医药分开是国家医改的终极目标之一,也是与国际接轨的重要一步。笔者认为,只要改革思路清晰、合理,按步骤逐一落实,实现医药分开指日可待。医药分开可以“四步走”。第一步,全面启动价格改革,促使医院转变观念,把药品视作成本而非收入。具体做法为,在全面取消医院药品加成、实行药品零差率销售的同时,合理调整医疗服务价格,让价格回归原位,比如调高诊查、手术、治疗、护理、中医等体现医务人 The separation of medicine is one of the ultimate goals of national medical reform and an important step toward international standards. The author believes that as long as the reform ideas are clear and reasonable, they will be implemented one by one according to the steps and the separation of medicine and medicine will be just around the corner. Medicine can be separated “Four steps ”. The first step is to start price reform in an all-round way, prompting the hospital to change its mindset and regard medicines as costs instead of income. The specific approach is to fully cancel the hospital drug addition, the implementation of zero-loss drug sales at the same time, reasonable adjustments to the price of medical services, the price return to its original position, such as raising the diagnosis, surgery, treatment, nursing, Chinese medicine, etc. reflect the