经过三年的攻坚克难、强力推动，党中央、国务院确定的三年医改五项重点任务，即推进基本医疗保障制度建设、推行基本药物制度、健全基层医疗卫生服务体系、促进基本公共卫生服务均等化、推进公立医院改革试点等如期完成，取得了阶段性明显成效。

After three years of crucial gram difficult、pad，The party central committee、The cure of the state council determine three years the five key tasks，That is promoting basic medical insurance system construction、Implement system of basic drugs、We will improve grassroots medical and health service system、Promote equal access to basic public health service、The pilot program of reform of public hospital deadline，Made staggered significant results。

　　人民群众得实惠。从吉林、广东两省情况看，各级政府围绕人民群众切身利益着力推动改革。一是为城乡居民建立病有所医的保障网。截至2011年底，吉林省城镇基本医疗保险参保人数达到1350.6万人，新农合参合人数达到1302.1万人，参保(合)率分别达到92.5%和99.1%，超额完成国家下达的90%的目标任务；广东省参加基本医疗保险人数为9612万人，其中参加职工医保、居民医保和新农合人数分别为3234万人、3533万人和2845万人，总体参保率达到95%以上。在两省各地，关闭破产的国有企业退休人员、在校大学生、农民工和领取失业保险金人员等重点人群都纳入了城镇医疗保障范围。广东省城镇居民医保和新农合政府补助标准从2008年的每人每年90元提高到2011年的200元；职工医保、居民医保政策范围内住院费用报销比例分别达到87%和70%，新农合统筹区域内政策补偿比例也达到68%。吉林省城镇居民和新农合政策范围内住院费用比例从2010年的65%提高到2011年的70%以上。二是为城乡居民提供均等化的公共卫生服务。三年来吉林省累计投资25.2亿元，扶持了42个县级医院、121个乡镇中心医院、124个社区卫生服务中心和710个村卫生室，基层医疗卫生服务能力和均等化水平全面提升。2011年广东省全省人均基本公共卫生服务经费标准提高到25元以上，三年各级财政用于基本公共卫生服务均等化的资金投入达130.6亿元，城乡普遍实施10类基本公共卫生服务和7大类重大公共卫生服务项目。三是建立基本药物制度，大幅降低基层群众用药费用。吉林、广东两省政府办的基层医疗卫生机构全部实施基本药物制度，基本药物全部实行零差率销售，基层医疗卫生机构“以药补医”的历史已经结束。实行基本药物制度以后，广东省基层卫生医疗机构门急诊次均费用和住院次均费用同比下降了9.3%和14.55%。同时，两省建立新的基本药物采购机制，推出了招生产企业、招采合一、量价挂钩、双信封制、集中支付、全程监控等方面创新举措，基本药物价格比制度实施前平均降幅30%左右。吉林省2011年开展基本药物省级集中招标采购，中标药品价格与国家最高零售价相比，平均降幅达51.7%。基本药物制度的实施已开始让群众受益，群众就医负担逐步减轻。考察组考察乡镇卫生院时，听到患者说得最多的，是看病报销多了、花钱少了。一位农民说，过去救护车一响，一头猪白养，药价又贵，根本看不起病；现在药价降得这么多，做梦都没有想到，而且还报得这么多，看病不用怕了。

The people have to benefits。From jilin、At guangdong provinces，Governments at all levels around the vital interests of the people to the reform。One is established for urban and rural residents of multi-form security network。By the end of 2011，Jilin province town of basic medical insurance ginseng protect toll at 13.506 million people，New farming and ginseng add up to more than 13.021 million people，Ginseng protect($)Rate reached 92.5% and 99.1%, respectively，Overfulfilled country's target of 90% of the issued task；Guangdong attend insurance of primary medical treatment the population is 96.12 million people，One worker in health care、Medical residents and new farming respectively for 32.34 million people and number、35.33 million people and 28.45 million people，Overall CanBaoLv above 95%。In the two provinces all over，Close the bankruptcy of the state-owned enterprise retiree、College students、Migrant workers and unemployed insurance gold personnel key crowd into the town medical coverage。Guangdong medical insurance for urban residents and new farming and the government subsidies standards from 2008 90 increase per person per year in 2011 to 200 yuan；Worker health care、Residents within the scope of medicare policy be in hospital submits an expense account proportion reached 87% and 70%, respectively，New farming and plan as a whole to regional policy compensation in proportion to 68%。Jilin province and urban residents with new farm policy range hospital expenses from 65% in 2010 to increase to 70% in 2011 and above。2 it is to provide equal access to urban and rural residents of the public health service。Three years accumulative total investment of 2.52 billion yuan of jilin province，Support the 42 county hospital、121 towns center hospital、124 community health service center and 710 village clinic，Basic medical and health service ability and level of the equal access to the overall ascension。Guangdong province in 2011 the per capita basic public health service funds standard increased to 25 yuan，Three years at all levels for finance for the equal access to basic public health service capital investment of 13.06 billion yuan，Implementation of urban and rural common 10 basic public health service and seven categories of major public health service project。Three is to establish a system for basic drugs，The masses to sharply reduce drug costs。jilin、Guangdong provincial government do two basic medical and health institutions all implement basic drugs system，All basic drugs of zero rate differential marketing，Basic medical and health institutions“To fill medicine medical”History has ended。A system for basic drugs later，Guangdong grassroots health and medical institutions this second all expenses and hospital second all cost goes down 9.3% and 14.55%。At the same time，Two provinces to set up the new basic drug procurement mechanism，Introduced a recruit production enterprise、Called unity in、Price volume hook、Double envelope system、Centralized payment、Process monitoring innovation measures, etc，Price is higher than before the implementation of basic drugs system by an average of about 30%。Jilin province in 2011 basic drugs provincial focus on public bidding，The price of drugs and the country's highest than the retail price，An average drop of 51.7%。The implementation of the system of basic drugs has begun to let benefit for people，People go to a doctor gradually reduce the burden。The new study in mind，Hear one of the most patients said，Is a doctor to submit an expense account、Spend less。A farmer said，In the past the ambulance rang，A pig a white，Drug prices and expensive，Fundamental look down on disease；Now drug prices fall too so much，Never dream of，And reward that many，Don't be afraid to see a doctor。

　　卫生事业得发展。三年医改是新中国成立以来基层医疗卫生服务体系投入最多、建设规模最大、条件改善最明显的时期。吉林省积极探索建立包括急救、应急、传染病防治、大病救治、信息化管理、基本药物供应保障在内的公共卫生六大体系，并将其纳入吉林省国民经济和社会发展“十二五”规划，计划5年投入300亿元。医改三年，广东省医疗卫生事业财政投入年均增长率达28.38%，占财政一般预算支出的比重从2008年的5.23%提高到2011年的6.34%。考察组所到之处的基层医疗卫生机构都建立了多渠道补偿机制，及时化解乡镇卫生院债务，保障了基层机构可持续健康发展；加强了村医队伍建设，提高了村医待遇，稳定了村医队伍，筑牢了基层服务“网底”；加强以全科医生为重点的基层人才队伍建设，启动全科医生培养基地建设专项规划；通过推进基层医疗卫生机构管理体制、人事制度、收入分配以及保障机制等综合改革，建立了维护公益性、调动积极性、保障可持续的运行新机制。可以说，经过三年的改革和建设，覆盖城乡的基层医疗卫生服务网络更加健全，功能更加完善，面貌焕然一新。

Health development。Three years since the founding of the cure is medical and health service system into most、Construction scale biggest、Conditions improve the most obvious period。Jilin actively explore set up including first aid、emergency、Infectious disease control、Treatment of a serious illness、Information management、Basic drug supply to ensure the public health, six system，And will it into the national economic and social development of jilin province“1025”planning，Plan 5 years spent 30 billion yuan。Cure of the three years，Guangdong medical and health services financial investment with an average annual growth rate of 28.38%，The overall financial spending as a share of the general budget from 2008 to 5.23% in 2011。The pivots medical and health institutions grassroots have established the multi-channel compensation mechanism，Timely solve the new debt，The grassroots organization guarantee sustainable healthy development；To strengthen the village doctor team construction，Improve the village doctor treatment，The village doctor stable team，Build the grassroots prison service“WangDe”；To strengthen the general practitioner of the base is to focus on the talent team construction，Start the general practitioner training base construction special planning；Through the presses basic medical and health institutions management system、Personnel system、Income distribution and guarantee mechanism, comprehensive reform，Establish the maintenance public benefits、Firing enthusiasm、Security sustainable operation mechanism。Can say，After three years of reform and construction，The covering both urban and rural grassroots health service network more sound，More functional perfect，Appearance to look brand-new。

　　医务人员得鼓舞。吉林、广东两省主要从两方面着手改革：一方面把基层医疗卫生机构定位为公益性事业单位，加大财政投入，保障了基层医疗卫生机构正常运转，提高基层医务人员收入水平。广东省惠州市基层医务人员平均工资由改革前的每月1550元～3000元，提高到每月2331元～5500元，增幅最高达到70%；吉林省也由每月1674元提高到每月2319元。另一方面就是推进人事和收入分配制度改革，破除身份界限，打破“大锅饭”、“铁饭碗”，同时建立以服务数量、质量、效果以及居民满意度为核心的考核机制，大幅提高奖励性绩效工资比例，拉开收入差距，形成有激励、有约束的内部竞争机制。广东省全省绩效性工资占收入比例达到了60%，吉林省一些地方达到了70%，充分调动了骨干人员的积极性。

Medical staff inspiration。jilin、Guangdong provinces from two main aspects of the reform：On the one hand the basic medical and health institutions location for the public welfare enterprises，Increasing financial investment，Ensure the basic medical and health institutions normal operation，Improve the medical staff income level。Guangdong huizhou grassroots medical personnel average salary before the reform by 1550 yuan a month to 3000 yuan，Up to $2331 a month to 5500 yuan，Highest growth reached 70%；Jilin province by 1674 yuan a month also increased to 2319 yuan a month。On the other hand is the promotion of personnel and income distribution system reform，Break identity boundaries，break“Cauldron rice”、“Iron rice bowl”，At the same time to establish service quantity、quality、Effects and residents as the core of the satisfaction assessment，Increase JiangLiXing performance-based pay scale，Pull open the income gap，Form a incentive、There is one restriction of internal competition mechanism。Guangdong province performance of sexual wage income was 60%，Jilin province some places to 70%，Fully aroused the enthusiasm of key members。

　　党和政府得民心。在吉林延吉市一家乡镇卫生院，委员们问一位正在住院治疗的农村妇女对政府医改的看法，她说“老好了，这次治病可享受了！”还有一位心脏病患者说，如果没有这次医改，他就很难活到今天！在偏僻农村，老年人得到了免费体检，有的激动得热泪盈眶，说自己一辈子都没有检查过身体，还是党和政府好！基层医疗服务模式的转变，促进了医患关系的和谐，社区居民把基层医务人员比作贴心人。在长春市大营子乡社区卫生服务中心，一位年迈的患者听说是全国政协考察组来考察，再三说医改好，要求把他的感激之情、感恩之心带给党中央、国务院。

The party and the government's own terms。In jilin yanji city a rural hospitals，The members of the committee asked a rural women were hospitalized for the government of cure of the view，She said“The old，The cure can enjoy！”Have a heart disease patients said，If not the cure，He is hard to alive today！In the remote rural，Old people get free medical，Some excited to tears，Your life is not said check body，Or the party and the government！Primary medical treatment service mode of the change，To promote the harmonious doctor-patient relationship，The community residents to TieXinRen compared to grassroots health workers。ZiXiang camp in changchun community health service center，An elderly patients heard that is the Chinese people's political consultative conference to inspect pivots，Repeatedly said cure of the good，For his gratitude、The heart of Thanksgiving to bring the party central committee、The state council。