北京医改方案于22日正式发布。根据方案,北京所有公立医疗机构将于4月8日起全面取消药品加成,统一实施药品阳光采购,设立医事服务费。有报道称,北京医改迈出关键一步。这也意味着在北京看病即将开启“医药分开”的时代。长期以来,以药补医机制是公立医疗机构重要的补偿渠道和收入来源。以药补医机制虽然曾经发挥过积极作用,但弊端越来越明显。自2009年,新一轮医改启动以来,“看病难”“看病贵”问题在一定程度上得到缓解,但“以药 Beijing medical reform program officially released on the 22nd. According to the plan, all public medical institutions in Beijing will abolish the drug additions on April 8, unify the implementation of the pharmaceutical sunshine procurement and set up the medical service fee. It is reported that Beijing medical reform has taken a crucial step. This also means that the opening of a doctor’s office in Beijing is about to begin with the era of ”medical separation.“ For a long time, the mechanism of taking medicine for doctors is an important compensation channel and source of income for public medical institutions. Although the drug replacement mechanism has played a positive role, its drawbacks have become more and more obvious. Since the start of the new round of medical reform in 2009, the problem of ”difficult to see a doctor“ and ”expensive to see a doctor“ has been alleviated to some extent, but ”