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目的:为了北京市“医药分开”的新医改工作能够顺利推进,针对目前北京市5家大型公立医院在医改试点中存在的主要问题。方法:文献研究法、比较研究法和案例分析法。结果:取消大部分药品指导价格弱化医药分开政策效果等。结论:政策制定必须联动,各部门出台政策要有利于医改;医院门诊药房社会化,降低运行成本;进行结构性调整的医疗服务项目价格改革。
OBJECTIVE: In order to promote the new medical reform in Beijing, “medical separation”, the major problems in the pilot reform of medical reform in five major public hospitals in Beijing are pointed out. Methods: literature research method, comparative research method and case analysis method. Results: The majority of drug prices were canceled and the effect of weakening the effect of separate medicine policies was eliminated. Conclusion: Policy making must be linked with each other, and policies issued by various departments should be conducive to health care reform. Socialization of outpatient pharmacies in hospitals should be implemented to reduce operating costs. The price of health care services should be structurally adjusted.