方向明确、路径清晰、措施得力，三年医改探索出了符合我国国情的改革路径和体制机制 Clear direction、Path clear、Measures capable，Three years medical explored to China's national conditions and mechanism path of reform

　　目前医改取得的成绩来之不易，需要认真加以总结。参加考察的委员和专家在座谈中交流了感受和体会。

At present the achievements of cure of posterity，Need to be summarized。To participate in the investigation of committee members and experts in the discussion of the exchange feelings and experience。

　　三年医改的成功实践充分显示了我们党强大的政治优势和组织优势，体现了社会主义制度的优越性。这次医改，党中央、国务院站在党和国家事业发展的高度，总揽全局，科学决策，作出一系列重大战略部署。各级党委、政府及各个部门坚定不移地贯彻中央决策部署，统筹安排、全面推进深化医改的各项工作。在党和政府的领导下，广大医务工作者积极投身改革，人民群众广泛支持改革，新一轮医改五项重点任务如期完成。实践证明，有了党和政府的坚强领导和广大人民群众的大力支持，在我们这样一个人口众多、经济社会发展不平衡的发展中大国，建立健全覆盖城乡居民的基本医疗卫生保障制度，是完全必要的，也是可以办得到的。

Three years of successful practice medical fully shown our party strong political advantage and organizational advantage，Reflected the superiority of the socialist system。The cure of the，The party central committee、The state council stood in the party and country's development level，To assume overall responsibility，The scientific decision，Make a series of important strategic deployment。Party committees at all levels、The government and each department unswervingly implement the central decision to deploy，Overall arrangement、Promote deepening of medical work。In the party and the government under the leadership of the，The medical workers to take an active part in the reform，People's extensive support reform，A new round of medical reform five key tasks finish on time。Practice proves，Have the party and the government's strong leadership and the people's support，In our such a large population、Economic and social development is not balanced development the great nation，Establish and perfect the covering both urban and rural residents basic medical and health security system，It is absolutely necessary，Also is possible。

　　三年医改探索出了符合我国国情的医改路径和体制机制。考察组所到之处，地方干部群众一致认为，三年医改最大的成就是趟出了一条中国式医改的道路。一是明确了“三个基本”，即坚持把基本医疗卫生制度作为公共产品向全民提供的基本理念，坚持保基本、强基层、建机制的基本原则，坚持统筹安排、突出重点、循序推进的基本方法。二是区分基本与非基本，强调政府在建立基本医疗卫生制度中的责任和提供公共卫生、基本医疗服务中的主导地位，同时注重发挥市场机制的作用，满足群众多层次多样化的需求。三是注重增投入与建机制相结合，以投入促改革，以投入换机制，处理好政府与市场、公平与效率、激励与约束的关系。这些探索和实践，充分体现了我国卫生事业发展从理念到体制的重大创新，符合国情，适应医药卫生事业发展规律，沿着这条道路探索下去，医改就一定能够取得成功。

Three years medical explored to China's national conditions and mechanism of cure of the path。Wherever pivots，Local officials agree that the masses，Three years the biggest achievement of cure of the trip is a Chinese of cure of the road。One is made clear“Three basic”，That is to stick to basic medical and health system, as to the public products provide the basic ideas，Adhere to the basic、Strong grassroots、To build the basic principles of the mechanism，Adhere to the overall arrangement、Highlight the key、Step forward of basic method。Second is the difference between the basic and the basic，Emphasize the government established in basic medical and health in the system of responsibility and providing public health、Basic medical services in the leading position，At the same time the attention play the function of market mechanism，Meet the multi-level diversified needs。Three is to pay attention to increase input and mechanism are built，To promote reform in，To put into change mechanism，Deal with the government and the market、Fairness and efficiency、Motivation and restraint relationship。The exploration and practice，Fully reflect the health development in China from concept to the system innovation，With the situation of China，To adapt to the medicine health law of development，Go along this road to explore it，Cure will be able to succeed。

　　三年医改有力推动了基层医疗卫生事业发生根本性变革。这次医改是农村社会领域的又一场革命，对基层医疗卫生事业发展影响深远。一是从恶性循环到良性运转。过去医疗机构运行和医务人员收入得不到保障，只能通过卖药赚钱，维持生存，偏离了公益性方向。通过改革，建立了维护公益性、调动积极性、保障可持续的运行新机制，医疗机构和医务人员都发生了重大变化。二是开始从“重治轻防”向“预防为主、防治并重”转变。三是从“坐堂行医”转变到“上门服务、主动服务”。四是从与大医院无序竞争转变到“分级诊疗、分工协作、有序就医”。这些变化无疑将促进基层医疗卫生事业朝着科学健康的方向发展。

Three years has promoted the cure of the basic medical and health services change radically。The cure of the rural society and in the field of a revolution，Of the basic level medical health service development far-reaching influence。From a vicious cycle to benign operation。Past medical institutions and medical personnel operation income is not guaranteed，Can only make money by selling drugs，survive，Deviation from the public welfare direction。Through the reform，Establish the maintenance public benefits、Firing enthusiasm、Security sustainable operation mechanism，Medical institutions and medical personnel had great changes。Two is to start from“Heavy to light the”to“prevention、Equal emphasis on prevention and control”change。Three from“Practicing on the judgment seat”The transition to“Door-to-door service、Active service”。Four big hospitals from and competition to change“Grading diagnosis and treatment、Division of labor cooperation、Orderly medical”。These changes will undoubtedly promote the basic-level medical and health services toward scientific health direction。

　　三年医改培养锻炼出一大批推动医改的干部队伍。三年的实践，吉林、广东两省及全国各地都涌现出一大批积极投身医改、自觉为医改事业不懈奋斗的领军人物和先进典型。他们敢于面对矛盾和问题，在克难攻坚中推动了事业发展。可以说，当前，医改取得的进展和成效，与各级领导干部和广大医务工作者付出的心血是分不开的。

Three years training exercise a cure of a large number of promoting the medical team。Three years of practice，jilin、Guangdong provinces all over the country and emerge a large number of active cure、Consciously medical unremitting efforts for business leaders of the typical and advanced。They dare to face contradictions and problems，In g difficult in the crucial to promote career development。Can say，The current，Cure of the progress and results，And leading cadres at all levels and the general medical workers pay the effort is not divided。

　　三年医改的成功实践增强了继续推进改革的信心。考察中，一些地方反映，医改初期的摸索试点阶段，国家虽有文件，但各地实施路子不清楚，政策文件“难以落地”，认识分歧很大。安徽省率先破冰后，趟出了路子，统一了认识，鼓舞了各地大胆探索和实践。吉林、广东两省及各市、县医改办的工作人员都认为，三年基层医改的实践，取得了很大成效，也为今后推进包括公立医院改革在内的各项改革奠定了基础、增强了信心。

Three years of successful practice to enhance the medical to continue to push forward the reform of faith。expedition，Some local reflect，In the early years of the pilot stage for cure，Though state file，But the implementation way around is not clear，Policy documents“Difficult to be born”，Know differences。After the ice takes the lead in anhui province，Trip out of the way，Unified know，All encouraged the bold exploration and practice。jilin、Guangdong provinces and cities、County medical staff all do that，Three years of cure of the grass-roots practice，Made great achievements，But also for future reform of public hospital, including the reform to lay the foundation、Strengthen the confidence。