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江苏省宜兴市自2011年起启动公立医院综合改革试点工作,着力重建以取消“以药补医”为核心的医疗服务价格体系。至2013年4月1日,全市14家医院同步参与改革,全面取消药品加成,实行“零差率”销售,医疗费用的增长得到较好控制,特别是药品费用降幅明显,群众得到了很多实惠。但取消药品加成导致医院药品销售额下降,医院收入受到影响。医院结余能力明显下降,几个月来持续处于负结余状态,医院运营困难。此外由于实施改革试点的医院与基层社区卫生服务机构一样实行
Since 2011, Yixing City, Jiangsu Province has started pilot work on the comprehensive reform of public hospitals and focused on rebuilding the price system of medical services with the core of “replacing medicine with medicine”. As of April 1, 2013, the 14 hospitals in the city participated in the reform simultaneously, canceled the drug addition in an all-round way, and implemented the “zero difference rate” sales. The growth of medical expenses was well controlled. In particular, the cost of medicine dropped significantly and the masses got A lot of benefits. However, the cancellation of drug additions led to a decline in hospital drug sales and the hospital income was affected. The remaining balance of hospitals decreased significantly and remained in a negative balance for several months. Hospital operations were difficult. In addition, the implementation of reform pilot hospitals and grassroots community health service agencies to implement the same