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;">怎么样</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; text-align: center; box-sizing: border-box !important;">现在清楚医改后医疗费用这笔账的算法了吧?</p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important;"><br style="max-width: 100%; box-sizing: border-box !important;"></p><p><br></p><section class="" style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; widows: auto; box-sizing: border-box !important;"><section class="__bg_gif" data-order="1" style="margin-top: 5px; padding: 5px; max-width: 100%; box-sizing: border-box !important;" http:="" mmbiz.qpic.cn="" mmbiz_gif="" 4iaiptibftxdvf5a6icnbdsiufuc9iez6eici1vibkonz2xwxknwutynkx7zaiicyzebjqphb9ahibdcjjgdblgyh00yw="" s640?");"=""><section style="padding: 10px; max-width: 100%; box-sizing: border-box !important; background-color: rgb(254, 254, 254);"><p style="max-width: 100%; min-height: 1em; text-align: justify; line-height: 1.75em; text-indent: 2em; box-sizing: border-box !important;">医改后,患者的医疗费用支出的组成比例结构将产生一定的变化。从总体上看,医改就是希望有效遏制医院、医生通过药品来逐利的行为,破除“以药补医”机制;合理提升人力成本,体现医务人员的医务劳动本身的价值,引导医务人员改善服务行为,提升医疗技术,促进医疗行业的健康发展,更好的为百姓服务。</p></section></section></section><p></p>
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