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<section class="" label="Copyright ? 2015 Yead All Rights Reserved." style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; white-space: normal; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section style="max-width: 100%; box-sizing: border-box; border: 0px none; word-wrap: break-word !important;"><section style="margin-left: 10px; max-width: 100%; box-sizing: border-box; border-radius: 0px 5px 5px 0px; text-align: inherit; text-decoration: inherit; word-wrap: break-word !important; background-color: rgb(244, 244, 244);"><section data-style="box-sizing: border-box;line-height: 30px; background-color: rgb(244, 244, 244);" style="padding: 10px 8px; max-width: 100%; box-sizing: border-box; font-weight: inherit; line-height: 30px; word-wrap: break-word !important;"><p style="max-width: 100%; min-height: 1em; line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">广东省惠州市在今年被列入第四批公立医院改革国家联系试点城市,目前正在紧锣密鼓开展前期工作。未来将主要从四个方面对公立医院“动手术”,其中之一就是推行药品和耗材两票制。</span></p><p style="max-width: 100%; min-height: 1em; line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">作为医改试点城市,推行两票制并不奇怪,因为国务院也要求了医改试点城市要率先推行两票制。但是,惠州市的不同之处在于,除了药品之外,也明确提出要推行耗材两票制。这是哪怕公立医改试点省也没明确提出来的。</span></p></section></section></section></section><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><p><br /></p><section class="" label="Copyright ? 2015 Yead All Rights Reserved." style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; white-space: normal; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section style="margin-right: auto; margin-left: auto; max-width: 100%; border: none; text-align: center; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="max-width: 100%; border-width: 1px 1px 1px 3px; border-style: solid; border-color: rgb(221, 221, 221) rgb(221, 221, 221) rgb(221, 221, 221) rgb(0, 187, 12); box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="margin-left: 2px; padding: 10px 10px 10px 20px; max-width: 100%; line-height: 30px; text-align: left; border-left-style: solid; border-left-width: 1px; border-color: rgb(0, 187, 12); text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important;"><p style="max-width: 100%; min-height: 1em; line-height: 21px; text-indent: 0em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> <span style="max-width: 100%; color: rgb(136, 136, 136); box-sizing: border-box !important; word-wrap: break-word !important;">5月<span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">30</span>日,惠州市卫生和计划生育局主任许岸高做客中国网,讲述惠州<span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">7</span>年医改历程及未来规划。在被问到“惠州作为第四批医改试点城市,未来有什么样的规划呢?”时,做出了以下回答:</span></span></p></section></section></section></section><p><br /></p><p style="max-width: 100%; min-height: 1em; white-space: normal; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><section class="" label="Copyright ? 2015 Yead All Rights Reserved." style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; white-space: normal; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section style="margin-right: auto; margin-left: auto; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><section style="margin-bottom: -10px; max-width: 100%; display: inline-block; vertical-align: top; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="padding-right: 5px; padding-left: 5px; max-width: 100%; border-bottom-width: 2px; border-bottom-style: solid; border-bottom-color: rgb(70, 118, 217); box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(254, 254, 254);"><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(0, 128, 255); box-sizing: border-box !important; word-wrap: break-word !important;">许岸高:</span></p></section><section style="margin-top: -2px; max-width: 100%; display: inline-block; vertical-align: top; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="max-width: 100%; width: 0px; border-top-width: 8px; border-top-style: solid; border-top-color: rgb(70, 118, 217); border-left-width: 8px; border-left-style: solid; border-left-color: rgb(70, 118, 217); box-sizing: border-box !important; word-wrap: break-word !important; border-right-width: 8px !important; border-right-style: solid !important; border-right-color: transparent !important; border-bottom-width: 8px !important; border-bottom-style: solid !important; border-bottom-color: transparent !important;"></section><section style="margin-top: -16px; margin-left: 2px; max-width: 100%; width: 0px; border-top-width: 6px; border-top-style: solid; border-top-color: rgb(255, 255, 255); border-left-width: 5px; border-left-style: solid; border-left-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important; border-right-width: 5px !important; border-right-style: solid !important; border-right-color: transparent !important; border-bottom-width: 6px !important; border-bottom-style: solid !important; border-bottom-color: transparent !important;"></section></section></section></section></section><p><br /></p><p style="max-width: 100%; min-height: 1em; white-space: normal; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">我们所有的县级公立医院均于<span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">2014</span>年前启动了县级公立医院改革,这次惠州市又列入第四批公立医院改革国家联系试点城市,目前正在紧锣密鼓开展前期工作。未来我们主要从四个方面对公立医院动手术,同时通过四个路径为医院输液输血。</span><span style="max-width: 100%; font-family: 宋体; font-size: 14px; text-indent: 0em; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></span></strong></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(0, 128, 255); box-sizing: border-box !important; word-wrap: break-word !important;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">四个手术是:</span></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">一是取消药品和耗材加成。实施药品和耗材零加成,切断医院“以药养医”的链条。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">二是推行药品和耗材两票制。就是指药品从药厂卖到一级经销商开一次发票,经销商卖到医院再开一次发票。两票制可以去除过多的中间环节,既能大大减少药物和耗材成本,又去除回扣空间,避免了医疗腐败。如果做得彻底,取消了药品和耗材加成,医院的明“收入”没有了;实行“两票制”,医生的暗“收入”也就清除了。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">三是控制医院收入。从住院次均费用、门诊次均费用、个人次均自付费用和药品耗材费用等控制医院收入。控制大检查、大化验、大处方,避免患者吃冤枉药、做冤枉检查。过度医疗不仅浪费了医疗资源,增加了患者经济负担,还使患者身体受到二次伤害。这是目前我国公立医院最受诟病的地方。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">四是落实分级诊疗制度。实行全科医生制度、家庭医生制度,减少或者取消三级医院普通门诊(如取消门诊输液等)。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></span></p><p style="text-align:center"><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhve34yAMyAsg9CibFd7PCm0GVhbhh7rfKDgcW5hIec68fonDNAHkeeCv8yaEicZDXKNuHHRA8Png3Fvw/0?wx_fmt=jpeg" data-ratio="0.5" data-w="" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; color: rgb(136, 136, 136); font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"></span><br /></p><section class="" label="Copyright ? 2015 Yead All Rights Reserved." style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; white-space: normal; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section style="max-width: 100%; box-sizing: border-box; border: 0px none; font-family: 微软雅黑; word-wrap: break-word !important;"><section class="" style="margin-top: 2em; padding-top: 0.5em; padding-bottom: 0.5em; max-width: 100%; box-sizing: border-box; border-style: solid none none; border-top-width: 1px; border-top-color: rgb(153, 153, 153); font-size: 1em; font-family: inherit; text-decoration: inherit; color: rgb(166, 166, 166); word-wrap: break-word !important;"><section style="margin-top: -1.2em; max-width: 100%; box-sizing: border-box; text-align: center; border: none; line-height: 1.4; word-wrap: break-word !important;"><span class="" style="padding: 8px 15px; max-width: 100%; color: rgb(153, 153, 153); font-family: inherit; text-decoration: inherit; box-sizing: border-box !important; word-wrap: break-word !important;">我是分割线</span></section></section></section></section><p><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">在动手术的同时,我们也从四个路径对公立医院进行输液输血:</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">一是落实政府投入六金。就是医院的基本建设、设备购置、重点学科发展、符合国家规定的离退休人员费用、政策性亏损和公共卫生服务费用,应该由政府投入。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">二是调整医疗服务价格。我觉得,医疗服务定价错误是医药领域所有问题的根源。据说在北京,宠物医院给狗看病,收费为:专家诊费每次<span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">200</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元,彩超每次</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">500</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元,心电图每次</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">200</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元,血压监测每次</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">50</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元,生化检查每次</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">600</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元,狗看一次门诊收费总计</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">1550</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元。宠物店宠物护理费用是:洗一次澡小狗</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">50</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元、大狗</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">100</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元;看护小狗一天</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">50</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元、大狗</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">100</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元。而同样在北京的三甲医院,护理一名重症病人</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">24</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">小时收费</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">9</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元,静脉注射</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">2.2</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元,吸痰</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">1.5</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元,膀胱冲洗</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">10</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">元。如果医疗服务价值不能养活医生护士,会怎么样?有经济学研究表明,医护人员如果从药品和耗材中赚取</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">1</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">块钱,病人就要多支付</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">6</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">、</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">7</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">块钱。福建三明的经验就是减少药品和耗材的支出,在病人自费比例不上升的情况下,为提高医疗护理价值提供更大的空间。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">三是实行医保支付制度改革。通过减少用药、减少检查、减少耗材、减少住院天数来降低医疗费用即医保的支出,同时要增加医保对医疗服务和健康管理的支付。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">四是政府投入经费建立医生培养培训体系。现在不但基层医疗机构招不到医生,城市医院也招不到合格的医生。如果政府不投入经费重建全科医生、家庭医生、住院医生的培养体系,我们这个体系很快就会出问题,甚至已经出问题。未来二三十年,随着我国老龄化社会问题日益突出,失能老人不断增加,健康医疗服务量会大幅度增加。但是整个社会不利于吸引医学院的学生做医生,有人统计,国家培养<span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">6</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">个医学生,最后只有</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">1</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">个能当成医生,而且医生的流失率也在升高。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">当然,从县级公立医院的改革来看,我们的问题是,针对医院和医生存在的问题开刀的力度大,比较到位;但输血、输液不到位,这就麻烦。可能旧的问题没有解决,新问题又出来了。</span></p><section class="" label="Copyright ? 2015 Yead All Rights Reserved." style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; white-space: normal; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section style="max-width: 100%; box-sizing: border-box; border: 0px none; font-family: 微软雅黑; word-wrap: break-word !important;"><section class="" style="margin-top: 2em; padding-top: 0.5em; padding-bottom: 0.5em; max-width: 100%; box-sizing: border-box; border-style: solid none none; border-top-width: 1px; border-top-color: rgb(153, 153, 153); font-size: 1em; font-family: inherit; text-decoration: inherit; color: rgb(166, 166, 166); word-wrap: break-word !important;"><section style="margin-top: -1.2em; max-width: 100%; box-sizing: border-box; text-align: center; border: none; line-height: 1.4; word-wrap: break-word !important;"><span class="" style="padding: 8px 15px; max-width: 100%; color: rgb(153, 153, 153); font-family: inherit; text-decoration: inherit; box-sizing: border-box !important; word-wrap: break-word !important;">我是分割线</span></section></section></section></section><p><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 从惠州市卫计局长许岸高的讲话来看,惠州不仅仅是要在药品领域推行两票制,也要在耗材领域推行。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 今年<span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">4</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">月,国务院明确发文,要在</span><span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">11</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">个医改试点省和试点城市推行药品采购“两票制”。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 原本以为,“两票制”会先在试点省生根发芽,然后扩展向全国,再然后才是向医疗器械领域里扩散,先耗材,后设备。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 但现在看来,两票制的推行速度要远远超过预期。在药品领域,至少<span style="max-width: 100%; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">15</span><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">个省份已经决定要推行“两票制”,浙江、福建两省更是要试水“一票制”。在医疗器械领域,广东省惠州市则直接将耗材与药品一起提出,要实行两票制。</span></span></p><p><br /></p><p style="text-align:center"><img data-type="gif" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhve34yAMyAsg9CibFd7PCm0GVQstxTTbZBRHQicicTtxptWWvA06iaxaY8c7GL1It6F5ZkbcBkAb3SfGOQ/0?wx_fmt=gif" data-ratio="0.6666666666666666" data-w="450" /></p><section class="" label="Copyright ? 2015 Yead All Rights Reserved." style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; white-space: normal; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section style="margin-right: auto; margin-left: auto; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><section style="margin-bottom: -10px; max-width: 100%; display: inline-block; vertical-align: top; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="padding-right: 5px; padding-left: 5px; max-width: 100%; border-bottom-width: 2px; border-bottom-style: solid; border-bottom-color: rgb(70, 118, 217); box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(254, 254, 254);"><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(0, 128, 255); box-sizing: border-box !important; word-wrap: break-word !important;">代理商、药企应对困难</span></p></section><section style="margin-top: -2px; max-width: 100%; display: inline-block; vertical-align: top; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="max-width: 100%; width: 0px; border-top-width: 8px; border-top-style: solid; border-top-color: rgb(70, 118, 217); border-left-width: 8px; border-left-style: solid; border-left-color: rgb(70, 118, 217); box-sizing: border-box !important; word-wrap: break-word !important; border-right-width: 8px !important; border-right-style: solid !important; border-right-color: transparent !important; border-bottom-width: 8px !important; border-bottom-style: solid !important; border-bottom-color: transparent !important;"></section><section style="margin-top: -16px; margin-left: 2px; max-width: 100%; width: 0px; border-top-width: 6px; border-top-style: solid; border-top-color: rgb(255, 255, 255); border-left-width: 5px; border-left-style: solid; border-left-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important; border-right-width: 5px !important; border-right-style: solid !important; border-right-color: transparent !important; border-bottom-width: 6px !important; border-bottom-style: solid !important; border-bottom-color: transparent !important;"></section></section></section></section></section><p><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 25.6px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important;">1</span><span style="max-width: 100%; font-family: 宋体; font-size: 14px; line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important;">、底价开票的企业,一旦全部高开,现有的年回款额会上翻</span><span style="max-width: 100%; font-size: 14px; line-height: 21px; font-family: Calibri; box-sizing: border-box !important; word-wrap: break-word !important;">3-4</span><span style="max-width: 100%; font-family: 宋体; font-size: 14px; line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important;">倍,中间代理费是一笔不小的金额,而由于企业财务进项的相对固定,势必增加纳税额度,前面说了,高开部分纳税企业可以和代理商提前协商解决,不存在问题,关键是企业如何合规的把代理商中间的差额部分返还给代理商,这是对企业财务处理能力的考量,而对于一直执行高开的企业,把代理费合规的转出是新政策下对原有财务处理方式和能力的重新考量。</span><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">1.1 <span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">差额部分发票冲抵:不管是会议费、差旅费、租赁费,少量可以,额度太大,哪来的那么多票,更何况两票制后收集票据的难度也增大许多;</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">1.2 <span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">工资表冲抵:工资表冲抵也只能冲抵一部分不能冲抵全部,何况从税务、药监系统有一种说法:工资表必须和劳动合同、考勤、保险相对应,无劳动合同、无考勤或者没有缴纳各种保险者,一律不予认可,该条路子看来也会被堵死。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br /></span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; text-indent: 2em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br /></p><section class="" label="Copyright ? 2015 Yead All Rights Reserved." style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; white-space: normal; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section style="margin-right: auto; margin-left: auto; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><section style="margin-bottom: -10px; max-width: 100%; display: inline-block; vertical-align: top; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="padding-right: 5px; padding-left: 5px; max-width: 100%; border-bottom-width: 2px; border-bottom-style: solid; border-bottom-color: rgb(70, 118, 217); box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(254, 254, 254);"><p style="max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(0, 128, 255); box-sizing: border-box !important; word-wrap: break-word !important;">解决途径</span></p></section><section style="margin-top: -2px; max-width: 100%; display: inline-block; vertical-align: top; box-sizing: border-box !important; word-wrap: break-word !important;"><section class="" style="max-width: 100%; width: 0px; border-top-width: 8px; border-top-style: solid; border-top-color: rgb(70, 118, 217); border-left-width: 8px; border-left-style: solid; border-left-color: rgb(70, 118, 217); box-sizing: border-box !important; word-wrap: break-word !important; border-right-width: 8px !important; border-right-style: solid !important; border-right-color: transparent !important; border-bottom-width: 8px !important; border-bottom-style: solid !important; border-bottom-color: transparent !important;"></section><section style="margin-top: -16px; margin-left: 2px; max-width: 100%; width: 0px; border-top-width: 6px; border-top-style: solid; border-top-color: rgb(255, 255, 255); border-left-width: 5px; border-left-style: solid; border-left-color: rgb(255, 255, 255); box-sizing: border-box !important; word-wrap: break-word !important; border-right-width: 5px !important; border-right-style: solid !important; border-right-color: transparent !important; border-bottom-width: 6px !important; border-bottom-style: solid !important; border-bottom-color: transparent !important;"></section></section></section></section></section><p><br /></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 1<span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">、其实没有一种方式是可以圆满的解决目前的困境的 ,只能复合进行:</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 1.1 <span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">票据冲抵,尽可能的找票据冲抵,但是,票据溯源要合规,如会议费发票,必须提供会议场地租赁合同,人员签到表等等,比如车辆汽油费,必须提供公司给予车辆补贴报销的文件规定等等,而市场人员对财务税收政策不熟悉,这些都需要企业财务人员的高屋建瓴的应对,因此,新时期对财务部门的考量不是会不会做账,而是懂不懂国家政策和依据政策尽量向合规进行,降低财务风险和综合处理能力是考量财务部门的重点。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: 宋体; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"> 1.2 <span style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">代理者成立咨询公司或者策划公司等等形式,以期获得代理费用:这是目前网络上讨论推广的一种方法,当然,这种方法可以解决生产企业的问题,却将困难导向代理商,因为代理商成立公司后,以策划或者咨询的名义取得应该的代理费,那么它需要在获得代理费的同时向生产企业开具发票,费用到了公司,它就是公款,支出必须合规,目前靠支付临床费的做法将彻底没戏。而这也是国家一些列政策的目的之一:彻底砍掉医药经销过程的一切潜规则。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(62, 62, 62); line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;" /></p><p><br /></p><section class="" label="Copyright ? 2015 Yead All Rights Reserved." style="max-width: 100%; color: rgb(62, 62, 62); line-height: 25.6px; white-space: normal; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><blockquote class="" style="padding-top: 10px; padding-right: 10px; padding-bottom: 10px; max-width: 100%; border: 6px double rgb(70, 118, 217); color: rgb(68, 68, 68); font-family: 微软雅黑; word-break: break-all; box-sizing: border-box !important; word-wrap: break-word !important;"><p style="max-width: 100%; min-height: 1em; line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; font-family: 宋体; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;"> 医用耗材“两票制”之下,只有大的一级经销商才能生存,配送企业也会大量减少。对于中小型医械经销商来说,就是生死之劫。</span></p><p style="max-width: 100%; min-height: 1em; line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; font-family: 宋体; box-sizing: border-box !important; word-wrap: break-word !important;"> </span></p><p style="max-width: 100%; min-height: 1em; line-height: 21px; box-sizing: border-box !important; word-wrap: break-word !important;"><span style="max-width: 100%; font-size: 14px; font-family: 宋体; box-sizing: border-box !important; word-wrap: break-word !important;"> <span style="max-width: 100%; color: rgb(0, 0, 0); box-sizing: border-box !important; word-wrap: break-word !important;">从福建省三明市,到加入其药品耗材限价联盟的河北27个试点县,再到广东惠州市,医用耗材“两票制”虽还只是星星之火,不过在药品“两票制”加速推行之下,耗材“两票制”的燎原之势很可能要更快到来!</span></span></p></blockquote></section><p><br /></p><section class="" label="Copyright ? 2015 Yead All Rights Reserved." style="max-width: 100%; color: rgb(62, 62, 62); white-space: normal; line-height: 25px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><hr class="" style="max-width: 100%; border-color: rgb(51, 51, 51); border-width: 5px 0px 0px; border-top-style: double; box-sizing: border-box !important; word-wrap: break-word !important;" /></section><p><br /></p><blockquote style="margin-top: 5px; margin-bottom: 5px; padding-top: 5px; padding-right: 10px; padding-bottom: 5px; max-width: 100%; border: 0px; white-space: normal; line-height: 24px; font-family: 微软雅黑; color: rgb(51, 51, 51); font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(241, 241, 241);"><p style="line-height: 25.6px; max-width: 100%; min-height: 1em; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-family: Arial, Verdana, sans-serif; font-size: 14px; line-height: 24px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(249, 249, 249);">广州市设备维修有限公司</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">地址:广州市天河区银利街银利茶叶博览中心E栋4楼E4030室 邮编:510507</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电话:(+86)020-8722 8723 8764 5360 8764 2943 传真:020-8722 8623</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">全国统一免费服务热线:400-020-6788</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">微信公众帐号:</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img data-ratio="1" src="http://mmbiz.qpic.cn/mmbiz/dx3KibwtDhvfCZvZq5PcthnDKlnnq3AalhbichW77J3B70osicTickklZybNKUZqc44DZ0oaWaHm2p0TaA9478icwPg/0?tp=webp&wxfrom=5" data-type="jpeg" data-w="120" width="auto" style="box-sizing: border-box !important; word-wrap: break-word !important; width: auto !important; visibility: visible !important;" /></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">维修咨询:QQ: 712638 404</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">设备咨询: QQ: 712638 405</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">软件咨询:QQ: 712638 406</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">配件咨询:QQ: 712638 407</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">交流Q群:1106 11074</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">网址:http://www.yiliaoshebeiweixiu.com</span></p><p style="max-width: 100%; min-height: 1em; font-size: 12px; line-height: 24px; font-family: Arial, Verdana, sans-serif; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;">电子邮箱:service@yiliaoshebeiweixiu.com</span></p></blockquote>
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