18日，记者从国务院医改办公室了解到，上半年医改工作稳中求进，基本医保继续扩面提标，基本药物在20个省份的村卫生室实现零差率销售，全国18个省份311个县(市)公立医院改革试点全面启动，改革的成效日益显现。

18，Reporters from cure of the state council office to understand，Medical WenZhongQiuJin work in the first half，The basic medical insurance to continue covering DiBiao，Basic drugs in 20 provinces of the village clinic zero rate differential marketing，The 18 provinces 311 counties(city)Trial reform of public hospitals in full swing，The effectiveness of the reform is becoming increasingly obvious。

13.33亿人参加医保 1.333 billion people attended medical care

　　截至3月底，城镇职工医保、居民医保、新农合三项基本医保参保人数达到13.33亿人，参保率稳定在95%以上。城镇居民医保和新农合政府补助标准提高到每人每年240元，中央财政已预拨2012年城镇居民医保和新农合补助资金1151亿元。尿毒症、儿童白血病等8类大病保障全面推开，肺癌等12类大病纳入保障和救助试点范围。

By the end of march，Town worker health care、Medical residents、New farming and three basic medical insurance ginseng protect toll at 1.333 billion people，CanBaoLv steady at 95% or more。Medical insurance for urban residents and new farming and government subsidies to raise the standard of 240 yuan a year per person，The central government has been concentrating its efforts in 2012 medical insurance for urban residents and new farming and subsidy funds of 115.1 billion yuan。uremia、Childhood leukemia and full implementation of security of a serious illness，Lung and 12 groups into a serious illness and guarantee the relief scope。

　　此外，政府积极推进支付方式改革，探索建立医疗保险付费方式总额控制机制，进一步完善新农合支付制度，开展重特大疾病医疗救助试点，切实解决重特大疾病贫困患者的医疗困难。医保管理体制机制不断创新，积极引导商业保险机构参与新农合经办服务。

In addition，The government actively promote payment reform，Explore establish the medical insurance payment amount control mechanism，To further improve the new farming and payment system，Do not carry out disease medical treatment pilot，Solve disease patients' medical poverty and great difficulties。Medical insurance management system and mechanism innovation，Actively guide commercial insurance agency orgnaization of service and participate in new farming。

　　在巩固完善基本药物制度和基层运行新机制方面，启动基层医改“回头看”，开展基层医改任务落实情况自查工作。截至6月底，28个省份制订出台了自查工作的实施方案，推动基层医疗卫生机构管理体制、补偿机制、人事制度、收入分配等综合改革进一步深化，基层医改成果得到巩固。

In the consolidated perfect basic drugs system and grassroots operation mechanism，Start the cure of the“Look back”，The mission to carry out the situation in medical self audits。By the end of June，28 provinces on the set of the self audits implementation plan，Promote basic medical and health institutions management system、Compensation mechanism、Personnel system、Income distribution, and other comprehensive reform deepened，Results the cure of consolidation。

　　2012年版基本药物目录正在调整研究，全科医生执业方式和服务模式改革试点启动。基层中医药服务能力提升工程研究实施，加强基层中医药服务能力建设。

2012 version of basic drugs are adjusting directory，The general practitioner and service mode reform practice way pilot start。Basic services to enhance the ability of Chinese medicine research project implementation，Strengthening the construction of traditional Chinese medicine service ability。

　　在加强村医队伍建设方面，截至6月底，全国已有27个省份出台本省(区、市)加强乡村医生队伍建设的具体实施方案。对村医多渠道补偿机制开始建立，村医年平均收入在2万—3万元，大部分地区比医改前有所提高。

To strengthen the team building in village doctor，By the end of June，The country had been issued 27 provinces in the province(area、city)Strengthening the construction of the contingent of rural doctors specific implementation plan。Through various channels to village doctor began to establish compensation mechanism，The average income in village doctor in 20000-30000 yuan，Most of the area before than cure of the increase。

　　各地探索通过政府补助、支持参加城镇职工养老保险、引导村医参加城乡居民养老保险等办法妥善解决村医的养老问题。有序推进村卫生室实施基本药物制度，目前全国已有20个省份在村卫生室基本实现基本药物零差率销售。

Explore all through the government subsidies、Support to town worker endowment insurance、Guide urban and rural residents and the endowment insurance in village doctor the way such as properly solve the problem of the village doctor endowment。Pushed forward village clinic implement basic drugs system，At present the country had been 20 provinces in the village clinic basically realize basic drugs zero rate differential marketing。

　每县补助300万元 Each county subsidy of RMB 3 million

　　全国18个省份311个县(市)公立医院改革试点全面启动，中央财政按每县(市)300万元的标准安排补助资金。城市公立医院改革试点稳步推进。

The 18 provinces 311 counties(city)Trial reform of public hospitals in full swing，The central government according to each county(city)The standard of 3 million yuan for subsidy funds。City public hospital reform pilot steadily。

　　北京市积极探索公立医院管办分开、医药分开的有效形式。7月1日北京市友谊医院正式启动医药分开，取消药品加成，建立医事服务费，并定额纳入医保报销范围。上海市积极推进医保支付方式改革，合理调整医疗服务价格，探索建立住院医师规范化培训制度。深圳市全面启动公立医院医药分开改革，探索破除“以药补医”机制。卫生部制订出台了13个鼓励和引导社会办医的配套文件，加快推进多元办医格局形成。

Beijing actively explore public hospital management office apart、Medicine separate effective form。July 1, Beijing friendship hospital official start medicine apart，Cancel the drug addition，Establish the medical service charge，And fixed into health care reimbursement range。Shanghai actively promote medical insurance payment reform，Reasonable price adjustment of medical service，Explore to establish the resident standardization training system。Shenzhen comprehensive public hospital medical separate start reform，Exploration break“To fill medicine medical”mechanism。The health ministry make issued a 13 encourage and guide the supporting documents do medical society，Speed up the multiple do medical pattern form。

　　同时，基本公共卫生服务均等化、医疗卫生信息化等各项配套改革也在同步推进。为保障医改各项任务的实施，各级财政努力调整支出结构，确保医改资金投入。截至6月底，中央财政已下达医改专项补助资金1730亿元，完成年初预算的89%，加上以前年度结转及彩票公益金等安排的支出，已累计拨付1906亿元。

At the same time，Equal access to basic public health service、Medical and health information, and other supporting reform in the synchronized advancement。To guarantee the implementation of the cure of the various tasks，At all levels for finance efforts to adjust expenditure structure，Ensure that cure of the capital invested。By the end of June，The central government has issued special medical subsidy funds of 173 billion yuan，Early completed 89% of the budget，The previous year, plus carry forward and lottery welfare spending and arrangement，Already allocated $190.6 billion total。

　　截至6月底，已有28个省份和新疆生产建设兵团召开本地区医改工作会议，全面部署医改工作。吉林、广西等第一批没有纳入县级公立医院综合改革试点的省份，主动要求加入改革试点，陕西、青海已经在全省范围内推开，浙江等省也明确提出将于年内在全省范围内推开。

By the end of June，For 28 provinces and xinjiang production and construction corps in the medical work conference held，Cure of the full deployment。jilin、If a group of not included in guangxi at the county level public hospital comprehensive reform pilot province，The initiative to join the pilot reform，shaanxi、Qinghai has pushed throughout the province，Zhejiang province etc also pointed in years will throughout the province push。

　　下半年按照“十二五”医改规划的总体部署和年初的总体安排，推进“三重点、一配套”改革，健全医保、规范医药、创新医疗，保持医改政策连续稳定，不断把医改向纵深推进。

According to the second half“1025”The overall planning of the cure of the planning and the overall arrangements for at the beginning of the year，promote“Three key、A supporting”reform，Sound medical insurance、Standard medical、Innovative medical，Keep continuous stability cure of the policy，To further promote the cure constantly。

　　记者 李红梅

Reporter LiGongMei