问题 单项选择题

基本药物制度是医改的核心内容之一,也是推进医改的重要一环。长春市结合实际,建立了以“721”资金保障、“同城同价”等政策为核心的一整套基本药物制度运行模式。为了进一步让百姓享受实施基本药物制度的成果,长春市从2010年8月开始及时调整报销补偿政策。经初步测算,通过调整基本药物制度报销政策,每年可以减轻参保职工和个人负担近2000万元。 为减轻群众看病经济负担,要严格监管药品价格过高过快增长,其中基本药物的采购环节监管就尤为重要。基本药物采购的相关责任主体是()

A.省级卫生行政部门

B.国家卫生行政部门

C.省级食品药品监督管理部门

D.国家食品药品监督管理部门

答案

参考答案:A

解析:

1.本题考查实施基本药物制度的目标。实施基本药物制度的目标:提高群众获得基本药物的可及性,保证群众基本用药需求;维护群众的基本医疗卫生权益,促进社会公平正义;改变医疗机构“以药补医”的运行机制,体现基本医疗卫生的公益性;规范药品生产流通使用行为,促进合理用药,减轻群众负担。

2.基本药物制度补偿模式,以奖代补是指中央财政奖补资金为一次性补助资金,分配因素主要根据各地基层医疗卫生机构实施基本药物制度和推进综合改革的工作进度、实施成效、人口情况及区域间财力差异确定。

3.以上两题考查基本药物制度补偿模式。

四大类:

①收支两条线是指基层医疗卫生机构的全部收入上缴财政专户,其全部支出纳入政府部门的预算管理,工作人员的待遇、药品“零差率”销售的补偿均有财政予以保证。

②有多种渠道,多头补偿。主要是以财政和医保基金为主,调整医疗服务费、药师补偿以及风险基金和社会捐助为辅的多头补偿机制。

③以奖代补。中央财政奖补资金为一次性补助资金,分配因素主要根据各地基层医疗卫生机构实施基本药物制度和推进综合改革的工作进度、实施成效、人口情况及区域间财力差异确定。

④政府全额补贴。支付全额补贴是对基层一老卫生机构因零差率销售减少的收入,按照15%的药品差价或者按照上年度药品销售利润为基数进行补偿,体现了政府主导作用和医疗公益性的初衷,但对政府财政要求很高。

4.本题考查基本药物集中采购。明确基本药物采购的相关责任主体:省级卫生行政部门是本省基本药物集中采购的主管部门,负责搭建省级采购平台,确定具备独立法人及采购资格的采购机构开展基本药物采购工作,并对基本药物集中采购过程中采购机构和基层医疗卫生机构进行管理和监督,协调解决采购中的问题。

选择题
完形填空

Condoleezza Rice is used to standing out. It is not only because she holds the position as U.S. Secretary of State. Her youth, gender and skin color have 36 a lot of attention throughout her political career.

Condoleezza Rice, 37 as Condi to her close friends, was born in 1954 in Birmingham. During 1950s,blacks were not treated as 38 citizens in the south. Although slavery was 39  in 1865,the southern states passed their own laws to continue the 40 of blacks and whites. Despite the discrimination 41 black people, her parents told her she could become 42 she wanted. They taught her to believe that great things were 43 for her.

Rice was a gifted student with a 44 for the piano and she entered college at the age of 15 with the 45 of becoming a concert pianist. Along the way she was 46 by political scientist Josef Korbel, the father of former U.S. Secretary of State Madeleine Albright.Rice 47  her plans and studied international politics, and in the 1980s she was teaching at Stanford University, 48 her career developed quickly. She 49 on George H. Bush's national security council(顾问) in 1989.Later she 50 to Stanford, and became its youngest, first female and first 51 provost after two years.

In 2001,Rice re-entered the political world, 52 George W. Bush's national security advisor. She has drawn international 53 in this position, and has been the most powerful national security advisors in American 54 .

She held this position until 2005,when 55 Secretary of State.

36.A. directed B. turned C. paid    D. attracted

37.A. known   B. Considered C. Seen   D. accepted

38.A. respectful     B. equal  C. different     D. noble

39.A. finished B. Stopped     C. Prevented   D. ended

40.A. difference     B. disagreement     C. separation   D. division

41.A. against  B. to              C. with    D. towards

42.A. whoever       B. whomever  C. whatever    D. whichever

43.A. desiring B. waiting      C. preparing   D. longing

44.A. talent    B. interest       C. hobby D. favourite

45.A. purpose B. goal    C. intention    D. attention

46.A. effected B. affected      C. impressed   D. influenced

47.A. changed B. postponed   C. cancelled    D. exchanged

48.A. which    B. where C. when  D. that

49.A. acted     B. waited C. served D. called

50.A. paid a visit    B. showed concern C. attended     D. returned

51.A. black     B. white  C. capable      D. efficient

52.A. turning  B. holding      C. becoming   D. taking

53.A. praise    B. approval     C. criticism     D. attention

54.A. politics  B. history       C. culture              D. government

55.A. elected  B. invited       C. appointed   D. succeeded