YFBG2019001
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云浮市发展和改革局
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文件
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云浮市卫生和计划生育局
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云浮市人力资源和社会保障局
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云发改价格〔2019〕3号
关于印发《云浮市县级以上公立医院
取消医用耗材加成调整医疗服务
价格方案（试行）》的通知
各县（市、区）发展和改革（发建）局、卫生和计划生育局、人力资源和社会保障局，各县级以上公立医院：
根据《广东省人民政府关于印发广东省深化公立医院综合改革行动方案》（粤府〔2018〕52号）关于“2018年底前全面取消医用耗材加成，由此减少的合理收入，全部通过调整医疗服务价格予以补偿”的要求。为进一步深化公立医院基本医疗服务价格改革，理顺医疗服务比价关系，保证公立医院良性运行，我们制定了《云浮市县级以上公立医院取消医用耗材加成调整医疗服务价格方案（试行）》，业经市政府同意，现印发给你们，请按职责分工要求密切配合做好医疗服务价格调整工作。同时加强政策宣传和舆论引导，做好舆情监测和研判，及时、妥善处理好改革过程中可能出现的问题。
《关于云浮市县级以上公立医院全面取消医用耗材加成的紧急通知》（云发改价格〔2019〕1号）同时废止。
附件：云浮市县级以上公立医院取消医用耗材加成调整医疗服务价格方案（试行）
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ajkhNSAgc0gmQ0g4RUMGczjwQWc5KzIRNFclczsNVVsNYDL2RD0oUCYoUi=2J0MtdjPqbj8Xbl0oa0oKdjkxKzQmVhs0VWb3TzEncVUnPVkOQ1kJTx8OcmgSPiP0QGopUUgSXlspXSQ3Y1cEXj0IRTIFczkBPUQBLT0GRWgCdjEJPlcNUjIAVUQAZz4OSUQqcz42VTQVTUEKQDQBRFIGNVkYU2cmTjcralEXTlghPzIDYUcJaFMtSlwYL0Y4XUgRMTkEQiEjQ1g1X10rLFUSPjQhdSQyRTU3LEoCMGgGQDEWPlcNUjIAST0DLFQETSAEY0UHUlkhQ1wpRTUNPj0QRUABczECRTImTTcQQTEAPTEVXTkRUj0AZzcBT2MOPWcIXTIQPWcDTUkJR18ZRVg1Xz4ATTUBPkEAQVcYPTwSZkE2YjwlP1cRQ1MWL0=qMUMKM0E1Pk=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3QScSQTcnSCIDUTr3Tj7xL0UnMWUKOToGQWQBbDcgSTcPSzwlY1oNaSIBMyAKTy=zUVsZMCgSSSgSRTUGYEApMh73R2T4YTgLZSICLF4CdEgCLCMuTVEEakoUcmcgSyILcWkYK2MHSDI1cFwFYjUrPSL8YlTzazYlLzQJbFE1R1MOMlYScCAUQUMkVjwrdjkBXVU0MDQvVGINZWUNLDYjYkENNDwQQFsQXTXyNVskYTw4az0NVEfvSD32cGIjbzUuTCAxTD0Rcib1SmUBTCcVPlQQSikSYVIPRyHvMzz2TWImLTUTYGAEVCgyPiYgaUUNYFLzOT8tTF0WSjrqRkEvLyMmZiIINGQLRFsETEgAMykxZEkvTDwvRTYUZSIBUVX3dCP0SicjXjz1QlQ5czwxYGL3RGIxUTc1ZTwHQ1D3TWcyUDsEYjwjckAjaGkrYj8LPlQuYGQvQmQyOTUkTmIgQTIzPVUncDg2YzIIMTbzMz4HJzUvM1EjQ0kDSm=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uOUMUcGYZYVILcTH0MUkoS1zzTl0TVFIzSjwqOWgtR2IOTS0ZcD4taVUHTj4JZ1sjXjwEYl4EQz4HQlX3QyX8VDgyM10zZjXxPiz2a1zzNFYoaWTyPmQuQCkmPlDzcEA4YTcBQy=zZD30QUktY1EoPlkFQDP3NCPqSDsxXTIgNFsENSIBVWQrcDUGLUcSYj8pQVUlP1D3aTwNNF4lajvwXiUZRFQRMFPvRWIySDI1aWfvZTkzMF31P1YQc0=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2TTwGQCbwSTgObCYmTygTXSgqUFDxNTojTzsmclQkYF0BbDr4S2AXdCAnVlMRa0YPQkojUjknTCktcGQVcWkCa2QxdiMgQGUlMT4qXV4pLWQlZFHyUVoybzQncmP3MWIGcSAhLDYnS2c4M0U4XyMNQSQzbiICckI1Pz42LEMiPmALYjImQigBTFoTS1QOVEXxT0EZcjULdGMOclMvKzMJViQgaUoBVEf3LDo3QzIHQSP1JycjbGYHYUE4RzT1M1r0TTMAaGMvTFUxamH0ZlotQkUQdGojQ14PYGMTY0bwMlXuVlgPaDE4OS=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vMyHvLi=vNC=4LiL2LyHzNCvuQkMkbmYoX1USSi3MBiwPblktcEYob1khaFT9LSvuTGIoamQVZWMoXlwkOfzJOGMSZVctT2QgcFT9NSj4NSvub0MoY14ScFEzYS3MBiwMYCT9XVP2LCPwLy=wLibxMFH4NFT4MSf3L1QkMS=yYCD3YS=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ZUMoY14gcGUxYRAla2Hfc18xYBAgalPfc2AyOC83aVvfclUxb1kuaizhLR3vHhAkalMuYFktYyzhUUQFKSfhOy3MBiwoT1kmalEzcWIkOfzJOEcOTjQoT1kmalEzcWIkOfzJODYrXVb9LCvuQlwgYy3MBiwAbGANXV0kOkcublPfLSDtLBfwLR3vKiT1LCPtLB0VNB3vKi=tLSf3JSvuPWAvSlEsYS3MBiwDa1MIQC46LzT3MigCLzTsPzDwLBzzMSQBKSj1QDPsQTPyLDXzLjH2Pyf2eSvuQF8iRTP9CPn7QF8iSlEsYS49YFn3MiT2KmQsbCvuQF8iSlEsYS3MBiwSZVctXWQ0blUNXV0kOsSFtJGJzKdh0al5yaiDtN990iPwHKhwra37K0MoY14gcGUxYT4gaVT9CPn7T1kmalEzcWIkUWMkbj4gaVT90LZ3nbqPs5KUtaqMtLR3666VOB8SZVctXWQ0blUUb1UxSlEsYS3MBiwSZVctXWQ0blUUalkzSlEsYS6TwqhgsdeWz8W9yuD7K0MoY14gcGUxYUUtZWQNXV0kOfzJOEMoY14gcGUxYTskdUMNOkUTLCHxLC=1LS=wLi=vLCH3LyD3OB8SZVctXWQ0blUKYWkSSi3MBiwSZVctXWQ0blUTZV0kOiHvLSjsLCDsLS=fLSj5LyP5MSL7K0MoY14gcGUxYUQoaVT9CPn7P18sbGUzYWIITC3wNSHtLSX3Ki=tLS=1OB8Ca10vcWQkbjkPOfzJODMuaWA0cFUxSTECPVQjbi3zNBz3PR0DLhz3PR0DPRz3PyvuP18sbGUzYWIMPTMAYFQxOfzJOEAoXzU3cC3tY1klOB8PZVMEdGP9CPn7TFkiU1kjcFf9MB3wLC=vLC=7K0AoX0coYGQnOfzJOEAoXzgkZVcncC3zKiDvLC=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ubFkINTg0SUIMYF0tMz4yR0IrUC=4ZVf4SyAlZ1QJSFkwTEM1RmokclcIMUUUTiIXP0MQYjYuT2kVbSvuT1kmalUjP18tcFU3cC3MBiwSZVctXWQ0blUVXVw0YS4MRTkFdkEYRjsuVjknclMNPUEiP18IRTY1ZjMCPlIuPzEQQWgCdjEJPlcUbjQmSTMGY0UASTL3QzMSbTcSRVHyQEEERDEgPVkBPzIpSTcZaT0DQl0NdjU4SWoYdkkpY2oMLjopSSIRaT8GQWkZUDDyVUQELT4wPzMBQkk2Y1cRTz0IRTQObTEDPVcEPzEmNDgAPTkmQzEqbDEQPTEAPkYpVlcqczQQVToKa0oIZGYiSjEQQTYBTTE2VVoESD0AZzcALUUEPlgMP0DvMGgOUDDyPlcNUjIAaz0MQVQyXiIJZFICPjUgU1QvYDcFbzkESiUYaUY4XyIVZlQXRmAjRFsmTUgVLFEGNWkgVEH0RTUNcjwoc1cTREIqSFoEVT0BVTcALUUEPWc2TEHvTjQQTzIQYEcJb1EWSVcQLDU3STHzVDQTQSAMUDE2SzQELj0DPWcMQl8XQEQIcz0TPWgMUDTxSTQAcz0Fa2clQDUNSTEyQzDwUTUBZCQEPTUMPUQpQUAMPSAGPSEUQTMBMDcXaikORDgiPj0QNGcDTUkDUkEQRDgmVj8qUyE0VFcIdDc5PUoBYz4VPjEuYTUqMkIhUyUkPVwPTkgFUkUpQ0T0aCIrX0EDQUAMPSAGPSEUQTM3MDcTY1QtRzckVD0Rb2cGTUkDUkEQQDgnRj8qUyE0VFcJUCAVdEYVRWgrS0ojbEgEPWcmVig2QEEYRjsuVjknclMNPUEEPjIQPTQmVSAASTkGRjEuQzIASEoXYUfxTTw3a0I2Q0cnPjYBUD4WL0=ySlclTiEgYEAldj4MX1QLcFYULCMMPkUydUElQ13uMkoYQ2QFU14Vbj0UZR7yb1soY18BZWEWJ0kDVSEVREIOPmoBcjIWVTfuMSIyPkgOMD32dj0vYVDqNT4CRDPuZUcMMWIlS1wNY0QVRjQWPloBP2cXQ1zublj1SkDqLjcgQ2YZT2gHbF3xNEgJU0k3VUTqLz01PVcMPjEAQ1omYzYzSTkIPlETPVYBYz4VREMMQTcDPUcmPkMVUEIMYlE4Q0ICUygWQV8vaGYAcEcCdDYxdTQAYDImSkYHTSQEQlcQUSDvdTM3cDYzbVo1UFwXZCcsPmcTazkLSkcEc2cRY0kDUkHvYzIDNGcPUDD2PlcubVcRdTb2dSgBPUEIPz0CLGcKc0kIR2cYPjIQUTgAYzUWRCInLFQHPSYLdSjyYCMicUnxTloYTyUpXiHvcUjxMGYYLzI5SCINc1M5RWcCc0kDUkHvTDIATTQAY1IASTP3QzDwUVQHc0DzSTQYcz4KPWkuQDMGSF0nLFQHPSYLdSkpX102cUnxTloYTyUpXiHvcUjxMGYYLzoySCAjQUDvQlYUREYoXjcrZkfvSjIMTyUpX102cz02VTkKc0kBPkEURDEQQTUJdjErSTMMQzMCbzcATUUFPmoAPlgnYF8jREI2S1j3clHxSmoiPyUtVjcNZDwsSmYhTyUpXloAUjImUWEVY2MHPWcQSTU2a2cMQFM3SmoULj0SLGkMP0kGPlkvUzM2YTIlc0EiQDIxZ2UvRF0zXScrcTkLaV0JK1wybV4qcV85a2P1NCAOYUcPcGoAYDImUWEVZEUBPWcQUTQBRWcMQFM4STQIcz0DY2gMQDU2Smoqdj0pUWcDTUkJR18ZRVg1Xz4ATTUFPkEAQFcmQTIAQykoLzg2XjwIZCEDUmYpPlUVYUcuX0jqajopYlclayYBRx8GMGkvZEg3PkDqXmgVZWMmdUkjYkMEb0AUMTgqahsZRFTvRigrL1MQNDkzYVD0byUlPkcvcSkzUB70SFbyXkAmLmgkSzQDQSMBM1cpUlQpXUI1MzsGVjcwUEUIYFXvTkU0YDcpRzoMQmQLVSIELTI2UiYkSSDvZDr2NV0taSAwSWcJMSQSbVEqQmoHLjkpLFEKLUQrRFYARmkRMGUyayH1ZzcMSzoCMiUHdGIVVGnwR10vX0kDY2Y2cDU5VWEuVl0jYEQxbUcqb2P3dTQMRDDxLVMUckjqXWf0bjYpM0APXSAAbDooYSkObB8CSFIzYkQPSlkUamggahssRVnvYSQ3QWfxXVYyLmcvQ0YPUCIKRC=2ThsRLFs0R174RygtSiXqPVorTkIHVlMJRjH3U1gLRkcudFcmQVIMRTkBQmcIPjETPiEMQzk3P2oARjImSkYBPUkTPVsNSz0TZ2cNc0kDUkEQRzQDPjghQykoVUc2Y0IGaF4gVEInXjMBQFUWRlwiaj4rVSMVdVEXTiUIQTXwYDcnclMsaCAkTzIDXmjzbzkEdCAZPyQ3QzQAUzImSkYBPT0MQCAjQUDvQVcUREYoXjcrZjkESjIMTTkPPmcAPzkBYzoKTTUAPTEAUkjxVToMPVsGPkMySzE2RVEBTTE2QEEYRjsuVjknclMNPUEEPjIQPTUmVTERYjoEVlDybTMUVl8hcj70Z2ktRFQtVUAmXjcMXlP4U1kQUUYONEghaTUwaDXxRF4HLiL1PUgzXz0CbFkqP2k3SiTqSSQDUDY2Z0A2cFwBcSArcEfzMTomJzYRTEYsMmAnSVQBTEAqT171Rz4YbjY0bEgjXzkGaTsNLiAMTV4obyUWXkUiaFQJakYoVmYuXkAVNDMFbUcjYzUsK1ktJ2krZCMoaDr0T2ojQjD8OSvuT1kmalEzcWIkUlErcVT9CPn7T1kmalUjSFUtY2QnOiD4NCf7K0MoY14kYDwkalczZC3MBiwSZVctXWQ0blUOblQkbi3wOB8SZVctXWQ0blUOblQkbi3MBiwVYWIyZV8tOkX3Ki=tLB3wNCf7K0YkbmMoa139CPn7RV0gY1UDPy4hRmMPJzHyQSEtQCU3X18ObGoUaCQHaWXxZ2QFcycMYzjvSjD3TkEnMikKU2UTXS0wZR8VT0kLYmkjPzcxVEopYWoSTiMuTEHvTWEyQlH0dFIhXlIhXj8pZlopblIhS2khXj73MzUmRUgOYyAILj7vZlcpTVsQY0DucS0nPlkmOV0YOUX3YD8VXTb8YmkZS1opZh8EYDohJ1IhXhshMVIhXlIhbzYhamUhXlIrZmg3LF4KQ0M4P2ILQ1oLXiYASlwnXxsKbyDqY0cgTVENXxsjNVYlPVD0bCkNPlIrbyIyXiHyMlnwLmfyXkUyZTsgRyASSVfqcVchaSf2U2UHPiESJ1P4XzP0MmUzSjgZch7yTzX8cyb8L2fqbTwZblwTJyLwZlICRDoILkQyLkUBLEASQTkvRFI2RCXqRmY5dSgRJyUMSDwORmEIUjUIYG=qSic1RmkoUDoIRzz3Pz42bzIRQkEhcVMhcGcjTDgMaUcvM0kKQiXxTG=2bjYwdBsJbUEjSVI4dGMzQEQJcV0GXUcYb1c0JyMyQjP4TEEQZiH0PV8KXjMZaSkhdEkTT1MKdUMPRjcPMycITWU5VET2Qzn1QDn3X0oJXjEVRF4HcCkMaDb0S2oPMCgJRmEJbSEwLFfzbSQJMyk4YzUPQEYPdFcyLVD1dCgBMWEFMFghQFHuaSUpZWkoTyf2NSIGXhryJ2f3S2LwdCYhTyMCdjXwTl4RSmDqLSkyMUURc1QRK1IIXzcxRmPzcFwyXl3wMDIicVgSLT4NT14wLjILRT4IX1I3aDI4a0cHZWg3cBr4TW=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0MDUSbWkWMWYwYkIORTITUWLzb1M2MGD3SlIRb1Xuazk3JyUiUjwBYiEuc2oOXkgIcFb0U0IlZlQJRyMpShsPTzTqShr2b14JQVXudBs4ViUKVTsUcVEnMFL1Xl0IVSQvdGgNQB7zSjYETCkpQUDyY2AxZVLuSSMKQTwBXljyQz8hViz3KzgVdEMpNEoPSDLvXWcZPWUqRmUDUTXqRmYsY1IidVvvMjgwaGDqUkX8UT0STyQhaD05YD0EPmc1UjUoRUo5L2jyMSL3QznuRTP1PWkqaCAVRDz8Mlw0MVgYUEYIbWoZUkD2Q1oyckUXbmn1TD0JRDsnLVIFZUb1bykvLSkqSSjxTljuTDIyVjotMDoYQGoJLTfxXjwyNEMJRjovLVkwSmISTDwRSDzzUFb1MVIURkAwbC=wPjEsXl0vLSjzaiXyTmj8MWMzYFsyZWMgcGExQWAYLF7qNGU3JzU0J0AAQjg2bFYOYz42bUooLVwhLmMtSmoOSlIrdmLycGAsNDH3Z2o4TyXyQlgOZiHuTTwNbB8ERl8yLjgDPTs0J0kAbiDyMSI4bDcRLyLzal0zRiLydT7vamAWSmUhMT0IVTY4LEcMUTD8bC0rXWMFXkIldWowMDsgUFInRkUAbyEALB8hX2H3c1f1MV8RbT0iX0UpXjs5ZVIROSglLDwvJygFR1sUJ1c0TVIsJyE5RkUvXWEUcmn8a2coZDUuaWYrZDEocDoDbEYwTSk0RmUBdVExS2UWUzQDNTkJL1DvM2bqTjgSLxsoL0EPahshSDo1RkYGPkA3SjIhdlMQSiM5SWU5TE=uZWn3Pl84ZSQoMULzbTIJRmc3ajUEUzYHaTj1LCMHaSIYPVrwcz8zMkYybFkvRT4QMVECZRslVkQrLyc3dCMGah8UXjwYT144ajvwbWEydmUBZkYgRRsFNUURPUYnQEUHRV0SXiklMToyZjcCNF4NSE=4dkYXdmI2LFcUcyUpRmERMiQqclHwLmkiSV8Za18WSyYJVVQjJ2IIdULuXyEQayQ0Zi0vLWomZTnya0DzRUAyS2AIdjkjTWERc0ctLF4lL2MJPkQURVwwcWUhbFwyTEIyLUovTWYAQzgwLyk0UCEgPz4ibDY1NEEKRlEGZz8YTFr1Rl3qPSItSCP8R2fwL1wHXjkqRzUiQFEqcSP3ViQ3clE4TiUyMCIBUjkybSInakIBSWgFMkIQYyIXMjj4XyMSaTsnSh73T0QoamonS1oARzoFQG=4RFjwQ2kjb2otdF0rNDryPkMCRSYsbV4KbWL3cDkwcG=qbD0gXUcybjY5YjvxcxsjXlIQPSMHXzQ1cTUzbzDvJzgVRyP4M0MvLEAHRy0zTyXuUiUqSDH3aGLwbVL1dkkgLmc1M2UTQlMXUSQTVCEvcj4PQmEvQig0a0ELRz8NcDYjYyU1PmnvajPuXlnuayQUTjUoNEoqcEkoPloRLlv8R18uSDM1MjE3Xz0YMTs5UW=3QVEsPSQ0QzknOWcWTzYwUTYCU2AAcS0vcCAYX2TwSGP4OVIrXSUYOS0gRGEuTkM1M2XuL2YEMy0YTTgVczILb17qNV0xRGIqXmfqZ0U1bSMOcVg5TGIubF0PSlsmbzsrcWEgVB8WYmEAMWQyMjruTTMBbUoTJz4gNTErZVYhQjMEcybva1X3J0P4QkgUQTIHaGEhYjwzbV0lX1YscSD0bV7qNWUnXiIIdD0LRkAwNUQZTVgMdGnvXzEPQBs4YjU2SWP1QWYsPlbyLToIazfyUEU3TDwFPzoPMGcHM0YzOWT2L1zqTiMINS=3dBryMikIQSY2PSEEMjT8M1g1alMuZ0H1bzTzVm=1XzQRTDksbDgvMmkuQDwUakTwdkYNRF7zLjElRBsJUDwJdToJZ0EWOVoQLT8UZEIwYDEBdl8wZxs3T2ArcUfzLF0CUl8AaWcrZyI3RVfxRFkMSy0udUTwM0UtQEMIQUYIUjsAZmL3cSYyTmMgR2EhZWfqLy0oPS0SSjcQdkggLl8SdjYKSEAHLCknNGYpbSgCTTIBVjsBQDIBUCI5TD8gclkhRSQ5bDkhQWUEb2ITVWkyMWUsZToodSIzcigMVkMFbGT3L1D1TVgRMWg5dVQubGQjMlPqbj43JzQmb2LwdiUwTGUHLSEiMFE3dUQXL0=0cxsONFIAcl4YUDYgUFjvMx8MSRsTaGMgQF0vRiA2JzgSR2=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uMWcxSUcASWAmMUfzKzn3YiA0Q14DX13uSybvNSgDUDkibCQUQkfxX1gWXmkpZTwRcGAuUUk1Llb1RiQnVT4MQWohaikIJ0HuLT4mSiALLiT1XjcqdTwRRlMwdTf3b0XqdD4XSUgLdlcIQV0ONSQMdBsvZTr2bDYLVGALREMhdFYxbEMHNFIqQ2ELT0b3XizqJ2AJbyQETm=1Tz8VNEYQNCAvL14IT0IXVBshS2PybSgLRlIFTiEyYyghZTMiYlsYTxsDMWH3TGUSbSMndED1cyDqMWTxPVg0MjjuM1MIMSI3RhsXcVH0U2AhRUnqRFoiVD40UhsNOT0RLFIlQGMuUBsSLGQ4bTIzJzfqNCEHL0IIQWAzdTIQYiXuL1g4NDQJNDjuXlIwalDwdWLxc2YvM1IJUTTzbEgLLSIOQ2=qdGg4Rlz3bUUYUDIELDQYQUEPMlfvZSMEdTTxTjowTTnwZzkIajn1RiMvXmM2SUIIPjczRlQZP1HyNELuMz0MTGItdVcxZSI2MCfwSSE2PyQvZSgJbGMnUj4hbEgqP2QiMyf8NFIUZV7wSWcpdF0mQDkJTzEiVCMSRkk0Rj0EUGAvVScsXj8yVRsVbGgtTUI2RUECdGcgSDrwRGQIM0=vLhs2SVYhaDcNLzIHY1IuT0kNRikMc1YLOSD1LDoIaTkvLTMpRhryTkfvVEb0M1oicyQWZEohcyYgdDfvND0iT2gvREMQLGgZSicoTD8vPyIPXjcoPlHvL1MJR2EXLDbzaxsoQBrqPzIyXhsKLC=4NCMIK0cvdEgXUj4vLVghb1YwPjQZRGcsPlHvLDgmLEDzRGcJY0UudhsoTjUOORrwNDMBLlYmSiE5MWM5clMzMSD0TVMJViEHXUU2VCgpRFwWPjoJPkkhSyUUTWMCdlIVYi0IQWkoSmAPT0D0LTP3M0LwXzEEXzkJSSkzQV81NEIuMy=uL10IQV8EQln3NEQqRkUnLSM4dVgURkQ5SkI3ajjqR0UASELvQkkKYEIrY14JdTgBcjYXbEUQalQHUWUNXzcWbCURNEURTVgqMVgMYmMwVGXxLygqXkIPLDolRlQhZjIUY2Y2ZzE3XmEAbSQyZzf0ZygQbWM1bT05cjswLEHqMSgiTUoqJy0FRhsqRCYMUDgBdCkuNTIuVmAtLl34SS0sTTUtSVP2dUTucyYVZxs4dVQEaGItLSQnNUE1c1sQMDgwRToJNDTqRWAIPSgjajIBZUH0OW=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7KzEza10odlEzZV8tWzYrXVb9CPn7TGIucFUicDQuX2UsYV4zOi=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云浮市发展和改革局 云浮市卫生和计划生育局
云浮市人力资源和社会保障局
ZUMoY14gcGUxYRAla2Hfc18xYBAgalPfc2AyOC83aVvfclUxb1kuaizhLR3vHhAkalMuYFktYyzhUV4oX18jYRH+OfzJOFkSZVctXWQ0blT9CPn7U0ASZUMoY14gcGUxYS3MBiwFaFEmOi=7KzYrXVb9CPn7PWAvSlEsYS4WTEONwMeVHCftLRf3KiDtLB3yLSj4KUX3Ki=tLB3wNCfoOB8AbGANXV0kOfzJODQuXzkDOmr0LyUBLiP4QBz0QSUBKSPvMjPsPikEMhz2LSYCLCgALC=3NDM8OB8Da1MIQC3MBiwDa1MNXV0kOsSZHD4TRz8OQjYIPzV+1Ky9HMaPsbPfU0ASyrR0sSvuQF8iSlEsYS3MBiwSZVctXWQ0blUNXV0kOsSFtJGJzLiKvZaWxsRztr2I46ugrZOUy66VMCH7K0MoY14gcGUxYT4gaVT9CPn7T1kmalEzcWIkUWMkbj4gaVT90LZ3nbqPxLuAoseJ0KR5ybmmt9Fwn8WOusX7K0MoY14gcGUxYUUyYWINXV0kOfzJOEMoY14gcGUxYUUtZWQNXV0kOsSFtJF048eS0e6N7SvuT1kmalEzcWIkUV4ocD4gaVT9CPn7T1kmalEzcWIkR1U4Tz39UUPvLiHvLCXwLCDxLC=vLifwLCP7K0MoY14gcGUxYTskdUMNOfzJOEMoY14gcGUxYUQoaVT9Li=wNRzvLRzwLR=vNSnzMinyMCvuT1kmalEzcWIkUFksYS3MBiwCa10vcWQkbjkPOiD4Lh3wMiftLiD2KiD4NCvuP18sbGUzYWIITC3MBiwCa10vcWQkbj0APzEjYGH9QCPsLzPsMzTsLS=sPSXsLDT7KzMuaWA0cFUxSTECPVQjbi3MBiwPZVMEdGP9KlcoYivuTFkiQWgzOfzJOEAoX0coYGQnOiPtLi=vLC=vOB8PZVMWZVQzZC3MBiwPZVMHYVkmZGP9MB3xLC=vLC=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ycjUhUTwZamcCYl7vY1kjJzktMDEiLVgAKyYrVUQWVCgnXTXvMEcRSSYDUiDwYT8VYEQVTDkkXyEPYVc0PV42P0UPQ18gQjwOVFQgMT0uZVoCUTMVQVfvcC=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zbyb1OUDzT2o0QmEwZj0jPhsnb0kKL1Ipc0IZckQRXTouckEQMFoYSjfvR2DucTI4T0LwVTUhMyQYLDsURGPyTF0oSEg3RygudTYZMykgQl7zdDYtMCIpMS=1ayAyMD0wa10pVWHwL2giRz7yRygCNEo1R2gYYlEFU1PyNGU5PUcJLT0mRGA1XikAR1T2L10KTVnwTVoJUWMiZGfqZiAUS2AEMDwNNWYmR0kAR0UTclU1aikzViEvNGgLR2AHY0L3QD8BYFv2alEJaEfwUVwNZlnwMjsKYVMAQlYHNBruOUIsVGQxb2MJVkEEaT8Gb1gFXmI2RzgnPjcRLTsZVicHR2P8ckMsTFMSM0YhZzzzQiQgaTQrM1guMmo2MFM5UTX3LBsCNDshUEYYMEMALTQjalwOaV04MEMTLCg4L1QyXUfxdGoZX1ovJ1QKRGAuaWAQYF4hckoEXl4rSFIZbG=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yazg4cB7vPT8vQEQ5VmgJPlEULDfvR2kOSS=zdiAZMmT3P1EvMjXwR1ovKyD8VFI3aV0AUSEUXi0EYmcvLFEFdjIHK0QxciklPSgUY0EOckAHYWYSVCMxTSDuXmPxVkARRiAQS2QrZFQYdUYrb1wXPScUYzoYRxsgLVoGNTTwQl0OZlUUYVUPPUn8L2QyU2IZbmM1S0g5ZCAxZDo1VjoLbzY5b14UTDcsSV0sZUgzajruMFTwaVIKUiY4QkPvVmcjPz4BaFM1UzsBYlcKQkMmLV3vaDDzdiD3LGMNcmMQcEUNdlzvPSgvQ2Q3LUooT1Q2bFoibGMuSEMuNFUWK1wSdF4HamINdF4SdFv4X2oAPx8waWk1Mi05OSEYUWcKcjINPUcBLmMXLFcPXy0SaSQpRzsLQUn3UyINSCEWOTMRUCQxP1kuRFfyRkEYUSQJMiLzLGkHOV4SJ2cPTGEFTzgzMVogSmELT2cHckoNRmfzPjsLXUMJRl8DUFEyUy05bzYUTx8vUUYrXi=za1E4LT4APkoxLGYXUSgpa0MoZmolNC=vS1UWQTvxOWkxZiMuPhsyMDEgUzsYPT0XaCz3bDordmQKbigTRlYKZCDqcDoBVmMiMDUDNEEUQVULa1v8TSYJVmoBJ1QGLVUVUTcWTSgBcF70dUUkcigqQl02LmH1aUonaTU2YCbqYVwmdF45LyTwPVwgLF8rNGDyTjsgNT8OaCQHQzX3USYgVjYLQ0A3NEUGTCcKUkMiXSkHMSEzMjchP0MEL2A4OV34bTIUUV0JcSU4U0QKREckcmcZblcKRz7xaDEKVGUpYVw3XWgWVWoUdikDZlwKdWL3Qk=3Tjn2LDQVNEoMMDozTyQEU1ouRGL3biYTNUAXR2YVdm=qPTwocjMYTj8ALF4PTybuUDg3RkDvbF8jdTw2cDUYPiAJPSc4b1w3P0otcT82UEk4QVQAJ10USVQWY10rbDrvaSMQXlEBSzoOdiX8K0A0RkAvaSMhQ0MFdD71VFwjc2QJTzwWaUonPyQPPiACbEUBQEj1NDoVZiENa1wkRzf0UFwPaSEkUkAUaCQLZD0Ha1sJbC=3Xk=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wL0oKVTLySyL2SDYBaUTvZ0U3dmINK0j3L0AmPmkZdSQxNEo1TmMMbDciQWoGczfvZzUCVmEPLFj0QigENEcMbUcuZkogUFoJL1MrbWciaFI3OUojdi=vMkj3LCAVZDsSQz44TGoxaCUjLWfwcGIuQVHyQjonQV73X10HUTUiLCEpVkL4Xzn1MWL3azEJRj0ZT2fwLDYZNGbvbEIZLD4JaWEQNF0AbyAOJyAUPTY3UGM4TTENM18Yaj82U2XuUTsQS2IrSjc0a0H2Qkkjdl0PbTwXLCQoTD0CRGIJPlwURyUMaT8xS2=vYyQELWTxczzwbCMLTW=yLUcLTDETSF4xRCAubF8SOWEDVjoqMCMMKyAAP0YUa0Y1b0f8L0UBLWnvXVnuaTHvdCQZPyH2dSP0a2XvPkowYTMNRDIxb1wsUDgHbFr3cjY0QkEpTT4DMiP2aT0XR0UNZyAnPmIKXmUoMDYsJzYoLW=3LkT2dCXuY0T1TF8sZi0SUR8QUDs4ZjPzKy0HRFwYdDsDaWMFU2EDcF8EUzs5Ll4sJ2IjNDwTUmMHMGoyaD4TM0XudTYOdigsbFwjVlEsSlv2MFYscmAhNF8Gb0oKUjD8bzEQNFwldT32SDf3MycpVkb4QTsrdR8FaSc5byc2PSgpaUMrP2I4M2cMdCgUS1UHRGQ5SjQ1K1wPZFYyZibyMEEWT2oNaUL8LEE5UygZaD43Pj0yaEgqRz00RmQJKxsWX2oLR0QBdl32dFgURGD2OVwgL1wQbF7zcUkxQmMRR1IvPzLvYEglcEUoSkUqamnvdVEmYiISZmM3aGYUVWApdSfzX1sSYmAzVEUqYDcsYjc3VT8zNEkiclwuQkIKVi=1cEYlU1wyaCEKPSMWaDYkTlQpcUQtUC0NMjIOMDspVVUrUFcDa2AObCcNTy=vRyENSz8rXjr4T0I4b1TqLV4LYTEvbmAMaTMuRzsMZDMBZTwTaCQDQj8UdmAFT2kTNUokVmArc0gwSlgZUSz0R1EtNCArLkorR2k1LVwAOUUtSyA4LGQWNEQOUSQWJ0E2aDs0YF0idmIKJy0ER1PuLVzvdjUKbSf1YkcBTl4LMzoKcmb3amIMNDEJTiAjYiXzQk=3UyAMdSYKdTY5dTwGLWEMVkb8cz3waDQkdF3zPkMSTmQUQzI5SVQ3VUM5LmgGNGAPRi0waTspLFgXRz8JR1Q0Lj8KPj3zYGg2UzcSSzsHPTrwRGA5Ql7uT2cKJ2kxNEkoYDY4QTwgdmACLmb2QlMKbyLyVCMTQSEGTDs5OUDyPTH1TyAgckcFdTMUYDE4blQ0dTIMZUQhc0g4ViQ4X0AOTTwLYEkKXjsMdWopajv3c0=xXkknQEQMcmQnLCQYbigxSmcFQSIsU0MjTicFVlHzMykycEMCXjsEXjUjLCMtRyATcy=0OUgxZz0ybiH1QUkEbygFMDIBSWQ3TC=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qRmHyOSEKZUEuJ2MSb0kwTV8YVFUkVWkyJzsAT0IMUzsGSDIKQWYnYUIHbCAOYzIHTj0OJ0IATWXzOTMzJ0n3YSYHazU5PlLyZEgQciMtSCQAVh8QbF0hclT8X0ojYz4EREchTyEgXlnxdTD2dFoLU0IUXWUWS0nzaGAFdCTzT0=3djI3MkQtQFw3J0gEazE3Z0UgZDopaz0lMToVaEknaDszSUYKTVgTLTTwNCYpRj44TSLyLWgMRiggNFMPLyM5dDcEMDopLFr1QVE0bGoRZDY1QEPwMF4SZyULXkMATl8SZmcWRlUYSTsFa2LwdiI4R1wrL1grXzQFUVswa2kpT0cScV7qLyY3YCQgciEsNFIJZGAxT1UHTF8kbRsKQyMSRyLva1gFRDvvYVQNVDE0cCcNSkYCclEKZ1UGTFYkNWj3PRr4NFU5LDXzLUQPSkonP2=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vMyHvLi=vNC=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2019年1月8日
附件：
云浮市县级以上公立医院取消医用耗材
加成调整医疗服务价格方案（试行）
为深入推进我市医疗服务价格改革，建立科学合理的补偿机制，落实《广东省人民政府关于印发广东省深化公立医院综合改革行动方案》（粤府〔2018〕52号）要求“2018年底前全面取消医用耗材加成，由此减少的合理收入，全部通过调整医疗服务价格予以补偿”的要求，深化公立医院基本医疗服务价格改革，进一步理顺医疗服务比价关系，保证公立医院良性运行，结合我市实际，制定本方案。
一、总体要求
按照“总量控制、结构调整、有升有降、逐步到位”要求，采取“腾空间、调结构、保衔接”的基本路径，分步调整医疗服务价格，逐步理顺不同级别医疗机构间和医疗服务项目的比价关系，加强医疗服务价格、医保支付、医疗控费、分级诊疗等政策的统筹衔接，确保医疗机构发展可持续、医保基金可承受、总体上不增加群众负担。
二、基本原则
（一）总量控制，结构调整。以医疗服务价格成本核算和比价关系调查、研究为基础，科学测算不同医疗服务项目之间的比价关系，保持调增总量与调减总量基本平衡，对医疗服务项目价格进行结构性调整。
（二）三医联动，协同推进。按照“腾空间、调结构、保衔接”的步骤逐步理顺医疗服务价格，通过推进药品集中采购、全面取消耗材加成、医保控费、规范诊疗行为等降低药品、器械、耗材等费用，严格控制不合理检查检验费用，为调整医疗服务价格腾出空间。
（三）有升有降，动态调整。适当降低大型医用设备检查治疗、检验等医疗服务价格，提高中医、诊疗、手术等体现医务人员劳务价值医疗服务价格，逐步建立以成本和收入结构变化为基础的医疗服务价格动态调整机制。
（四）分级定价、重点扶持。根据医疗机构等级、医师级别和市场需求等因素，对医疗服务制定不同价格，拉开价格差距，引导患者合理就医，促进分级诊疗；加大对中医、儿科等扶持力度，促进传统中医及儿科健康发展。
三、实施范围
云浮市县级以上公立医院（共19家）。
四、改革内容
（一）全面取消医用耗材加成
全面取消医用耗材加成，医用耗材按实际购进价销售。
（二）降低药品和医用耗材价格
进一步推进和完善公立医疗机构药品跨区域联合集团采购工作，加快落实药品和医用耗材集团带量采购工作，进一步降低药品和医用耗材价格。
（三）理顺医疗服务价格内部比价关系，稳妥推进医疗服务价格改革
1、调整医疗服务价格
（1）提高部分体现医务人员劳务价值、医疗技术，医疗风险的诊查、治疗、手术项目等项目价格。
（2）降低部分主要利用仪器操作、价格偏高等检查检验项目价格。其中降低磁共振扫描、X线计算机体层（CT）扫描等利用大型设备检查项目价格。
2、实施儿科加收政策
按照国家和省政策要求，扶持儿童专科医院和其他医院儿科发展，对于六岁以下儿童的临床诊断中有创活检和探查、临床手术治疗等体现儿科医务人员技术劳务特点和价值的医疗服务项目，实行不超过30%的加收政策。
3、调整部分中医服务项目价格
结合中医医疗服务项目成本和技术劳务价值特点，适当提高部分中医类项目价格，促进医疗机构发展传统中医技术。
4、保持合理比价关系
实行分级定价，根据医疗机构功能定位、等级和市场需求等因素，对医疗服务制定不同价格，拉开价格差距，引导患者合理就医。
5、完善公立医院补偿新机制
我市县级以上公立医院全面取消药品加成政策后进行阶段性评估，补偿达到我市公立医院综合改革实施方案确定比例（价格补偿80%），补偿达不到公立医院综合改革实施方案确定比例，实现动态调整机制，进一步优化医疗服务价格结构。
具体调整医疗服务价格方案详见《云浮市县级以上公立医疗机构医疗服务价格调整表》。本方案以我市城市公立医院（云发改价格〔2017〕44号）或动态调整后县级公立医院（云发改价格〔2018〕15号）现行医疗服务价格标准为基础，拟定调整方案作为全市县级以上公立医院统一的医疗服务价格标准，《云浮市县级以上公立医疗机构医疗服务价格调整表》中的医疗服务项目收费标准为三级医院标准，二级医院在此基础下浮3%，全市按各级别医院统一执行。
五、配套改革措施
（一）纳入社保支付范围。为进一步减轻群众医疗费用负担，因本次改革调整价格的项目，按基本医疗保险有关规定纳入我市基本医疗保险基金支付范围。
（二）着力医药费用控制。卫生计生部门要加强对医疗机构诊疗行为的管理，抑制不合理使用药械以及过度检查和诊疗行为。将门（急）诊次均费用、住院床日费用、出院患者平均医疗费用、药占比、耗材占比、住院与门诊人次比例、总费用增长率等纳入公立医院目标管理责任制和绩效考核目标。
（三）加强医药价格监督。价格、卫生计生部门要加强医院的医德医风建设，杜绝使用大处方，滥检查等过度医疗的创收行为。对公立医疗机构价格执行情况的监督检查，及时受理医药价格举报和投诉，化解价格矛盾。定期开展医药价格专项检查，对不执行医药价格政策、擅自分解医疗服务项目、提高收费标准、不实行价格公示等价格违法行为，依法严肃查处。
六、保障机制
（一）加强组织领导。市医改领导小组要加强统筹协调，各成员单位按职责分工共同做好公立医疗机构医疗服务价格改革政策实施工作，要建立沟通协调机制，及时研究解决实施过程中存在的困难和问题，做好各项衔接工作。
（二）强化财力保障。各级财政要保障公立医院基本医疗服务价格等经费纳入财政预算，按时足额拨付到位，并加强对资金的监管，提高资金使用效益。
（三）营造良好氛围。加强对公立医疗机构实施价格改革政策工作的宣传，调动广大医务人员参与改革的积极性和主动性，争取广大人民群众和社会各界的理解和支持，营造良好的社会环境。
七、执行时间
本方案自2019年1月1日起实施，有效期三年。
云浮市县级以上公立医院取消医用耗材加成
调整医疗服务价格方案表
|
项目
|
调整前价格
（元）
|
调整后价格（元）
|
|
一、诊查费（编码：1102类）
|
|
|
|
（一）门诊诊查费
|
|
|
|
其中：普通门诊诊查费（110200001）
|
6
|
8
|
|
名专家（110200002-1）
|
50
|
60
|
|
主任医师门诊诊查费（110200002-2）
|
16
|
18
|
|
副主任医师门诊诊查费（110200002-3）
|
12
|
15
|
|
急诊门诊诊查费（110200003）
|
9
|
12
|
|
（二）住院诊查费（110200005）
|
12
|
15
|
|
二、床位费（1109类）
|
|
|
|
其中：单人房（110900001—1a）
|
120元/日
|
125元/日
|
|
双人房（110900001—1b）
|
70元/日
|
75元/日
|
|
三人以上（110900001—1c）
|
50元/日
|
55元/日
|
|
单人房（110900001—2a）
|
70元/日
|
75元/日
|
|
双人房（110900001—2b）
|
50元/日
|
55元/日
|
|
三人房（110900001—2c）
|
40元/日
|
45元/日
|
|
四人以上（110900001—2d）
|
35元/日
|
40元/日
|
|
单人房（110900001—3a）
|
55元/日
|
60元/日
|
|
双人房（110900001—3b）
|
40元/日
|
45元/日
|
|
三人房（110900001—3c）
|
35元/日
|
40元/日
|
|
四人以上（110900001—3d）
|
30元/日
|
35元/日
|
|
单人房（110900001—4a）
|
40元/日
|
45元/日
|
|
双人房（110900001—4b）
|
35元/日
|
40元/日
|
|
三人房（110900001—4c）
|
30元/日
|
35元/日
|
|
四人以上（110900001—4d）
|
25元/日
|
30元/日
|
|
三、手术费（编码：32、33类）
|
|
|
经血管介入诊疗（32类项目）
|
按现行标准提高5%
|
|
手术治疗（33类项目）
|
按现行标准提高5%
|
|
四、治疗费（编码：31、41-48类）
|
|
|
其中：临床各系统诊疗（31类项目）
|
按现行标准提高5%
|
|
中医及民族诊疗类项目（41-48，共8类
项目）
|
按现行标准提高30%
|
|
五、检查费（编码：2102、2103类）
|
|
|
其中： 磁共振扫描（MRI）检查（2102类
项目）
|
按现行标准下调2%
|
|
X线计算机体层（CT）扫描（2103类项目）
|
按现行标准下调2%
|
|
六、检验费（编码：25类）
|
|
|
检验(25类项目）
|
按现行标准下调1%
|
说明：1.表中“现行标准”是指云发改价格〔2017〕44号或云发改价格〔2018〕15号文的三级医院的价格；
2.本标准为三级医院标准，二级医院在此基础下浮3%执行(诊查费除
外）；
3.手术类项目对于6岁以下儿童手术项目在此基础上再上调10%；
4.治疗类项目涉及血液透析等相关项目(编码为311000001-311000013)
共13个项目收费仍按云发改价格〔2017〕6号文原有标准执行。
公开方式：主动公开
抄送：省发展改革委、省卫生健康委、省人力资源和社会保障厅、 省医疗保障局，市府办，市医改领导小组成员单位。
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