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中国日报网河南2018-11-16 12:48:6
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www.TL.cm,  中国新闻社,简称“中新社”,是中国以对外报道为主要新闻业务的国家级通讯社,是以台港澳同胞、海外华侨华人和与之有联系的外国人为主要服务对象的国际性通讯社。医事服务费medicalservicefeesBeijingintroducedareformplanonWednesdaytoendmarkupsondrugpricesandadjustpricesof435medicalservices.北京22日推出改革方案,取消药品加成,调整435项医疗服务价格.今年的《政府工作报告》指出,"全面推开公立医院综合改革,全部取消药品加成,协调推进医疗价格、人事薪酬、药品流通、医保支付方式等改革.(Wewillintroduceoverallreforminpublichospitalsnationwide,abolishallmarkupsonpharmaceuticals,andmakecoordinatedprogressinreforminghealthcarepricing,staffingandremuneration,medicinedistribution,andmodelsofhealthinsurancepayment.)"北京率先发力,推出医改新政,显示出对执行医改任务的强烈决心.取消药品加成(drugmarkups)和挂号费(registrationfee)、诊疗费(treatmentfee),设立医事服务费(medicalservicefee),并规范医疗服务价格等举措,其目的是补偿医疗机构部分运行成本,体现医务人员的技术劳动价值.下面,我们用中英双语为大家梳理一下北京医改新政的几个亮点.医事服务费medicalservicefees此次公布的方案中,最引人注意的就是北京公立医疗机构将取消药品加成(不含中药饮品)和挂号费、诊疗费,设立医事服务费.StartingApril8,amedicalservicefeewillreplacedrugmarkups,registrationandtreatmentfees,accordingtotheplan.方案规定,从4月8日起,医事服务费将取代药品加成、挂号费及诊疗费.Drugpriceswerepreviouslymarkedupbyasmuchas15percent,butthiswillbedisallowedinmorethan3,600hospitalsandmedicalinstitutionsinthecity.此前,药品价格中至少包含15%的加成,改革方案实施以后,北京市3600多家医院和机构将不得再有药品加成.据了解,北京市医保基金将医事服务费整体纳入城镇职工基本医疗保险、城乡居民基本医疗保险、生育保险和工伤保险报销范围内.不过,不同级别的医院、医生,医事服务费及报销金额有所区别.比如,三级医院普通门诊医事服务费为50元,知名专家则为100元,两者的报销金额均为40元,而二级医院的普通门诊医事服务费为30元,报销金额为28元.调整医疗服务价格adjustingpricesofmedicalservices按照"总量控制、结构调整、有升有降、逐步到位"的原则,将对435个医疗服务项目价格进行有升有降的调整.上调护理、中医、手术等体现医务人员技术劳务价值的项目价格,下调CT、核磁等大型检查设备收费价格.Pricesofcertainmedicalservicesthatinvolvealotofexperience,skillsandlaborofmedicalstaffwillbeincreased,includingacupuncture,operationsandnursing.Butfeesforuseofcertainequipment,suchascomputedtomography(CT)andnuclearmagneticresonance(NMR),willbebroughtdown.针灸、手术及护理等体现医务人员经验、技术及劳动价值的特定医疗服务价格将进行上调,而CT、NMR等设备的使用价格则进行下调.例如,头部CT从180元降低到135元,核磁从850元降低到400-600元,PET/CT从10000元降低到7000元.而普通床位费,从现行的28元提高到50元;二级护理费用从7元提高到26元;阑尾切除术从234元调整为560元;针灸从4元提高为26元等.药品阳光采购transparentdrugpurchases方案明确将实施药品阳光采购,方法是向所有的药品生产企业公开药品质量指标、全国中标价格,向社会公开医疗机构采购、使用及品种变化信息,打破昔日药品价格等信息不透明状态.Toensuremedicinepricesdrop,Beijingwillmandatetransparentdrugpurchases,choosingsuppliersthroughopenbiddingandrequiringthefulldisclosureofdrugandproducerinformation.为确保药品价格下降,北京市将强制实施药品阳光采购,通过公开招标选择药品供应商,并向社会公开药品及生产厂家的信息.调整生活困难群体救助标准adjustmentstomedicalaidtolow-incomeresidents北京市民政局将调整特困供养人员、最低生活保障人员、生活困难补助人员和低收入救助人员的救助标准.Thereimbursementratioofoutpatientservicewillberaisedto80percentwithayearlycapof6,000yuanfromthepresent70percentand4,000-yuancap.Eightypercentofinpatientservicecosts,withayearlycapof60,000yuan,willbecoveredbymedicalaid.Aidtopoorpatientswithmajordiseaseswillalsobebumpedtoupto120,000yuanayear,or85percentofthetotalmedicalbill,fromthepresent80,000-yuancapand75percent.门诊救助比例从70%调整到80%,全年救助封顶线从4000元调整到6000元(享受城镇职工基本医疗保险的救助对象除外).住院救助比例调整到80%,全年救助封顶线调整到6万元.重大疾病救助比例从75%调整到85%,全年救助封顶线从8万元调整到12万元.美国总统特朗普上任后,美国从TPP退出,移民也不接受。在后厨,执法人员现场发现50余袋封装好的牛油,无任何标识、部分呈黑色。

(编译/林朝晖)但与过去不同的是,如果外国公司确实参与,我们希望外国公司将为美国创造就业。殡仪服务也日益智能化,每位逝者从进入殡仪馆开始就分配一枚二维码,此后每个环节都要扫码操作,防止发生错乱。研究住宅土地使用权到期续期问题,积极配合有关方面提出相关法律修改议案。

同时,由各职能部门划分为紧急(红色)、一般(橙色)两个等级。ThreepolicemenweresuspendedforfurtherinvestigationduetoanincidentinwhichaChinesemandiedatthehandsofFrenchpoliceathishomeonSunday,whichledtoasubsequentAsiancommunityprotestinParis.ThelocalnewspaperNouvellesD'Europereported18policeandgovernmentofficialsinParismetwith21leadersoftheChinesecommunityinFranceonTuesdayafternoontobriefthemonthelatestsituationanddiscusspossiblesolutions.Inthe19tharrondissementofParisonSundaynight,56-year-oldfatheroffive,LiuShaoyao,fromZhejiangProvince,wasshotinaconflictwiththreeFrenchpoliceofficersinhishome.Withchantsof"murderers"andcandlesthatspelled"oppositiontoviolence"liningtheroad,hundredsofmembersoftheFrench-ChinesecommunitytooktothestreetsofChinatowninParistoprotestoutsidethedistrict'spoliceheadquartersonMondaynight.Theprotestturnedviolent,assomeprotesterbrokedownbarricades,threwprojectilesandsetfiretocars.Protestersandpoliceclashedforseveralhours,resultinginthreepoliceofficersinjuredand35protestersarrested.However,ParispolicechiefMichelCadotsaidlateronTuesdaythat26demonstratorshadalreadybeenreleased,whiletheremainingnineChinesewouldbereleasedsoon.Atthesametime,heconfirmedthethreepolicemeninvolvedintheshootinghadbeensuspendedforinvestigationandthelocalChinesecommunitywillbeallowedtoholdlegalmemorialactivities.FrenchInteriorMinisterMatthiasFeklalsoconfirmedonTuesdayaninquiryhasbeenopened,promisingfullrespectofthelawtoestablishthefacts."Investigationswillcontinueandwillestablishthefacts."Feklcalledforcalm"toallowthecurrentjudicialproceedingstobecompletedwiththenecessaryserenity."EarlieronTuesday,theChineseForeignMinistrycalledontheFrenchgovernmenttoascertainthetruthasquicklyaspossibleandeffectivelyprotectsafetyandlegitimaterightsandinterestsofChinesecitizensresidinginFrance.ChineseForeignMinistryspokespersonHuaChunyingsaidChinahadsummonedadiplomatoftheFrenchembassyinBeijingTuesdayandurged"thoroughinvestigationoftheincidentandtakeeffectivemeasurestoensurethesafetyandlegalrightsofChinesenationalsinFrance."TheChineseauthorities"hopethatChinesenationalsinFrancecanexpresstheirwishesanddemandsinareasonableway,"Huaadded.RomainNadal,theFrenchForeignMinistry'sspokesperson,inastatementonTuesday,saidthataninvestigationwasunderway."ThesecurityofallChinesenationalsinFranceisapriorityfortheFrenchauthorities,"hesaid.OnSundaynight,apoliceofficershotdeadLiuShaoyaoathishomeinParisafteraneighborcalledthepolicetoreportadomesticdispute.Statementsprovidingversionsoftheincidentdiffer.AccordingtoFrenchmedia,thepolicemanwasexercising"legitimatedefense"whenheopenedfireagainst"anassailantwithscissors,"whoattackedtheofficerandinjuredhim.However,localChinesereports,quotingadaughteroftheman,said160-cm-tallLiudidnotattackthepolicemanatall."Myfatherdranksomealcoholandspokeloudlyatnight,andsomeneighborcalledpolice,"shewasquotedassaying."Thepolicemenknockedonthedoor,butmyfatherwasnotwillingtoopenit.Andmyfatherwaspreparingfishforcooking,sohehadscissorsinhishand.Thenthepolicemenbrokedownthedoor,enteredourhomeandshotmyfather.Therewasnotimeformyfathertoattackanyofthem.Thiswaswitnessedbymytwosisters."TheChinesecommunityinFranceprotestedagainTuesdayinnortheastParisinareasonableandpeacefulmannertodemandjustice."ForthefirsttimeinFrance,aChinesemanhasbeenshotdeadathomebypoliceduetoanunconfirmedconflict.Weareallveryangryandworried,"saidZhangHaiping,vicepresidentoftheRepresentativeCounciloftheAsianAssociationsofFrance."Lastyear,aChinesemanlosthislifeinaviolentattackbythievesinAubervilliers.ThistimeitwasMr.Liuwhowaskilledbyapoliceman.WeChineseresidentswhohavebeenoftenbadlytreatedinParisbythepoliceincaseofbeingrobbedorattackedbythethugs,couldnolongerlivesafehere,"saidZhang.当然我们也乐于看到俄罗斯扩大其影响力,同时希望在这些问题上与俄罗斯加大合作,而且过去中俄在这些问题上的合作也非常不错。“这是一场亲切和组织巧妙的演讲,但夹杂着硬气的话。

将城市保障性住房的建设目标纳入近期建设规划,确保保障性住房用地的分期供给规模、区位布局和相关资金投入。对于工作勤奋而有心求进的青年而言,耗费3年在22K的工作上,完全是不划算的事。亚投行的法定资本为1000亿美元,创始成员国中包括英法德等主要欧洲大国,此前美国曾劝说盟友不要加入亚投行。”营改增除了在微观层面帮助企业减负,同时在宏观层面对上海第三产业快速发展有所激励,经济结构得到持续优化。

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