4. 藥品加成
medicine markup

請看例句：

The State Council recently issued a guideline document on deepening medical reforms, which clearly requires all public hospitals to remove their medicine markups.
國務院近日發(fā)布關于深化醫(yī)療改革的指導文件，明確要求所有公立醫(yī)院取消藥品加成。

過去，公立醫(yī)院(public hospital)的藥品價格可在進價基礎上上浮15%，上漲的價錢即藥品加成(medicine markup/markup on drugs)。許多人質疑這從某種程度上導致了醫(yī)生和醫(yī)院為了賺錢而給病人多開藥(prescribe more medicines to their patients than necessary)。

醫(yī)院取消藥品加成是我國公立醫(yī)院改革(public hospital reform)的一部分，旨在打破公立醫(yī)院對藥物銷售的依賴(break the dependency of public hospitals on medicine sales)。文件還提出提高掛號費(registration fee)，使醫(yī)生憑借其勞動得到恰如其分的報酬(get proper payment for their labor)。醫(yī)院只提供醫(yī)療服務(medical service)，不再靠售藥來獲得利潤(stop making profits from selling medicines)。文件同時還要求醫(yī)院的藥品采購要透明(make their purchasing of medicines transparent)。

自2012年北京市的友誼醫(yī)院、朝陽醫(yī)院、同仁醫(yī)院、天壇醫(yī)院和積水潭醫(yī)院這五家醫(yī)院試點以"醫(yī)藥分開"(separate drug sales from medical services)為核心的改革以來，病人的經濟負擔(financial burden on patients)減輕了20%-30%。

[相關詞匯]

診療費 consultation fee

醫(yī)療支出 health expenditure

個人支出 individual expenditure

基本醫(yī)療保險制度 basic medical insurance system