长兴| 婺源| 武鸣| 库伦旗| 海原| 单县| 奉化| 临汾| 宾阳| 华安| 娄烦| 陇西| 罗江| 平湖| 温县| 平谷| 临颍| 江山| 河口| 禹州| 嵊泗| 和林格尔| 户县| 阳城| 潘集| 辰溪| 慈利| 岚皋| 五营| 姜堰| 台前| 洪江| 龙井| 乌兰浩特| 德昌| 洪洞| 灵石| 孟州| 咸阳| 日土| 拜城| 榆林| 宁城| 瑞安| 夹江| 贵池| 西林| 环县| 山阴| 北仑| 民乐| 富拉尔基| 夏邑| 察哈尔右翼中旗| 高邑| 盘山| 修水| 黄山市| 肃南| 石城| 襄垣| 武威| 咸宁| 西昌| 同安| 鹿寨| 改则| 四子王旗| 鹰潭| 荣昌| 奉化| 王益| 林西| 巫山| 贡山| 石龙| 肇庆| 基隆| 山西| 榆树| 都昌| 留坝| 汕头| 四子王旗| 班玛| 阳原| 乡宁| 清苑| 特克斯| 亚东| 南郑| 集安| 鄂托克前旗| 惠东| 武都| 静宁| 天等| 海安| 方山| 民丰| 西丰| 毕节| 临潭| 咸阳| 察隅| 大龙山镇| 乾安| 常州| 海城| 平川| 聂荣| 界首| 丹阳| 塔城| 琼结| 门头沟| 内黄| 甘谷| 秭归| 玛曲| 垫江| 彭山| 巴彦| 江阴| 珊瑚岛| 高青| 宁化| 桐柏| 阿勒泰| 兰州| 南京| 双峰| 平陆| 平阴| 韶山| 衢州| 泾川| 安县| 新密| 潞西| 东莞| 商河| 道真| 通江| 蕉岭| 沧源| 翁源| 纳雍| 镇雄| 海门| 台中市| 安多| 桓台| 吉首| 泸西| 曲麻莱| 永昌| 沅江| 郓城| 盐池| 武都| 绥芬河| 洮南| 平谷| 桦南| 岳阳县| 台山| 韩城| 焉耆| 梅州| 岳西| 海伦| 宣恩| 高县| 平谷| 邵东| 双城| 新洲| 苍溪| 海沧| 临武| 吕梁| 弥勒| 连云港| 静乐| 资阳| 三门峡| 潞西| 丰县| 栖霞| 奉贤| 涉县| 建始| 布拖| 仁布| 巫溪| 江孜| 武安| 玉树| 大渡口| 临县| 南山| 同仁| 巴东| 长治市| 东山| 赤城| 万荣| 鄱阳| 莒南| 东至| 闻喜| 临汾| 阳泉| 萨嘎| 鹤山| 香格里拉| 龙泉驿| 张家界| 南平| 厦门| 丹凤| 建平| 武强| 北辰| 赣州| 晋宁| 六枝| 蠡县| 甘泉| 会泽| 汉南| 昌乐| 原平| 桃源| 淮南| 项城| 磐石| 巴马| 眉山| 灞桥| 南岔| 赤水| 马山| 宜黄| 江安| 尚义| 依安| 子长| 茄子河| 枣庄| 长岭| 洞口| 君山| 察哈尔右翼前旗| 宁波| 讷河| 石渠| 苍南| 霍邱| 北辰| 绥化| 新乡|

槽点挖掘机43期:清明上苑春正好 烟雨溟濛洗晴空

2019-05-24 13:04 来源:39健康网

  槽点挖掘机43期:清明上苑春正好 烟雨溟濛洗晴空

  对于岛内一部分人对美国不切实际的幻想,台湾《中国时报》在4日的一篇报道中警告称:“听到友台口惠,别忘川普善变。很艰难。

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  ”几个月下来,警犬“天府”终于转型成为一只合格的搜救犬。“定期但不经常”通过?台媒:把台湾带入绝路“此举或将被台当局视为美国政府对它的支持。

  斯威士兰方面透露,国王姆斯瓦蒂三世预计6月6日访台。这一切可能都在商人特朗普的意料之中。

塞班岛是北马里亚纳群岛联邦首都。

  这种声音,也代表了岛内舆论的紧张与谨慎,就连被认为“靠山来了”的台当局也不愿对此事进行评论。

  你看看,这大伯父啊,多么疼孩子。从2-3岁就可以参与的亲子蜈蚣座,到60+岁的各地乡老,无论处于哪个年纪,都可以加入到迎城隍的队伍里,看到报马仔的爷爷带着小孙子一起,为大家开路,感觉非常有爱。

  原来男子是兵马俑爱好者,特意从网上买了一套衣服,把自己打扮成一具兵马俑。

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  最后女子因妨碍公务也被罚。

  报道援引知情人士的话说,中方向美方代表团陈述了中国企业购买更多美国大豆、玉米、天然气、原油、煤炭等农产品和能源产品的一揽子计划,中美官员估计这份采购计划在第一年的价值接近700亿美元。而coach、MK和Katespade又是美国代购中最常见的三个品牌,许多买家亲切地称他们为“美代三件套”。

  

  槽点挖掘机43期:清明上苑春正好 烟雨溟濛洗晴空

 
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提升13亿人民健康获得感,深化医改如何真抓实干——《深化医药卫生体制改革2017年重点工作任务》四大看点
2019-05-24 21:37:30 来源: 新华社
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  新华社北京5月5日电 题:提升13亿人民健康获得感,深化医改如何真抓实干——《深化医药卫生体制改革2017年重点工作任务》四大看点

  新华社记者 王宾、李松

  分级诊疗试点和家庭医生签约服务扩至85%以上地市、城乡居民医保财政补助每人每年提高30元……近日,国务院办公厅印发《深化医药卫生体制改革2017年重点工作任务》提出,2017年要基本建立分级诊疗、现代医院管理、全民医保、药品供应保障、综合监管等5项基本医疗卫生制度框架,为深化医改“落实年”搭建“四梁八柱”。

  2017年,深化医改有哪些“小目标”、怎样推进“施工图”?破改革痼疾如何做到“踏石留印、抓铁有痕”?专家认为,《工作任务》体现了进一步完善医改政策的总思路和要求,体现了将改革上升为制度建设的发展趋势。

  看点一:破基层看病难之“痛” 2017年分级诊疗试点扩大至85%以上的地市

  总量不足、结构不合理、分布不均衡,我国医疗资源的“中梗阻”让基层人民群众就医难现象长期存在。医疗卫生服务供给侧结构性改革如何提升“含金量”?国务院医改办主任、国家卫生计生委副主任王贺胜表示,作为“十三五”深化医改规划首要任务之一,分级诊疗是优化就医秩序的关键一环,对构建医改新格局具有战略性意义。

  数据显示,截至2016年底,4个直辖市和266个城市开展了分级诊疗试点。《工作任务》强调,今年进一步扩大试点范围,分级诊疗试点扩大到85%以上的地市。

  “通”则不“痛”,放大优势医疗资源效应需要医疗联合体的制度创新,在机制层面做好分级诊疗“助力器”。《工作任务》提出,全面启动多种形式的医疗联合体建设试点,三级公立医院要全部参与并发挥引领作用。王贺胜表示,建设好“百姓家门口的医院”有利于优质医疗资源的上下贯通,是逐步实现为人民群众提供全方位、全周期健康服务目标的重要抓手。国家卫计委卫生发展研究中心研究员赵琨认为,今后应加速破除制度壁垒,鼓励社会办医加入医联体建设,完善配套措施,凝聚医疗资源合力。

  让大医院“愿意放”、让患者“下得来”,怎样确保基层服务“接得住”?在为基层诊疗服务能力“造血”方面,《工作任务》强调培养全科医生2.5万名以上,新增7万名左右医师参加住院医师规范化培训,加快健康产业发展相关人才培养,同时优化基层医疗机构中高级岗位比例,增强岗位吸引力。

  看点二:公立医院医疗费用平均增幅控制在10%以下 年内力破“以药补医”

  “公立医院改革是新一轮深化医改工作中最难啃的‘硬骨头’。”有专家表示,我国亟须建立现代医院管理制度作为运行新机制的转换“枢纽”。负担重、责任大、关注多,公立医院如何理顺医疗费用结构、为百姓就医省下“真金白银”,同时增强人民群众满意度、调动医务人员积极性?

  为降药价“虚火”,《工作任务》明确,9月底前全面推开公立医院综合改革,所有公立医院全部取消药品加成(中药饮片除外)。调结构、腾空间,《工作任务》明确允许医疗卫生机构突破现行事业单位工资调控水平,对医疗卫生机构单独制定绩效工资总量核定办法,逐步提高诊疗费、护理费、手术费等医疗服务收入在医院总收入中的比例。“《工作任务》对公立医院精细化发展提出更高要求,将助推内涵式发展。”中国人民大学医改研究中心主任王虎峰说。

  专家表示,要把公益性写在公立医院改革的旗帜上,避免“以经济效益论英雄”。同时,真正实现《工作任务》中提出的“协调推进管理体制、医疗价格、人事薪酬、医保支付方式等改革”,加快公立医院职能转变,提升医疗服务的质量和效率。

  看点三:医保管理“六统一”做好“杠杆”“引擎”

  长期以来,在旧有制度下,一些地方的药品采购归口卫计部门,医保部门负责“买单”却无法“点菜”。如何落实医保基金外部制约作用?

  《工作任务》强调,要试点设立医保基金管理中心,承担药品采购和费用结算、医保支付标准谈判等职能。“这将有利于实现基本医保基金的统筹管理,有利于发挥医保对采购药品的集中支付功能,有利于加强对医院和医生的监督制约、规范服务行为。”福建省医保办主任詹积富说。

  人社部社会保障研究所相关专家同时表示,医保支付不仅要着眼于医保基金平衡和参保人待遇,今后还要注重患者对药品的可及性以及医药市场的平稳运行。

  看点四:2017年综合医改试点省份和200个公立医院综合改革试点城市全面推行“两票制”

  针对药品价格虚高、流通乱象频现等问题,《工作任务》按照《国务院办公厅关于进一步改革完善药品生产流通使用政策的若干意见》有关要求,在药品改革领域“全链条、全流程”发力,改革完善流通体制。2017年综合医改试点省份和前四批200个公立医院综合改革试点城市所有公立医疗机构全面推行“两票制”。同时,坚持集中带量采购原则,让药价“在阳光下形成”。

  为让老百姓用上价廉质高的放心药品,《工作任务》强调进一步扩大短缺药品定点生产范围,建立健全短缺药品监测预警和分级应对体系。中国药科大学教授丁锦希表示,《工作任务》体现出精准施策的改革方向,为迫切的健康民生需求“真正兜好底”。

  丁锦希指出,按照《工作任务》相关安排,下一步我国还应加强发挥药师作为用药安全“把门人”的作用,促进医疗机构合理用药。

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【纠错】 责任编辑: 潘子荻
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