江苏快3开奖结果

您所在的位置: 首頁 >>患者向導 >>常見問題

首都醫科大學附屬北京天壇醫院

常見問題

【醫藥分開綜合改革熱點問答之二】關于價格改革

字號: + - 14

江苏快3开奖结果  1、GUOJIADUIYUYILIAOFUWUJIAGEGAIGEYOUNAXIEYAOQIU? 

江苏快3开奖结果  DA:GUOWUYUAN《GUANYUYINFA“SHISANWU”SHENHUAYIYAOWEISHENGTIZHIGAIGEGUIHUADETONGZHI》(GUOFA〔2016〕78HAO)MINGQUETICHU,YAOQUXIAOYAOPINJIACHENG(BUHANZHONGYAOYINPIAN),TONGGUODIAOZHENGYILIAOFUWUJIAGE、JIADAZHENGFUTOURU、GAIGEZHIFUFANGSHI、JIANGDIYIYUANYUNXINGCHENGBENDENG,JIANLIKEXUEHELIDEBUCHANGJIZHI。

江苏快3开奖结果  ANZHAO“ZONGLIANGKONGZHI、JIEGOUDIAOZHENG、YOUSHENGYOUJIANG、ZHUBUDAOWEI”DEYUANZE,JIANGDIYAOPIN、YIYONGHAOCAIHEDAXINGYIYONGSHEBEIJIANCHAZHILIAOHEJIANYANDENGJIAGE,ZHONGDIANTIGAOZHENLIAO、SHOUSHU、KANGFU、HULI、ZHONGYIDENGTIXIANYIWURENYUANJISHULAOWUJIAZHIDEXIANGMUJIAGE,LISHUNBUTONGJIBIEYILIAOJIGOUJIANHEYILIAOFUWUXIANGMUDEBIJIAGUANXI。TONGGUOGUIFANZHENLIAOXINGWEIJIANGDIYAOPIN、HAOCAIDENGFEIYONG,YANGEKONGZHIBUHELIJIANCHAJIANYANFEIYONG,WEIDIAOZHENGYILIAOFUWUJIAGETENGCHUKONGJIAN,BINGYUYILIAOKONGFEI、XINCHOUZHIDU、YIBAOZHIFU、FENJIZHENLIAODENGCUOSHIXIANGXIANJIE。LIZHENGDAO2017NIANSHIDIANCHENGSHIGONGLIYIYUANYAOZHANBI(BUHANZHONGYAOYINPIAN)ZONGTIJIANGDAO30%ZUOYOU,BAIYUANYILIAOSHOURU(BUHANYAOPINSHOURU)ZHONGXIAOHAODEWEISHENGCAILIAOJIANGDAO20YUANYIXIA。

江苏快3开奖结果  2016NIAN,GUOJIAFAZHANGAIGEWEI、GUOJIAWEISHENGJISHENGWEI、RENLISHEBAOBU、CAIZHENGBU《GUANYUYINFATUIJINYILIAOFUWUJIAGEGAIGEYIJIANDETONGZHI》(FAGAIJIAGE〔2016〕1431HAO),MINGQUETICHUYILIAOFUWUJIAGEGAIGE2XIANGJUTIMUBIAOHE5XIANGZHUYAORENWU。2XIANGGAIGEMUBIAOSHI:DAO2017NIAN,ZHUBUSUOXIAOZHENGFUDINGJIAFANWEI,GAIGEYILIAOFUWUXIANGMUGUANLI,GAIJINJIAGEGUANLIFANGSHI,JIEHEGONGLIYIYUANZONGHEGAIGETONGBUDIAOZHENGYILIAOFUWUJIAGE;DAO2020NIAN,ZHUBUJIANLIYICHENGBENHESHOURUJIEGOUBIANHUAWEIJICHUDEJIAGEDONGTAIDIAOZHENGJIZHI,JIBENLISHUNYILIAOFUWUBIJIAGUANXI。5XIANGZHUYAORENWUSHI:TUIJINYILIAOFUWUJIAGEFENLEIGUANLI、ZHUBULISHUNBIJIAGUANXI、GAIGEXIANGMUGUANLI、TUIJINDINGJIAFANGSHIGAIGE、JIAQIANGJIAGEJIANGUAN。

  2、BENSHITUIJINYILIAOFUWUJIAGEGAIGEDEHEXINNEIRONGSHISHENME?

江苏快3开奖结果  DA:GAIGEYILIAOFUWUJIAGEXINGCHENGJIZHISHISHENHUAYIYAOWEISHENGTIZHIGAIGEDEZHONGYAONEIRONG,YESHIGUOJIAZHONGDIANBUSHUDEJIAGEGAIGERENWU。GUOJIADUIGAIGEDESILU、MUBIAO、LUJING、SHIJIANBIAODOUYOUMINGQUEDEYAOQIUHEJUTIDEBUSHU,GAIGEDEHEXINJIUSHIYAOGAIBIANGONGLIYIYUANDEBUCHANGJIZHI,JIANGGONGLIYIYUANYOUGUOQUZHUYAOTONGGUOMAIYAOPIN、YONGHAOCAI、DAJIANCHA、DUOHUAYANDENGQUDAOHUOQUSHOUYI、BAOZHANGYUNXING,ZHUANBIANWEITONGGUOTIGONGKEXUEHELIYOUZHIDEZHENLIAOFUWU、YEJIUSHIMAIFUWULAIHUODESHOUYI、BAOZHANGYUNXING,QIANGHUAYIBINGRENWEIZHONGXINDEFUWUDAOXIANG,CUJINGONGLIYIYUANLIANGXINGYUNXINGHEFAZHAN,MANZUQUNZHONGDEKANBINGJIUYIXUQIU,WEIRENMINJIANKANGTIGONGGENGHAODEBAOZHANG。

  3、CICIYILIAOFUWUJIAGEXIANGMUGUIFANDIAOZHENGZHENGCEZHIDINGGUOCHENGZHONGBAWODEZHONGDIANSHISHENME?

  DA:ZAIJIAGEZHENGCEYANJIUZHIDINGGUOCHENGZHONGZHONGDIANBAWOLESIGEFANGMIAN:

  YISHITONGCHOUPINGHENG,YOUZHUYUTISHENGYILIAOFUWUZHILIANG。ZAIXIANXINGDEYILIAOFUWUXIANGMUJIAGEZHONG,CUNZAIZHUDAXINGSHEBEIJIANCHA、HUAYANJIANYANDENGYINGWUHAOXIANGMUJIAGEPIANGAO,ERYIWURENYUANJISHULAOWUDENGRUANFUWUXIANGMUJIAGEPIANDIDEWENTI。2015NIANQUANSHIYILIAOJIGOUYILIAOFUWUXIANGMUSHOURUZHONG,JIANCHA、HUAYANHEWEISHENGCAILIAOSHOURUZHANDAO66%,ERZHENCHA、SHOUSHU、ZHILIAO、HULIDENGYUYIWURENYUANZHENLIAOFUWUZHILIANGMIQIEXIANGGUANDEXIANGMUSHOURUJINZHAN34%。YINCI,GAIGEDEZHONGDIANSHIJIANGDIYIWUHAOWEIZHUDEFUWUXIANGMUJIAGE,TIGAOYUYIWURENYUANJISHULAOWUFUCHUMIQIEXIANGGUANDEFUWUJIAGE,YICHONGFENTIXIANYIWURENYUANDEJISHULAOWUJIAZHI,DIAODONGYIWURENYUANTIGAOYILIAOFUWUSHUIPINGDEJIJIXING,GENGHAODIWEIHUANZHEFUWU。

江苏快3开奖结果  ERSHIDIAOZHENGBIJIA,YOUZHUYUYINDAOYILIAOZIYUANHELIPEIZHI。YILIAOFUWUJIAGEBIJIAGUANXIDEBUHELI,YIDINGCHENGDUSHANGDAOZHIYILIAOJIGOUGENGQINGXIANGYUDUOKAIZHANHEPEIZHIYOUYINGLIDEXIANGMU,ERKUISUNDEFUWUXIANGMUFUWUNENGLIBUZU。GENJUSHIWEISHENGJISHENGWEIHESHICAIZHENGJUDUISHISHUHEQUSHUBUFENYIYUANJINXINGDEXIANGMUCHENGBENHESUAN,MUQIANBENSHI75%DEFUWUXIANGMUJIAGEDIYUCHENGBEN,YINCIXIANXINGDEJIAGETIXIDUIYILIAOZIYUANDEHELIPEIZHIDAILAIBULIDEYINGXIANG。BENSHISANJIAYIYUANPUBIANCUNZAIZHUDAMENZHEN、XIAOZHUYUANDEXIANXIANG,YUSANJIYILIAOZHONGZAIBAOZHANGYINANWEIZHONGZHENGJIUYIDEDINGWEIBUPIPEI;TONGSHIYIYUANHUSHI、HULIRENYUANPEIZHIPUBIANBUZU,ERYAOPINYONGLIANGDA,JIANCHADUO,ZHEYUCHANGQIYILAICHUANGWEIFEI、HULIFEI、SHOUSHUFEIDENGYUFUWUMIQIEXIANGGUANXIANGMUJIAGECHANGQIDIYUFUWUCHENGBENYOUMIQIEDEGUANXI。YINCI,ZAIJIAGEGAIGEFANGANSHEJIZHONG,WOMENZHONGZAIDIAOZHENGBUTONGYILIAOFUWUXIANGMUJIANJIAGEDEBIJIAGUANXI,SUOXIAOBUTONGFUWUXIANGMUCHENGBENHUISHOULVSHANGDECHAYI,YIYINDAOYILIAOZIYUANDEJUNHENGPEIZHI,CUJINYILIAOFUWUSHUIPINGDETISHENG。

江苏快3开奖结果  SANSHITENGYIKONGJIAN,YOUZHUYUBAOZHANGHUANZHEFEIYONGFUDANZONGTIBUZENGJIA。LUOSHIGUOJIAZONGLIANGKONGZHI、JIEGOUDIAOZHENG、YOUSHENGYOUJIANG、ZHUBUDAOWEIDEYUANZE,TONGGUOJIANGDIYAOPINHAOCAIFEIYONG、QUXIAOYAOPINJIACHENG、JIANGDIDAXINGSHEBEIJIANCHADENGCUOSHI,TENGYIKONGJIAN,YONGYUTIGAOJISHULAOWUXINGFUWUJIAGE,TONGSHIPEITAOYIBAO、YILIAOJIUZHUYIJIZONGHEJIANGUANDENGZHENGCE,KONGZHIYILIAOFEIYONGDEBUHELIZENGCHANG,QUEBAOYIYUANKECHIXU、YIBAOKECHENGSHOU、HUANZHEFEIYONGFUDANSHUIPINGZONGTIBUZENGJIA。JINER,ZAIYILIAOJIGOUHEYIWURENYUANTISHENGFUWUDEJICHUSHANG,SHIBAIXINGNENGGOUHUODEGENGHAODEJIUYIFUWU,GOUJIANHEXIEYIHUANGUANXI,SHIQUNZHONGMANYIJIUYI。

江苏快3开奖结果  SISHIFENPITUIJIN,YOUZHUYUYILIAOJIGOUPINGWENYUNXINGHEGUODU。YOUYUYILIAOFUWUXIANGMUSHULIANGDA(YIBANDESANJIAYIYUANKAIZHANDEYILIAOFUWUXIANGMUZAI3000XIANGYISHANG),ZAIJIASHANGBUTONGYIYUANZHENLIAOJIEGOUHETESEYOUGEBUXIANGTONG,DUIYILIAOFUWUXIANGMUJIAGEJINXINGDEJIEGOUXINGDIAOZHENGJIANGDUIYIYUANGUANLIYUNXINGJIZHIDAILAIQUANFANGWEIDEYINGXIANG。YINCIGAIGEXUYAOFENPI、FENBU、WENTUODETUIJIN。

  4、ZHECIYIYAOFENKAIZONGHEGAIGEJIAGEFANGMIANGUIFANDIAOZHENGLENAXIEXIANGMU?

江苏快3开奖结果  DA:ZAIXIANGMUANPAISHANG,JIANCHITUCHUZHONGDIAN,FENBUTUIJIN。ANZHAOZONGTIMOUHUA、FENBUSHISHI、SHENGJIANGDAPEIDEYUANZE,YOUXIANANPAILEMAODUNBIJIAOTUCHU、GEFANGMIANGAIGEHUSHENGJIAOGAO、YOUGAIGEGONGSHIDE5LEI435GEYILIAOFUWUXIANGMU。JUTIBAOKUO:ZONGHEYILIAOFUWULEI(CHUANGWEI、HULIDENG)125XIANG,ZHAN28.7%;YINGXIANGXUEZHENDUANLEI(CT、HECIDENG)185XIANG,ZHAN42.5%;ZHONGYIYILIAOFUWULEI(ZHENJIU、TUINADENG)96XIANG,ZHAN22.1%;LINCHUANGSHOUSHUZHILIAOLEI(LANWEIQIECHUSHUDENG)26XIANGHELINCHUANGWULIZHILIAOLEI(FANGLIAODENG)3XIANG,ZHAN6.7%。

江苏快3开奖结果  5、RUHETIXIAN“ZONGLIANGKONGZHI,YOUSHENGYOUJIANG”?

江苏快3开奖结果  DA:BAOCHIQUANSHIYILIAOFEIYONGZONGLIANGJIBENPINGHENG,JIAGESHUIPING “YISHENGLIANGJIANG”:SHANGDIAOCHUANGWEI、HULI、YIBANZHILIAO、SHOUSHU、ZHONGYIDENGTIXIANYIWURENYUANJISHULAOWUJIAZHIXIANGMUJIAGE。RUPUTONGCHUANGWEIFEICONGXIANXING28YUANDIAOZHENGWEI50YUAN,ERJIHULICONG7YUANDIAOZHENGWEI26YUAN,LANWEIQIECHUSHUCONG234YUANDIAOZHENGWEI560YUAN,ZHENJIUCONG4YUANDIAOZHENGWEI26YUANDENG;JIANGDILECT、HECIDENGDAXINGSHEBEIJIANCHAXIANGMUJIAGE。RUTOUBUCTCONG180YUANJIANGDIDAO135YUAN,HECICONG850YUANJIANGDIDAO400-600YUAN,PET/CTCONG10000YUANJIANGDIDAO7000YUAN,BINGTONGGUOPEITAOQUXIAOYAOPINJIACHENGHEYAOPINYANGGUANGCAIGOUJIANGDILEYAOPINJIAGE,PINGJUNJIANGFUZAI20%ZUOYOU。GENJUCESUAN,DIAOZHENGHOUHUANZHEFEIYONGZONGTIFUDANSHUIPINGMEIYOUZENGJIA。

  6、JIAGEXIANGMUGUIFANDIAOZHENGFANGANZHONGDE“XIANGMUNEIHAN”YOUSHENMEZUOYONG?

江苏快3开奖结果  DA:WEICUJIN“FUWUTOUMING”,BENCIGAIGE,ZHUZHONGGUIFAN,KUODAJIANDU,SHOUCIDUIMEIYIGEYILIAOFUWUJIAGEXIANGMUZENGJIALE“XIANGMUNEIHAN”,JIDUIMEIYIXIANGDECAOZUOGUOCHENGHETIGONGDEJISHUFUWUJINXINGLEQINGXI、XIANGXIDEMIAOSHU,SHIZHUANYE、SHENMIDEYILIAOFUWUBIANDETONGSU、TOUMING,FANGBIANHUANZHELEJIEZIJISUOJIESHOUDEYILIAOFUWUYINGGAIBAOHANDELIUCHENGHENEIRONG,JIANSHAOXINXIDEBUDUICHENG,ZENGJIAHUANZHEDUIYILIAOJIGOUGUIFANCAOZUO、TISHENGFUWUDEJIANDUNENGLI,TONGSHIYEYOUZHUYUYIWURENYUANGUIFANCAOZUO、TISHENGFUWU。

  例如特級護理項目,規范后項目內涵明確了適用于特級護理的對象,是病情危重、重癥監護、復雜或大手術后,嚴重外傷和大面積燒傷,使用呼吸機輔助呼吸,實施連續性腎臟替代治療,及其它江苏快3开奖结果生命體征不穩定患者。同時還明確了護理內容,即嚴密觀察患者病情變化和生命體征的改變,監測患者的體溫、脈搏、呼吸、血壓,根據醫囑正確實施治療,用藥,準確測量24小時出入量,正確實施口腔護理,壓瘡預防和護理,管路護理等措施,實施安全措施,保持患者的舒適和功能體位,實施床旁交接班,完成健康教育及心理護理,書寫特護記錄。此外,還明確了特級護理含術前備皮,這樣術前備皮就不能在項目外另行收費了。

  7、CICICHUTAIDEYILIAOFUWUJIAGEFANGANSHIRUHEXINGCHENGDE? 

  DA:ZHECIDEGAIGEFANGANSHIJINGGUOFANFULUNZHENGCESUAN,DUOFANGZHENGQIUYIJIANDEJICHUSHANGXINGCHENGDE,SHIGEFANGMIANGONGTONGNULIDEJIEGUO。XIANHOUYOU1200RENCIDELINCHUANGGELINGYUZHUANJIACANYULELISHI4NIANDEJICHUYANJIULUNZHENGGONGZUO。BENCIGUIFANDIAOZHENGDE435XIANGYILIAOFUWUJIAGEXIANGMUFANGANTICHUHOU,XIANGGUANBUMENXIANHOUZHAOKAIBUFENYIYUAN、SHIRENDA、SHIZHENGXIEDENGFANGMIANDEZUOTANHUI,TINGQURENDADAIBIAOHEZHENGXIEWEIYUAN、YILIAOJIGOUDEYIJIANJIANYI,DUOCIZHENGQIUGUOJIAWEIJIWEI、GUOJIAYIGAIBANDEYIJIAN。TONGSHI,WEITUODISANFANGJIGOUZUZHIZHAOKAILE4CHANGSHIMINDIAOCHAZUOTANHUI,TINGQUBUTONGSHOURUSHUIPING、BUTONGJIUYIXUQIUDESHIMINDUIFANGANDEYIJIANJIANYI,BINGTONGGUOSHIMINFANGTANDEXINGSHIKAIZHANZHENGCEPINGGUGONGZUO,XIANHOUYUBAIRENCANYUDIAOCHA。XIANGGUANBUMENGENJUGEFANGMIANFANKUIDEYIJIAN、JIANYI,DUIFANGANJINXINGLESHISILUNDEFANFUXIUGAIWANSHAN,TEBIESHIGENJUSHEHUIYIJIANJINYIBUJIADALEXINGYEGUIFAN、FUWUGAISHAN、TESHUQUNTIJIUZHUDENGXIANGGUANZHENGCEDEPEITAOLIDU,LIQIUZAITUIJINGAIGEDETONGSHI,ZHULITISHENGSHIMINJIUYIDEHUODEGAN。KEYISHUO,ZHECIFANGAN,SHIZAIGUANGFANZHENGQIUSHEHUIGEFANGMIANYIJIANDEJICHUSHANG,FENXIXISHOUDUOFANGMIANYIJIANJIANYI,KEXUEHELIDIZONGHEPINGHENGDUOZHONGYINSUHOUXINGCHENGDE,SHIGEGEFANGMIANGONGTONGNULIDEJIEGUO。

江苏快3开奖结果  8、ZHIDINGYILIAOFUWUXIANGMUJIAGESHUIPINGDEZHUYAOYIJUSHISHENME?

江苏快3开奖结果  DA:YISHIGUOJIATICHUDEHELITIGAOHULI、ZHONGYI、SHOUSHUDENGTIXIANYIWURENYUANJISHULAOWUJIAZHIDEXIANGMUJIAGE,PEITAOJIANGDICT、HECIDENGDAXINGYIQISHEBEIJIANCHAXIANGMUJIAGEDEYUANZE;ERSHIGUOJIAXINBANYILIAOFUWUJIAGEXIANGMUGUIFANGEIDINGDERENLIHAOSHI、JISHUNANDU、FENGXIANCHENGDUDENGJISHUZHIBIAO;SANSHIBENSHIKAIZHANDEYILIAOFUWUXIANGMUCHENGBENHESUANQINGKUANG;SISHIZONGHEXIANJIEBENSHIYILIAOJISHUSHUIPING、YILIAOZIYUANDESHIJIQINGKUANG、WAISHENGSHIXIANXINGJIAGE,YIJISHEHUIGEFANGMIANYIJIAN。ZAICIJICHUSHANGFANFUXIUGAIWANSHAN,JINXINGYOUSHENGYOUJIANGDEJIEGOUDIAOZHENG。

(文中內容來自北京市衛計委、北京市醫管局)