经观察，江西首次制定了229个中药配方颗粒省级质量标准

　　zhong药yao在国guo家jia中，

　　2021年nian11月yue1日ri

　　中zhong药物yao与pei方fagkelina进入ru中zhong药物yao

　　尝试shidian工gong作zuo结jieshushishiishishiiis

　　或者huozhe省xing级ji药yao产品pin监督du管理li部bu门men制zhi定ding标biao准zhundending

　　不bu具ju有you国guo家jia药yaopin标biao准zhun

　　为wei这ci，江jiang西xi省xing药yao产品pin监jian管guan局ju快xun速su应ying，相xiang继ji颁布bu229个ge省xing标biao之后，推tui动dongliao中zhong药yao行xing业ye高gangliang发布fangzhang，为wei全quan省xing超chao11亿yiyuan使shi用yong量liangde中zhong药yao配pei方fang颗keli产changpin质zhi量liang和he临ling床chuang需要xu求qiuang来保护bao障zhang，让rang老lao百bai姓xing得到huodei，liao实shi实shi在zaide好hao处chu。

　　zhong药yao配peifang颗keli不budeishangshi销售shouo

　　中zhong药yao配peifang

　　中zhong药yao饮yin片pian治疗zhiao许xu多duo疾jingbing具有you独du特tededeliao效果xiao，但是dan传zhuan统tong煎jian煮zhu通过guo程cheng麻ma烦fan、易yi受shou潮chao变bian、带xie带dai不bu方fang便pian等deng因yin素su制zhi约yueliao中zhong医yi药yaode发fangzhan。为wei这ci，国guo家jia推tui行xing中zhong医yao综zong合he改gai革ge试shi点dian。江jiang西xi省xing作zuo为wei国guo家jiadi一yi批pi中zhong药yao配peifang颗粒li工gong作zuode试shi点dian单shan位wei，江jiang西xi省xing药yao品pin监jian监督du管guan理li局jusun速su制zhi定dingliao相xiang应yingdiangdiang标biao准zhun。shi与tong时，配备pei套tao监jian管guan服务wu措cuo施shi也ye相xiang继ji出chutai。

　　zhe种zhong制zhi作zuo新xin形xingshi让rang中zhong药yao配peifang颗粒li有youliao质zhi量liangshi，、存储chue学习xue、带dai方fang便携xie、可ke随sui时shi冲chong服fu等deng特texing，这款zhe一yitexing和you增zeng强qiangliao生sheng生产changqi业ye的de市shi场chang竞争zhengli。shi也ye缩suo短duan和tong一起使用liao各ge大da医yi院yuan中zhong药yao药jide调zhou和pei时shi间jian，给ji老lao百bai姓xing带dai来lailiao实shi实shi在zai的de便pian利li。

　　就jiu而言，shi以yi传zhuan统tong中zhong药yao饮yin片pian为wei原yuan料liao，通过jinguo提ti取qu、分fen离li、浓nong缩suo、干gan干zao、制zhi粒li、包bao装zhuang等deng生sheng生chang工gong艺yi，加jia工gong制zhi成chengde一yizhong统tong一yi规gui格gegeg、tong一yi剂ji量liang、统tong一yizhi量liang标biao准zhun的de新xingxing配pei方fangyongyongyao。

　　高gao效xiaode省xing标biao制zhi定ding

　　快kuai快sude决jue策ce部bu署shuui

　　切qie实shi为wei中zhong医yiao行xing业ye赋fu可以neng

　　江jiang西xi省xing药yaopin监督du管理lili局juan

　　我的wo省xing也ye跟suizhi成cheng为wei

　　解决xie决jueliao老lao百bai姓xing关guan切qiede难nuo题ti

　　综合zong改gai革ge示shi范fan区quong

　　国guo家jia首shou批pi建jian设she国guo家jia中zhong医yyaooy

　　走zou出chuliao坚jian实shi一yi步bu

　　我的wo省xing实shi现在xian中zhong医yiao强qiang省xing战zhan略lve

　　编bian编ji：付fu震zhen

　　来lai源yuan：江jiang西xi三san套tao《经jingshi观察guan观察cha》

　　负责ze编bian：李l文wen瑶yaoo

　　肘zhou关guan节jie粘zhan连lian通tong都通过guo锻duan炼lian，jiu可以neng打da开kai。对于dui于yu严yan重zhong粘zhan连lian的de患huanzhe，比如ru果guo在zai三san个ge月yue内nei没有you锻炼duan炼lian，也yejiu是shi说shuo，没有you恢hui复zheng常chang的de关guangjie活huong，这种zhongzhong情qing条kuang需要xuyao手shou术zhong解xie，以yi恢hui复fu患huangzheng常changde关guangjie屈qu伸shen和he负fu重zhong活huong。对于dui在yu关guan节jie粘zhan连liande患huanzhe，主zhu要yao是shi，you在yu关guan节jie受伤shang或huo长zhang期qi不bu活huo动dong引yin起qide，这zhe将jiang导dao导致zhi关guan节jie韧ren带dai和he关guan节jie囊nang的de粘zhan连lian和he挛luan缩suo。　　来lai源yuan：yi药yao云yun端duan工gong作为zuo室shio

　　原yuan标biao题提示：中zhong药yao配peifang颗ke粒li，最zui新xin名ming单shang公gong布bu！(附fu3大da表biao格ge)

　　通tong知zhi显示xian显示shi目mu前qian yi已经通过jingxing形成cheng160个ge中zhong药yao与peifang颗粒li国guo家jiao药yaoping标biao准zhun草cao案an，已经yi完成wan成cheng公gong显示shi，近jin期qi将jiang按an程cheng序xu报bao国guo家jiao药yaopin监jian管guan局ju审批pianbubu。这个ci外wai，还有huanyouu 在zai审sheng中，zhong药yao配pei方fang颗粒keli国guo家jiao药yao品pin标biao准zhun正zheng在zai审sheng中，另一个ling有you 在246个ge中，zhong药yao配peifang颗粒keli品种zhong已yi有you企业qi业ye正zheng在zai开kai展zhan标biao准zhun研究yan研究jiu。

　　昨天zuo日ri(2月yue24日ri)，国guo家jia药yao典dian委weiuan会hui发fa布bu《you关guan中zhong药yao配peifang颗粒li药yaopin标biao准zhun制zhingdingdetong知zhi》将jiang进入jin一yi步bu加jia快kuai组zu编zhi中zhong药yao配peifang颗keli药yao品pin国guo家jiao标biao准zhun审shen核hudebufa，明ming确que鼓励li企业qi业ye参shen，yu国guo家jia药yao产品pin标biao准zhundezhi修xiu订ding。

　　本ben月yue初chu，国guo家jia药物、国guo家jia中zhong医yi药yao局ju等deng四si部bu门menlian合he发fa布bu《关guan在yu结jie束shu中zhong药yao与peifang颗粒li试shi点diang工gong作zuode公gong告gao》，决jueding结jie束shu中zhong药yao配peifang颗keli试shingdiang工gong作zuo，dui配peifang颗keli产品pingzhong实shi施shing颗粒li，其qi质zhi量liang监jian管guanna入ru中zhong药yao饮yin片pian管guan理li范fan类chou。与tong时shi与dui配pei方fangli生sheng、经jin营ying、使shi使用yong各gehuan节jie作zuo出chuigui范fan。

　　“通tong知zhi”要求yao求qiu省xing级ji药yao品pin监jian督duan管guan理li部bu门men制zhi定dingde中zhong药yao配pei方fang颗粒liao准zhun应ying当dang符fu合he“中zhong药yao配pei方fang颗粒li质zhi量liang控kong制zhi和yu标biao准zhi定ding技术zhu”各ge省xing局ju应ying作为dang积ji极ji开kai展zhan省xing级ji标biao准zhundezhing工gong作为zuo，共gong与tong引导yindao生产changye健jian康kang作为zuo，更geng好haodi满man足zu中zhong医yi临lin床chuang需要xu求qiu。

　　《实shi施shi意yi见xian》提ti出chuliao支zhi持chong医学ao健jiang养yang老laofangzhang、支zhi持chong医学创建chuang新xin技术zhuu、在jin中，zhong药yao优you质zhi优you价格jiai、强qiang化hua中zhong医yiaoyao在zai疫yi情qing防fang治zhi中zhong的de作zuo用yong等deng20条tiao措cuo施shi。《实shi施shi意yi见xian》自2022年nian12月yue27日ri以来，qi施shi行xing，有you效xiao期qian。

　　11月yue28日rin网wang成cheng (刘liu海hai天tian)为wei贯通guan，中zhong中zhong中央yang、国guo务wu院yuan关guan于yu推动cu进入jin中zhong医yiao传zhuan承担cheng创chuang新xin发fa展zhandeyiyi见xian、国家guo家jia中zhong医yi药yao管guan理li局ju关guan于yu医yi保bao支zhi持chi中zhong医yi药yao传zhuan承cheng创chuang新xin发fa展zhande指zhi导dao意yi见xian文wenjian精jing神shen，进入jin一yi步bu推动cu进入jin四si川chuan省xing中zhong医yiao创chuang新xin发fa展zhan，加jia快kuai推tui进入jin国guo家jia中zhong医yiao综zong改gai革ge示shi范fan区qu和he四si川chuang中zhong医yiao强qiang建jiang设she，11月yue25日ri，四si川chuan省xing医学yiao保baozhang局ju和yu四si川chuan省xing中zhong医学yiao管guan理lianju联lian合he印yin发fa《关guan于yu医学yi保bao支zhi持chi中zhong医学yiao传zhuan承cheng创chuang新xin发fa展zhan的de实shi意见xian》(以yi下xia简jian称cheng)

　　四sichuan省xin医yi治疗、四si川chuan省xing中zhong医yi药yao管guan理li局juan在yu医yi保bao支zhi中zhong医yi药yao传zhuan承cheng创chuang新xin发fa展zhandeshi意yi见xian(川chuan医yi保bao规gui)〔2022〕16号hao）

　　《实shi施shi意yi见xian》全quan文wen如ru下xian：

　　实shi中zhong中zhong中zhong中zhong、国guo务wu院yuan关guan于yu推动cu进入jin中zhong医yiao传zhuan承担cheng创chuang新xin发fanzhandeyiyi见xian(中zhong发fang〔2019〕43号hao）、国guo家jia医yiliao保护、国guo家jia中zhong医yi药yao管guan理li局ju关guan于yu医yi保bao支zhi持chi中zhong医yi药yao传zhuan承担cheng创chuang新xin发fangzhande导演dao意见xian(医yi保bao函han〔2021〕229号hao)文wenjian精jing神shen，进入jin一yi步bu促cu进入jin我省xing中zhong医yiao创chuang新xin发fa展zhan，加jia快kuai推tui进入jin国guo家jia中zhong医yiao综zong改gai革ge示shi范fan区qu和he四si川chuang中zhong医yiao强qiang建jiang设she，结jie结合he实shiji，提ti出chu以yi下xia实shi施shi意yi见xian。

　　各ge市shi(州zhou)医yi治疗liao保护、中zhongyi药yao管guan理li局juan：

　　(一yi)支zhi持chi中zhong医yi药yao机ji构gou纳na入ru医yi保bao定ding点dian范fan围wei。及ji时shi将jiang符合fu合he条tiao件jiande中zhong医yi(包括han中zhong西xi医yi结jiehe、少shao数shu民minzu、zhong医yi诊zhensuo)医yi治疗liao机ji构gouo、中zhong药yao零ling销售shou药yao店dian等deng纳na入ru医yi保bao协xie议yi管guan理li，不bu要dei设置she置zhi“玻boli门men”“隐yin形xing门men阈kan”。ji时shi将jiang符fu与he条tiao件jian的de定ding点dian中zhong医务yi医务liao机ji构gou纳na进入ru异yi地di就jiu医务yi直zhi接jie结jie算suan范fan围wei，扩展kuo大da中zhong医务yi药务wu范fan围wei，提ti升sheng中zhong医yiao医yiao医yililiao机ji构goude区域yu辐射fu射yilili和he影ying响xiangli。按照angui定ding将jiang三san级ji公gong立li中zhong医yi医yiliao机ji构gouna纳入ru首shou诊zhen医yi院yuan，合he理li确认que定ding中zhong医yi医yi治疗liao机jiou住在zhu院yuan和he门men诊zhen特殊shu疾病bingbing治疗zhiao，qi付fu标biao准zhun和he报bao销售xiao比bi例li。

　　一yi、支zhi持chi中zhong医yi治疗

　　(三san)将cu推入jin“互hu联lian网wang＋中zhong医yi药yao发fa展zhan。yi开kai展zhan互hu联lian网wang诊断zhen治疗liaodeding点dianzhong医yi医yi治疗liao机ji构gou，按照an规定gui定ding和yu统tong筹集chou区qu医yi保bao，通过jing办ban机ji构gou签订qiangding补bu充chong协xie议yi，zhong医yi将jiang符合he规gui定dingde中zhong医yi在zai线xian复fu诊zheng、药yao产品pin等deng中zhong医yi药yao费用fei使用yong纳na进入ru医yi保bao基jin支zhi支付fu范fan围wei，并且bing根据an规则gui定ding由you各getong筹集chou区qu通过jing办ban机ji构gou和yu其qisuo依yi托tuodeshiti医yiliao机ji构gou进入jing行xing结jie计算suan。

　　(二er)支zhi持chi中zhong医yiao健jiang康kang养yang老lao发fa展zhan。支zhi持chi具ju，you中zhong医yao健jiang康kang养yang老lao特色sede医yi养yang结jie合heji构gou发fa展zhan，根据an规则，gui定ding将jiang符fu合hetiao件jiandeti提ti为gong中zhong医yiao服fu服务wudeji层ceng医yiliao卫生sheng机ji构gou和he康kang复fu医yi院yuangyuang、安宁zhuliao护理、护hulili院yuan以yi和ji养yang老lao机ji构gou内nei设she中zhong医yi医yi医yiliao机ji构gouna入ru医yi保bao定ding点dian范fan围wei，促cu进入jin中zhong医yiao服fu务wuyou质zhi资zi源yuan均jun衡heng发fa展zhan，满man足zu人ren民min群qun众zhong健jian康kang需要xu求qiu。

　　(四si)支zhi持chi中zhong医yi创建chuang新xin技术jizhu。完成wan善shan新xin添加zengzhong医yi(民min族zu医yi)服务wu服务jiange项目xiangmu管guangli政zheng策ce，丰feng丰富zhong医yijiange项目xiangmu，常chang态tai化hua开kai展zhan新xin添加zeng医yiao服务wu价jiange项xiang目mu评论pingshen，每个mei年nian到zhi少shao组zhi一yi批准pi中zhong医yi(民min族zu医yi)新xin增加zeng医yiliao服务wu价格jiange项xiangmu立li项xiang评价pingshen。对dui来lai源yuan，yu古gu代dai经jindiandi、jin仍然是reng广guang泛fang应ying使用yong、治疗liao效果xiao确que切qiede中zhong医yi(民min族zu医yi)传zhuan统tong技jizhu以yi和ji创建chuang新xing、jing济ji性xing优you势shi突tu出chude中zhong医yi(民间min族zu医yi)新xin技jizhu，简jian化hua新xin增zeng价格jiage项xiang目mu审shen核hu程cheng序xu，开kai辟pi绿lv色se通tong道dao。

　　二er、推tui动dong中zhongyi药yao服务fu服务wu价格jiage改gai革ge

　　(六lu)支zhi持chi开kai展zhan中zhong医yi特te需要xu医yi治疗liao服fu务wu。鼓gu鼓励li符fu合he条tiao件jiande公gongli医yi治疗liao机jiaou按anguiding定ding开kai展zhan诊zhen查zhan费fei(特te需要xu)、中zhong医yi体ti质zhi识别bian识别shi(特te需要xu)、中zhong医yi健jian康kang调zhou养yang咨询xun(特te需要xu)等deng特te需要xu医yi治疗liao服fu务wu，并且bing可ke根gen根据ju中zhong医yi医yi师shi不bu与tong级ji别bie，在zai综zong合he考kao考虑lv医yi师shi劳lao务wu价jia值zhii、在deng因yinsu的de基jichu上shang，如名ming声sheng名ming望wang，you医yi治疗liao机ji构gou自zi主zhu制zhi定ding不bu与tongde收取shou费fei标biao准zhun。

　　(五wu)完成wan善shan医yi疗liao服务fu务jiage动dong态tai调zhou整zheng机ji制zhi。每个mei年nian到zhi少shao组zhi一yi次ci调zhou价jia评ping估gu，符合fuhe调zhou价jia条tiao件jianshi，稳wen妥tuo有you序xu做zuo好hao价格jiagezhouzheng，对duitixian中zhong医yiren员yuan技jizhu劳lao务wu价jia值zhide中zhong医yi服fu务wu项xiangmu给yuyi扶fu持chi，优you先xian将jianggongliao效果xiaoming显示xiang、患有huanzhe广guangfan接受shohohohohohohohoh、特tese优youshitu出chu、应ying使用yong历史shiyou久jiu，成cheng本ben和he价jia格ge明ming显xian偏pian离li的de中zhong医yi(民min族zu医yi)医yi治疗liao服务fu务wu项xiang目mu纳na进入ru调zhou价jia范fan围wei。

　　三san、支zhi持chi中zhong药yao和he中zhong医yi医yi治疗liao服务wu项目xiang目mu纳na入ru医yi保bao支zhi支付fu范fan

　　(七qi)促使cu进入jin中zhong药yao优you质zhiyou价格jia。以yi省xing级ji或huo省xing际ji区qu域yu联lian盟meng为wei基jichu，开kai展zhanzhong为cheng药yao，带dai量liang采cai购gou，将cu推入jin中zhong成cheng药yao生sheng生产chang企业ye高gao质zhi量liang发fa展zhan。在dui公gong立li医yi疗liao机ji构gou从cong正zhengggui渠道dao采cai购gou的de中zhong药yao饮yin片pian，允许yun许xu按照zhao购买gou进入jingjiage顺shun加jiao不bu超chao25%进入jin行xing销售xiaoshou。在非fei饮yin片piande中，zhong药yao严yan格ge按照zhao实shinji购买gou进入jin价jiage“零ling差chaishuai”销售shou。中zhong药yao饮yin片piandeju体tifan围wei以yiao品pin监jian管guan部bu门mendededingxing为wei准zhun。公gong立li医yi疗liao机ji构gou无wu法fa提ti，gong中zhong药yao饮yin片pian实shinji采cai购gou票piaode，可ke参shen照zhao本ben地di区qu社she会hui药yao店dian购买gou进入jin价jiage作zuo为wei监jian管guan照yiju。医yi治疗liao机ji构gou炮pao制zhi使shi使用yongde中zhong药yao饮yin片pian、zhong药yao制zhi剂ji实shi行xing自zi主zhu定ding价jia。探索tan索suo将jianggong立li医学yiao机ji构gou采用cai购买goude中zhong药yao与pei方fang颗粒lina进入ru省xing药yao机xie集jizhong采用cai购买gou和ji医学yiao价格jiage监jian管guan平ping台tai挂gua网wang交jiao易yi，将cu推入jin交jiao易yi公gong开kai透明touming。

　　(九jiu)强qiang化hua中zhong医yiao在zai疫yiqing防fang治zhi中zhong的de作zuo使用yong。注zhu重zhong发fa挥hui中zhong医yiaoyao在zai重zhong大da疫yiqing防fang治zhi中zhong的de积ji极ji作zuoyong，建jian立li完成wan善shan符fu合he疫yiqing诊断zhen治疗liao规gui范fande中zhong医yiao费用fei用yong按angui定ding纳na进入ru医yi保bao支zhi支付范fan围wei的deji制zhi。zhong在zai重zhong大da疫yi情qing中，对于dui在yu国guo家jia卫wei生sheng健康jian康kang部bu门men诊断zhen治疗liao方fang案an中，zhong不bu在zai基ji本ben医疗liao保险xian目mu记录lu范fangwei内nei，qie和yu治疗liao有you关guande中的zhong成为cheng药yaong、中zhongyao饮yin片、中zhong医yi诊zhen治疗liao项xiang目mu以yi和ji经jing省xing药yao监jian部bu门men批准pi准zhunde医yiao机ji构gou中zhong药yao制zhiji，根据zhao相xiang关guan规则，gui定ding临lin时shi纳na进入ru医yi保bao支zhi支付fu范fan围wei。

　　(八ba)将tui推入jin中zhong医yi药yao，使shi使用yong。结jie和he我省xing实shi际ji，建jianli动dong态tai调zhou整zheng机ji制zhi，按照an规则gui定ding将jiang符合fu合he条tiao件jiandeminzu药yaog、中zhong药yao饮yin片pian和he医yiao机jiao构gou中zhong药yao制zhinina入ru我省xing基ji本ben医yiao保bao保险xiao支zhiao范fan围wei。《药yao品pin目mu录lu》内nei中zhong药yao饮yin片pian除chu中zhong药yao配peingfang颗粒keli按照zhao“乙yilei药yao品pin”管guan理li外wai全部jun按照an“甲jia类lei药yao品pin”管guan理li。将jiang通过jing国guo家jia谈tan判pannna进入ru医yi保bao目mu录lude中zhong成cheng药yao配peibei、使shi用yong纳na进入ru监jian测ce评价ping。充chong分fen利li用yong“双shuang通tong道dao”药yao品pin管guan理li机ji制zhi，将jiang参shen保bao患huangzhe用yong药yaodequ道dzhi展zhan到dao定ding点ding零ling销售shong更geng好haodi保bao障zhang参shen保bao群qun众zhong使用yongyao需要xu求qiu。将jiang符fu合he“处chu方fang管guan理li办ban法fa”和he“医yi院yuan中zhong药yao饮yin片piang管guan理li规gui范fan”，但dan超chao将guang药yiang药yao饮yao饮yao饮yian片pian片pian医yian片pian片pian片piang中的zhong药yao饮yao饮yiang药yian片piang添加到chuang中。非fei中zhong医yi类leibie医yishi按照zhao卫wei生sheng健jiang康kang行xing政zheng部bu门men有you关guang规则gui定ding开kai具jude符合he条tiao件jiang的de中zhong，医yi保bao基ji金jin按angui定ding支zhi付fu。

　　(十shi一yi)加jia大da对dui中zhong医yi特te色se优you势shi医yiliao服务fu项xiang目mu的de倾qing斜xie力li度duo。ji时shi将jian治疗liao效果xiao确que切qiee、适合shia格子、安全quan有you效果、体ti现xian中zhong医yi特te色se优you势shide中zhong医yi诊zhen治疗liao项xiang目mu(包括han治疗zhiangxiang康kang复fu项xiang目mu)。逐zhu步bu统tong一yi全quangxing中zhong医yi诊zhen治疗liao项目xiangmu医yi保bao支zhi支付fu政zheng策ce，规gui范fan使shi使用yong中zhong中zhong医yiao服务fu项目xiangmu，医yi保bao支zhi支付fu不bu得dei设置she置zhi不bu合heli限xian制zhi，保bao障zhang参shen保bao群qun众zhong享受xiang受shou传zhong统tong中zhong医yi诊断zhen治疗liao服务fuxing。

　　(十shi)支zhi持chi医yi治疗liao机ji构gou中zhong药yao制zhi剂ji使shi使用yong。按照zhao《四sichuan省xing基本ben医yiliao保险、工gong伤shang保bao险xian和he生sheng育yu保bao险xian医yiliao机ji构gou制zhiji支zhi支付fu管guan理liangxiang办ban法fa规定guiding，统一tong一yi全quan省xing基本ben医yiliao保险、工gong伤shang保bao险xian和he生sheng育yu保bao险xian医yi治疗liao机ji构gou制zhiji目mu录lu，建jiannli动dong态taiongtaiou整zhengji制zhi，原yuan则ze上shang每mei年nian调zhou整zheng一yi次ci，及ji时shi将jiang符合fu合he条tiao件jiande医yiao机jiao构gou中zhong药yao制zhiji按angui定ding纳na入ru医yi保bao基ji金jin支zhi付fu范fan围wei。目mu记录lu内neide医学yi治疗liao机ji结构gou中zhong药物yao制作zhi剂ji在zai药物yao产品pin监督du管guan理li部bu门men批pi准zhunde调整zhou剂ji范fan围wei内nei使用yongde，可ke按an程cheng序xu纳na进入ru医yi保bao基ji金jin支zhi支付fu范fan围wei，支zhi持chi医yiliao机ji构gou中zhong药yao制zhiji的de推tui广guang使shi使用yong。根gen根据ju医yiliao机ji构gou中zhongyao制zhiji制zhi制zhi制作chenbhi、bendi区qu医yi疗liao水shui平ping、jing济ji发展zhan水shuipig、医保bao承chengshou可以、患huanzhe承cheng受shou能nengli等deng因yinsu，按照zhao科学习xue合helililililili、deng等dengshang、动dong态tai调zhou整zheng的de原yuan则ze制zhi定ding医yi保bao支zhi支付fu标biao准zhun。

　　(十shi二er)加jia强qiang医yi保bao总zong额e预yu算suan管guan理li。

　　(十shi二er)加jia强qiang医yi保bao总zong额e预yu算suan管guan理li。提到高gao医yi保bao总zong额e预算算suande科ke学xue性xing、合heli性xing，对于dui中zhong医学yi医学yi治疗liao机ji构gou(包括han中zhong医学yi医学yi治疗liao机ji构gou牵qian头tou组zu建jiande紧jinmi型xing县xuanyu医学yiggongti)，在zai总zong额e预yu算suan上shang适shi作为dang倾qing斜xie。加jia大da对dui基ji层ceng医yi疗liao卫生sheng机ji构gou开kai展zhan中zhong医yiao服fu务wude支zhi持chilili度duo。

　　四si、完成wan善shan适shi，zhong医yao特te点diande支付fu政zheng策cece

　　(十shi四si)建jianli中zhong医yiao临lin床chuang应ying使用yongde激jili机ji制zhi。在加jia强qiang中，zhong医yiao定ding点dian医yiao机ji构gou考kao核hu，在zaiDRG/DIP支zhi付fu清qing中，zhong，xing中zhong医yi医yi治疗liao机ji构gou中zhong医yiao诊zhen治zhishuai(简jian称cheng中zhong治zhishuai)和yu医yi保bao支zhi付fu挂gua钩goude激jili机ji制zhi，有you效xiao促使cu进入jin中zhong医yiao服fu务wu的de临lin床chuang应ying使用yong，体tin中zhong医yiao价jiao值zhiao、将cu推入jin中zhong医yi医yi治疗liao机ji构gou良liang性xing发fa展zhan。zhong治zhishuai是指zhizhi中zhong医yi医yi治疗liao机jiou住在zhoniyuan中zhong药yiai、中zhong医yilililiao服务、中zhong成cheng、在医yi治疗liao机ji构gou中，zhong药yao制zhingji四si项xiang收shou入ruzhi，he占zhan住在zhu医院yuan医yi治疗liao收shou入ru比bi例li。

　　(十shi三san)将tui推入jin中zhong医yi医yi保bao支zhi付fu方fangshi改gai革ge。

　　(十shi三san)将tui推入jin中zhong医yi医yi保bao支zhi支付fu方fangshi改gai革ge。一yiban中zhong医yi医yiliao服务wu项xiang目mu可ke继续ji续xu，按an项xiang目mu支付fu费fei。探tan索suo实shi施shi中zhong医yibingbingzhong按angbingzhong分fen值zhi支付fu费fei，选择xuan中zhong医yibingbingzhongzhong，合heli确定queding分fen值zhi，实shi施shidong。zhong医yiou势shingzhongzhongzhongzhongzhongzhong选择xuan发fa布bu符fu与he四si川chuan实shingjidedebingzhong，优you先xian纳na入ru，按an病bing种类zhong支付fu费fei范fan围wei，推tuin进jin按anzhong医yi疗liao效果xiao价格jiao值zhi支付fu费fei，实shi行xing中zhong西xi医yi与tong病bing、tong效果xiao、tong价格jia。鼓gu鼓励li市shi(州zhou)先xian行xing探索tan索suo中zhong医yi优you势shibingzhong按an病bingzhong支付fu费fei，中zhong医yi医yiliao机ji构gou可以ke暂zan不bu实shingxing按an疾病bing诊断zhongduangxiang（DRG）付fu费fei，de地di区qu，dui已经yi经jing实shi行xingDRG和he按an病bingzhong分fen值zhi支付fu费fei，适合shi作为dang提ti高gao中zhong医yi医yi治疗liao机ji构goui、中zhong医yibingbingzhongde系xi数shu和he分fen值zhi，充chong分fen体ti现在xian中zhong医yiao服fu务wu特te点dian和heyoushi。选择lin选择xuan康kang复fu医学、安宁zhu治疗liao护hu等deng需要xuyao长zhang期qi住zhu院yuan治疗zhiliao，qie日ri均jun费用fei，yong比jiao稳定wen定dingde中zhong医yiyou势shingbingbing实shingxing。ji时shi将jiang国guo家jia制zhi定dingde日riangbingbingbingbingbingzhong目mu记录lu纳na进入ru病bingzhongzhong付fu费fei，合heli确定que定ding付fu费fiangbiangbiangbiangzhing。建jian立li完成wan善shan支zhi持chi改gaige创建chang新xinde激ji励li机ji制zhi，鼓gu鼓励li市shi(州zhou)积ji极ji探索suo开kain中zhong医yiyi保bao支zhi支付fangshi改gaige。

　　(十shi六lu)将tui推入jin紧jin密mi型xing医yi联lian体ti建jianshe。支zhi持chi建jian设she中zhong医yi医yiliao机ji构gou牵qian头tou组zu建jiande紧jian密mixing医yianlian合heti，实现shi行xing总zonge付fu费、加jia强qian监督du考kao核hu、结jie余yu留liu，yon、合he理li超chao支zhi分fen担dande支zhi支付fu政zheng策ce，推tui动dong优you质zhi中zhong医yi药yao医yi疗liao资zi源yuan下xia沉chen到dao基ji层ceng医yi疗liao卫wei生sheng机ji构gou，提ti升sheng基ji层ceng中zhong医yi药yao服fu务wu能neng力li。

　　(十shi五wu)支zhi持chiji层ceng医yiliao机ji构gou提ti，供gong中zhong医yiao服fu务wu。鼓gu励li定ding点dian中zhong医学yi治疗liao机ji构gou在zai其qi诊zhen治疗liao范fan围wei内nei承cheng担任dan医学yi保bao门men诊zhen慢man特tebing的de诊zhen治疗liao，充chong分fen发送fa挥hui中zhong医yiaoyao在zai慢mante病bing防fang治zhi中zhong的de作zuoyong。在zai符fu合he条tiao件jiandeji层ceng医yisheng机ji构gou开kai展zhan按an人ren头tou支付fu费fei，鼓gu鼓励li家jia庭ting医yisheng提供gongzhong医yiao服fu服务wu，鼓gu励lizhong医学yi医学yi师shi和he有youtiao件jiande中zhong医学yi诊zhensuo组zu建jian团tuan团队dui开kai展zhan家jia庭ting医学yi生sheng签约yue服务wu。医学yi保bao部bu门men加jia强qiangxie、完成wanshan结jiesuanban法、加jia强qiang绩ji效xiao评ping价jia，完成wan善shan结jie余yu留liu用yongde激jili政zheng策ce，鼓gu鼓励li引yin导dao基ji层ceng医yi疗liao卫weisheng机ji构gou提ti为gong适合shiyi的de中zhong医yi药yao服fu务wu。

　　五wu、强qianghua基jin监管

　　(十shi七qi)发送zhong医yi药yao在zai门men诊zhen共gong济ji保bao障zhang中zhong的de作zuoyong。建jian立li健jian全quan基ji本ben医yiao保bao险xian门men诊zhen共gong济ji保bao障zhang机ji制zhi，将jiang符fu合he医yi治疗liao保bao障zhang政zheng策cegui定dingden诊zhen医yi治疗liao费fei使用yong(包bao包kuo中zhong医yi诊zheng、中zhongyao饮yin片、民间min族zu药yao产品pin和he中zhong药yao制zhiji等deng)纳na入ru统tongchou基jin支zhi支付fu范fan；将jiang参shen保bao人ren员yuan在zaiding点dian医yiao机ji构gou发送fa生shengdeying，you个geren负fu担diandendeyong，zhong医yao医yiao医yiao医yiao费用fei，纳na进入ru职业zhi工gong基ji本ben医yiao保bao保险xian个geren账zhanghu支zhi支付fu范fan围wei，减少xiang低di群qun众zhong，使shi使用yong中zhong医yiao医yiao医yiao费用fei，

　　(十shi九jiu)完成wan善shan智zhi可以neng监督jian控制kong系xi统tong。持chi续xu推tui进入jin医yi保bao智zhi可以neng监控jiankong制zhiduo建jianshe，针zhen对dui中zhong医yiao行xing业ye特te点dian和ji中zhong医yiao定diang医yiao机ji构gou违反wei法fa违反wei规定gui使shi使用yong医yi保bao基jing行xing为wei特te点diang，建jian立li和he完成wan善shan智zhi可以nen监控jiankong知识zhi库ku、规则ze库kui规则、根据ju模mu型xing，大da数shu。

　　(十shi八ba)加jia强qiang日ri常chang监jiang监督du管guan理li。健jian全quan常chang状态tai日richang监jiang管guan机ji制zhi，坚jian持chi深shen进入ru推tuin进入jin打da击ji欺qizhang保bao专zhuan项xiang管zhili，jie结合he日richang监督jian、省xing级ji飞fei检查jian，加jia强qiang对dui中zhong医yiao定ding点dian医yiao机ji构gou医yi保bao基ji金jin支zhi出chu管guan理li。重zhong点dian查zha处chu中zhong医yiao定diang点dian医yiao机ji构gou虚xu假jian查zhen治疗liao行xing为wei，yi防fang范fan虚xu构gyao服务fu服务wu项xian目mu、套tao项xian收取shou费、通过guo度duo医yi治疗liao为weifang到xiang，加jia强qiang对dui中zhong医yiao定ding点dian医yao机ji构gou违反wei法fa，使shi使用yong医yi保bao基jing行xing为weideide监jian管guan，将tui推入jin定ding点dian中zhong医yi药yao机ji构gou落luo实shi基ji金jin，使shi用yong主zhu体tizeren，合heli使shi用yong医yi保bao基jin，规gui范fan中zhong医yiaoyao诊zhen疗liao服fu务wu行xing为wei。

　　各gedi医yi保bao部bu门men、中zhong医yi药yao主zhu管guan部bu门men要yao高gaoduo重zhong视shi，统tong一yi思sixiang，加jia强qiang组zu编zhi领ling导dao，进入jin一yi步bu明ming确que任ren务wu和he责ze任ren，细xi化hua工gong作zuo措cuo施shing；要yao做zuo好hao部bu门men协xie调zhou，完成wanshan部bu门men联lian动don、xie和ton监jian管guan、定ding期qi会hui商shang等deng工gong制作zuo机ji制zhi，统tong筹集chou推tui进入jin医yi保bao支zhi持chi中zhong医yiao传zhuan承担cheng创建chuang新xin发fangzhangdexiang；yao充chong分fen发falhui中zhong医yi医yi治疗liao机ji构gou在zai医yi保bao支zhi支付fu管guan理lidezuo使用yong，及ji时shi将jiang中zhong医yi药yao学习xue等deng相xiang关zhuan家jianna入ru医yi保bao专zhuan家jia库ku，完成wan好shan专zhuan家jian家jian专zhuan家jian专zhuan家jianduo。

　　(二er十shi)健jian全quan综zong合he监jian管guan制zhi度duo。建jian立li并bing完成wan善shan医yi保bao部bu门men和he中zhong医yiao主zhu管guan部bu门men相互hu配pei、协xie与tongjian管guan的de综zong合he监jian管guan制zhi度duo。加jia强qiang信xin息xi共gong享受xiang和he互hu联lian互hu通tong，促使cu进入jin监jian管guan结jie果guo协xie与tong运yun使用yong，完成wan好shan部bu门menlianxi会hui议yi制zhi度duo，建jian立lianlianlian合he工gong作zuo机ji制zhi，开kaianlian合he检jian查zha，加jian强qiang综zong合he监jian管guan效xiang，依yi法fa严yan严li查zha处chu各geleleiding点dian中zhong医yiao机ji构gou违反wei规则，gui违反wei法fa犯fan罪zui行xing为wei。

　　六lu、shi行xing时shi间jian和ji有you效xiao期qiao

　　本ben文wenjian发送fa布bu之zhi前qiande政zheng策ce和yu本ben意yi见xian不bu一yi致zhide，以yi本ben意yi见xian为wei准zhun。各gedi在zai贯guan彻che落luo实shi中zhong遇到yu到daode重zhong大da问wen题ti，yao按照zhao职zhi责ze职zhineng范fan围wei和ji时shishishishishishishishishishishishishishibao局juo、zhong中zhong医yi药yao管guan理li局ju。

　　四sichuan省xin医yi治疗   在xingxing中zhong医yiao管理leyucom乐鱼官网

　　2022年nian12月yue27日，《实shi施shi意yi见xian》ri启动qi施shi行xing，有you效xiao期qi5年nian。 　　2022年nian11月yue25日