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在北京的基层社区医院中有这样一个群体:他们前身都是企业厂矿的职工保健医院,经过改制后,进入到了全市2600多家社区医院中,为社区居民服务,被称为“厂矿医院”。虽然身为社区医院,但是厂矿医院却与其他卫生系统直属的社区医院不同,他们要自负盈亏,所有的支出都要靠自主经营获得。而与此同时,由于占用了企业的房产、设备等资源,医院还要向企业交纳数额不等的管理费。2006年12月,北京市实行社区医院药费零差价向患者出售,厂矿医院也要无条件地执行这个政策。这样,原来靠“卖药”为主要收入的厂矿医院日子变得不那么好过了。在市政协十届五次会议上,政协委员洪学锴就此问题建议,应该尽快解决厂矿医院收支两条线问题,让医生能够在不考虑自己生计的前提下,更踏实地为患者看病;也使所有的社区医院能够真正享受平等待遇。同为北京市政协委员的北京市卫生局局长金大鹏已明确表示,厂矿医院也要实行收支两条线,医院肯定要“人吃皇粮,药靠配送”。
In Beijing’s grass-roots community hospitals, there is such a group: They were formerly employees of enterprise factories and mines health care hospitals. After restructuring, they entered more than 2,600 community hospitals in the city and served community residents. They were called “factory and mineral hospitals.” Although it is a community hospital, the factory or mine hospital is different from other community hospitals directly under the health system. They must assume their own profits and losses, and all expenditures must be obtained through independent operations. At the same time, due to the occupation of the company’s real estate, equipment and other resources, the hospital must also pay management fees to the company. In December 2006, a zero price difference was paid to the patients in the community hospitals in Beijing, and the factory and mine hospital must implement this policy unconditionally. In this way, the days of factories and mines that used to rely mainly on “selling drugs” have become less favorable. At the fifth session of the tenth session of the CPPCC National Committee, CPPCC member Hong Xuexuan suggested on this issue that the two lines of revenue and expenditure of the factory and mine hospital should be solved as soon as possible so that doctors could treat the patients more practically without considering their livelihoods; All community hospitals can truly enjoy equal treatment. Jin Dapeng, director of the Beijing Municipal Health Bureau, who is also a member of the Beijing CPPCC National Committee, has made it clear that the factory and mine hospital must also implement two lines of revenues and expenditures. The hospital will certainly have to “eat the royal grain and rely on the distribution”.