深圳市医药分开改革方案的总体设计和创新

Overall design and innovation of the separation of drug prescribing and dispensing program in Shenzhen

根据国家和广东省关于推进公立医院医药分开改革的总体要求，深圳市立足本市实际，提出了医药分开改革的“1＋6”综合措施，即以取消公立医院药品加成政策为突破口，同步推进医疗服务支付制度改革、完善公立医院补偿机制、建立药品流通企业与医院药房竞争机制、改进药品采购方式、查处医药购销领域商业贿赂行为和健全公立医院监管机制6项措施。作者详细说明了上述改革措施，并解读了这些策略的创新性。

As requested by both central government and Guangdong provincial government on the reform to separate drug prescribing and dispensing, Shenzhen has introduced its ＂1＋6＂ comprehensive program. Breaking through from the drug price addition system, the program stages such six measures as the health service payment system reform, the compensation system reform among public hospitals, reform of the competition mechanism between pharmaceutical distribution enterprises and hospital pharmacies, reform of drug procurement methods, investigation and punishment of commercial briberies in drug purchase, and enhanced supervision of public hospitals. The paper detailed these measures and explained these innovative practices.