北京市医药分开综合改革在海淀区上庄镇社区卫生服务中心实施半年的成效分析和思考

Analysis and thinking on the half-year results of separating and integrating pharmaceutical reform in Beijing in the application of Community Health Service Center of Shangzhuang Town,Haidian District

2017年4月8日,北京市正式实施"医药分开综合改革",改革至今已经0.5年了。据统计,北京市出现了"五升五降"的局面,即医疗机构的基层诊疗量、技术劳动收入、可分配收入、医保保障和医疗救助力度出现了"五上升";药费、药占比、二三级医院诊疗量、大型设备检查费、医保患者负担则呈现了"五下降"趋势。上庄镇社区卫生服务中心地处农村地区,是海淀区最偏远的公立医疗机构,因其地域和环境特点,医改后的变化也具有一定的代表性,值得思考。

On April 8,2017,the city of Beijing formally implemented the "separate comprehensive reform of medicine",which has been reformed for half a year.According to statistics,the situation of "five litres and five drops" has appeared in Beijing:the number of medical institutions at the grass-roots level,technical labor income,distributable income,medical insurance and medical assistance have appeared "five rise".The charge of medicine,the ratio of medicine,the quantity of diagnosis and treatment in the two or three level hospital,the inspection fee of large equipment and the burden of medical insurance patients showed the trend of "five decline".Shangzhuang community health service center is located in rural areas.It is the most remote public health institutions in Haidian district.Due to its geographical and environmental characteristics,the changes after the medical reform also has some representative.It is worth considering.