科学谋划、统筹协调、强力攻坚，三年医改取得重要阶段性成效 Scientific plan、Overall coordination、Powerful crucial，Three years have an effective cure of the stage

　　考察结果显示，三年医改取得重要阶段性成效。

Investigation results show that，Three years have an effective cure of the stage。

　　一是建立强有力的组织实施机制。国务院成立了深化医药卫生体制改革领导小组，吉林、广东两省及其各市(区)、县也都成立了由政府主要领导同志担任组长，发改、卫生、财政、人社等部门负责人为成员的医改领导小组，合理划分各成员单位的工作内容，明确各项工作目标任务；同时，设立医改办，具体负责医改日常工作。医改以来，从中央到省市到区县建立起分工明确、上下畅通、运转高效、执行有力的医改领导机制，为改革提供了有力的组织保障。

One is to build a strong organization and implementation mechanism。The state council established deepen the reform of the medical care system in the leading group，jilin、Guangdong provinces and its cities(area)、County are established by the government, the main leadership comrade hold the team leader，Hair change、health、financial、People such as club director for members of cure of the leading group，Rationally divided the content of the work unit members，Clear each work task goal；At the same time，Medical establishment do，Be responsible for the daily work cure。Since medical，From the central to provinces and cities and counties to establish a clear division、Fluctuation open、Operation efficiency、Powerful execution of cure of the leadership mechanism，For reform provides a strong organizational guarantee。

　　二是加大财政投入力度。吉林、广东两省各级政府都努力调整财政支出结构，力保医改资金及时足额到位。广东省三年新增医改投入达781亿元，远远高于实施医改前明确新增420亿元的承诺；省各级财政三年用于基本医疗保障体系建设的资金投入共达441.6亿元，年均增幅达29.2%。总的来看，三年医改全国新增财政投入达12,409亿元，比既定的8500亿元增加了3909亿元，其中中央财政新增投入比既定的3318亿元增加了361亿元。

2 it is increasing financial investment。jilin、Guangdong provinces the government at all levels to adjust the structure of fiscal expenditure，Cure of the funds in place in time (in full。Guangdong province three years new medical up to 78.1 billion yuan investment，Far more than cure of the implementation of the new 42 billion yuan before clear commitment；Province at all levels for finance three years for basic medical insurance system, the construction of money into a total of 44.16 billion yuan，With an average annual increase of 29.2%。In general，Three years the cure of the new financial investment up to 12,$40.9 billion，More than 850 billion yuan of established an increase of 390.9 billion yuan，Among them the central finance new push much harder than if they were established 331.8 billion yuan added up to 36.1 billion yuan。

　　三是不断完善政策体系。三年来，中央共出台医改文件14个，各主要部门共出台配套文件50多个。为贯彻落实中央医改文件精神，吉林、广东两省各级政府部门出台了一系列配套政策措施，把五项重点改革任务落到实处。广东省惠州市在医改工作中坚持政策先行，先后出台了20多个相关政策文件，形成了较为完整的政策体系。

Three is constantly perfect policy system。Three years，The cure of the documents were issued 14，The main authorities for supporting documents issued more than 50。Implementation of the central cure of the spirit of the documents，jilin、Guangdong provinces government departments at all levels has issued a series of form a complete set of policy measures，The five key reform task into effect。Guangdong huizhou medical work in advance to policy，Has issued more than 20 relevant policy document，Form the relatively complete policy system。

　　四是鼓励各地大胆探索创新。广东、吉林两省在推进改革中涌现了大量的典型经验和做法。吉林省建立长效财政补偿机制和激励性分配机制相结合的稳定保障模式、改革医保支付方式、建设公共卫生六大体系等创新性做法，得到国务院领导和国务院医改办的肯定。广东省推进“三网合一”，实现医保城乡一体化；变“县级统筹”为“市级统筹”，提高基金抗风险能力；变“先垫钱后报销”为“一站式结算”，提升群众满意度等。长春市首创“721”模式(基层医疗卫生机构支出总额的70%拨付专项资金，20%的资金保障由各级政府通过购买公共服务实现，10%的资金由自身医疗服务费解决)。延吉市鼓励基层医疗机构开展中医药服务项目，并将费用报销比例提高5%。东莞市不断创新和丰富社区卫生服务的内容，如慢性病随访、产后访视、中医康复治疗等，开展人性化、个性化服务。敦化市积极推进村卫生室的乡村一体化管理，由乡镇卫生院负责对村卫生室行政、业务、财务、药品、新农合门诊统筹报销的统一管理等。

4 it is to encourage all over the bold exploration innovation。guangdong、Jilin provinces in carrying out reform and it has created a large number of typical experience and practice。Jilin establishing long-term financial compensation mechanism and incentive allocation mechanism are stable security model、Health-care reform of payment、The building of public health six system innovation practice，Get the leadership of the state council, and cure of the state council for sure。Guangdong province promoting“Combination of three nets”，Realize medical insurance the integration of urban and rural areas；change“County as a whole”for“City as a whole”，Improve the ability to resist risk fund；change“First pad after money to submit an expense account”for“One-stop settlement”，Improve the satisfaction, etc。Changchun first“721”mode(Basic medical and health institutions spending 70% of the total amount of the special fund allocated，20% of funding by the governments at various levels by buying public service realize，10% of the capital by their own medical service charge solve)。Yanji basic-level medical institutions and encourage Chinese medicine service project，And the expense ratio increased by 5%。Following constant innovation and enrich the content of the community health service，Chronic diseases such as follow-up、Postpartum visit、Traditional Chinese medicine rehabilitation treatment, etc，humanized、Personalized service。DuiHuaShi actively promote the integration of countryside village clinic management，By rural hospitals is responsible to the village clinic administration、business、financial、drug、New farming and outpatient service to plan as a whole the unity of the submit an expense account management, etc。

　　五是健全责任制度。国务院医改办每年都与各省签订医改任务责任书，建立医改工作责任制。吉林、广东两省将这一作法和本省实际结合起来，各级政府医改办每年都与医改领导小组各成员单位签订工作责任书，强化目标责任制，明确职责分工、量化指标、改革步骤、责任主体、评估办法、奖惩措施，年终将医改责任书完成情况作为工作考核的重要指标。医改责任制度的建立，大大提高了医改组织实施的控制力、执行力和协调力。

Five is the perfect liability system。Cure of the state council changes every year signed with the provinces to cure the task，Establish medical work responsibility system。jilin、Guangdong provinces will this practice and province actual together，Governments at all levels to do every year and cure cure of the leading group members signed the work unit，Strengthen the target responsibility system，Clear responsibilities、Quantitative index、Reform steps、Main responsibility、Assess way、Rewards and punishments measures，The cure of the completion will end as an important index of the performance。The establishment of the medical liability system，Greatly improve the organization and implementation of cure of the control、Execution and coordinate the force。