新华社成都８月１８日电（记者 叶建平）四川省中江县太安镇保安村年仅７岁的蒋浩患有白血病，自２００９年发病起共住院治疗１７次，花费１０万多元。沉重的医疗费用一度让这个家庭产生了放弃治疗的念头。然而，让蒋浩一家没想到的是，四川提高了先心病、白血病患儿报销比例，最终报销了７万多元。

    Xinhua news agency on August 18 - chengdu（Reporter YeJianPing）Sichuan province ZhongJiangXian taian town security village was only 7 years old JiangHao with leukemia，Since 2009, a total of hospitalization onset 17 times，Spent 100000 multivariate。Heavy medical expenses once let the family produced the idea of giving up treatment。however，Let JiangHao a thought is，Sichuan improve the congenital heart disease、Leukemia children proportion to submit an expense account，Finally to submit an expense account 70000 multivariate。

    蒋浩是四川推进医改的直接受益者。医改３年来，四川省通过建立健全全民医保体系、巩固完善基本药物制度、推进公立医院改革和统筹推进相关领域改革等４项措施，初步缓解了基层百姓看病难、看病贵。

    JiangHao is sichuan reform, promote the direct beneficiaries。Cure for three years，Sichuan province through the establish and perfect the medical insurance system、Consolidate the perfect system for basic drugs、Promote public hospital reform and advance the reform as a whole in related field on four measures，Preliminary easing grassroots people see a doctor difficult、The doctor your。

    全民医保体系让基层百姓看得起病。广汉市兴隆镇新街村村民张元庆因发烧在镇卫生院住院，报完账后自己仅花费１４０多元。后来，他到医院复诊，２０多元药费，自己也只付了１０元。“如今，不仅住院比以前便宜多了，而且连门诊都可以报销了。”张元庆说。

    The basic medical insurance system let people think highly of disease。GuangHanShi XingLongZhen new street ZhangYuanQing village because of fever in township health centers in hospital，The newspaper account after spending only 140 yuan。later，He had to go to the hospital visit，20 multivariate expenses for medicine，Oneself also only paid 10 yuan。“now，Not only in hospital much cheaper than before，And even the outpatient service can submit an expense account。”ZhangYuanQing said。

    四川省卫生厅厅长沈骥介绍说，在推进医改过程中，四川省建立和完善以基本医疗保障为主体，以其他多种形式的医疗保险和商业健康保险为补充，覆盖城乡居民的多层次医疗保障体系，通过加大医保投入，扩面提标，基本告别了因病致贫、因病返贫的历史。

    Sichuan province health department director 沈骥 said，In the process of reform in advance，Sichuan province to establish and perfect the basic medical insurance as the main body，With a variety of other forms of medical insurance and commercial health insurance for the supplement，Covering both urban and rural residents of multi-level medical security system，By strengthening the medical insurance investment，Expanding surface DiBiao，Basic bid farewell to become financially-difficult、The history of poverty due to illness。

    基本药物制度的推广让基层百姓看病更便宜。作为全国首个出台省、市、县级医疗机构基本药物配备使用比例政策的省份，四川在２０１１年底实现了基层医疗卫生机构实施国家基本药物制度“全覆盖”，并率先出台了基层医疗卫生机构采购使用基本药物监督管理办法。此后，全省基本药物实际销售价格下降２８．８％，药品零差率销售惠及群众６亿多元。

    Essential drugs system promotion let people see a doctor cheaper at the grass-roots level。As the nation's first issued province、city、Medical institutions at or above the county level with the basic drug use proportional policy provinces，Sichuan at the end of 2011 to realize the basic medical and health institutions implementing national system for basic drugs“Full cover”，And take the lead in issued a basic medical and health institutions purchasing use basic drug supervision and management measures。Since then，The essential drugs the actual sales price fell by 28.8%，Drug zero rate sales benefit the masses 600 million multivariate。

    公立医院改革“盘活”了医疗资源，给基层百姓提供了更为优质的医疗服务。成都市推进市管公立医院“管办分离”改革，成立了独立于卫生体制外的医管局，用市场的手段“倒逼”医院提高服务质量。３年来，“无假日门诊”“门诊诚信预付制”“病友平台”等基层医院实施的创新举措让百姓拍手称赞。

    Public hospital reform“Revitalize the”The medical resources，People give party provides a more high quality of medical service。Chengdu propulsion city tube public hospital“Tube do separation”reform，Set up independent of the health system outside the hospital authority，Use the means of market“DaoBi”The hospital to improve the service quality。Three years，“No holiday outpatient service”“Outpatient service integrity prepaid system”“Wardmate platform”Basic-level hospitals such as of the implementation of the innovation measures let people clap praise。

    在推进医改过程中，四川省还推进相关领域的改革，实施医疗资源结构优化和布局调整，创新卫生人才培养使用制度，推进药品生产流通领域改革等，为其他改革配套“兜底”。例如，四川省推进医师多点执业，鼓励具备行医资格的人员申请多个地点执业，并完善执业医师注册、备案、考核、评价、监管政策，建立医师管理档案，以缓解部分地区医疗人才“短腿”的尴尬。

    In the process of reform in advance，Sichuan province also promote the reform of the related fields，Implementation of the medical resources structure optimization and the layout adjustment，Innovation health personnel training use system，Promote reform of pharmaceutical production circulation field，For other supporting reform“out”。For example，Sichuan propulsion physicians more practice，Encourage have qualifications of practicing personnel application multiple sites，And perfect registered medical practitioners、record、assessment、evaluation、Regulatory policy，Establish physician management files，To alleviate part regional medical talents“Short legs”awkward。

    这是四川医改的一张成绩单：２００９年至２０１１年，国家共提出４３项医改任务、１６０项具体工作指标，四川省全部完成；卫生部最新监测分析，四川医改成效综合排名西部第一位、全国第八位。

    This food is a sichuan one of the medical report card：From 2009 to 2011，A total of 43 countries put forward reform task、160 items specific work index，Sichuan province is complete；The ministry of health monitoring analysis of the latest，Results in the west sichuan medical comprehensive first、The eighth national。

    更可喜的是，不久前，四川省２０１２年深化医改的方案正式出台：３项基本医保政策范围内统筹基金最高支付限额均不低于１０万元，试点县级公立医院取消药品加成，村卫生室一般诊疗收费５元、个人负担５角……一系列改革措施将进一步提升基层医疗服务水平和保障力度，惠泽更多的基层百姓。

    More delightful is，Not long ago，In sichuan province, 2012 years of reform, deepen the formal introduction of scheme：Three basic medical insurance policy within the scope as a whole of fund highest pay limitation are not less than 100000 yuan，Pilot public hospital at or above the county level shall cancel the drug addition，Village clinic diagnosis and treatment usually charge 5 yuan、Individual responsibility 5 Angle...A series of reform measures will further improve grassroots medical service level and guarantee strength，Favour more grassroots people。