中新网7月30日电 据卫生部网站消息，卫生部副部长马晓伟在30日召开的2012年公立医院改革试点工作会议上表示，要多管齐下，控制医药费用不合理上涨。

On July 30, rocket, according to the health ministry's website reported，Health MaXiaoWei deputy minister in 30, 2012 years at the public hospital reform pilot work conference said，To multi-pronged，Control medical costs is not reasonable to rise。

　　马晓伟指出，过去一年公立医院改革试点工作稳步推进，取得了初步成效。各级领导干部对医改的重视程度不断提升，共识逐步凝聚。公立医院改革在面上不断拓展，各地陆续启动了综合改革试点工作，大城市大型公立医院的改革探索取得了积极进展，基层医疗卫生机构综合改革全面完成。公立医院改革在点上不断深化，医疗服务价格调整、分配制度改革、“政事分开、管办分开”等方面取得突破。同时，各地以支付方式改革为切入点，医疗保障体系与医疗服务体系改革发展的协同性不断增强。公立医院改革发展以人民群众医疗服务需求为导向，改革成效进一步惠及群众。

MaXiaoWei points out that，Over the past year the public hospital reform pilot work steadily，Acquired preliminary achievements。Leading cadres at all levels to cure the attention of the rise，Consensus gradually condensed。Public hospital reform in on continue to expand，All the comprehensive reform were launched pilot projects，Big cities large the reform of public hospital explore great progress has been made，Basic medical and health institutions comprehensive reform completed。Public hospital in deepening the reform on the point，The medical service price adjustment、Distribution system reform、“Separate politics、Tube do separate”A breakthrough, etc。At the same time，In payment reform around as the breakthrough point，Medical security system and medical service system with the reform and development of increased。Public hospital reform development to people's medical service demand orientation，Reform further benefit the masses。

　　马晓伟强调，要充分发挥试点城市的改革排头兵作用，深刻认识当前公立医院改革的形势，全面把握“十二五”期间改革任务，推动改革不断拓展和深化。具体如下：

MaXiaoWei emphasize，To give full play to the reform of pilot city world role，Profound understanding to the current situation of the reform of public hospitals，grasp“1025”Reform task during，Promote reform continue to expand and deepen。Specific as follows：

　　一要准确把握党中央、国务院对“十二五”医改的总体要求。要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、循序渐进的基本路径，抓住医保、医药、医疗三个重点环节，实行“三轮驱动”。要坚持以人为本，紧紧围绕群众大病医疗费用负担仍然较重、因病致贫、因病返贫的问题和风险还比较突出的问题，加强大病保障，利用好基本医保资金解决群众看大病贵的问题，充分发挥公立医院在大病诊治中的主体作用，组织好大病的服务保障工作。

A accurately grasp the central party committee、The state council on“1025”The overall requirements of cure。To adhere to the basic medical 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、Progressive basic path，Take health care、medicine、Medical three key link，implement“Three rounds drive”。To adhere to the people-oriented，Closely around the masses medical treatment of a serious illness cost burden still is heavy、Become financially-difficult or、The problem of poverty due to illness and risk is still outstanding problem，To strengthen the protection of a serious illness，Make good use of basic medical insurance fund solving the problem of serious illness you see，Give full play to the public hospital in the diagnosis and treatment of a serious illness of the main role，Organize a serious illness service security work。

　　二要深刻认识医改新形势下对公立医院改革提出的新要求。以促进医疗服务体系整体化发展为抓手，解决城乡、地区和区域之间不协调的问题；推动医疗服务体系和医疗保障体系协调发展，解决医疗保障体系、医疗服务体系和医药产业发展不平衡的问题；统筹改革与发展任务，解决医保、医疗和医药三方面改革发展均与人民群众日益增长的医疗服务需求不适应的问题。

The cure of the profound understanding to the new situation to public hospital reform proposed the new requirements。In order to promote medical service system integration development of high-quality curriculums，Solve the urban and rural、Regions and between area not problems of coordination；Promote medical service system and the medical security system to coordinate the development，Solve medical security system、Medical service system and medicine industry development is not balanced；As a whole reform and development task，Solve medical insurance、Medical and pharmaceutical three aspects are reform and development and the people's growing medical service needs not adapt to the problem。

　　三要正确理解试点城市在“十二五”期间公立医院改革中的重要作用。试点城市是政策创新的排头兵、改革成效的观察哨、改革拓展的联络员，在未来深化公立医院改革的过程中担负着重要的作用。

Third, we need to correctly understand the pilot city“1025”In the reform of the public hospital during an important role。Pilot city is policy innovation platoon guide、Reform of the coach、Reform development liaison，In the future to deepen the reform of public hospital in the process for the important role。

　　马晓伟指出，2012年是公立医院改革由“局部试点”转向“全面推开”的第一年，改革的拓展和深化要在三个层面予以实现：

MaXiaoWei points out that，2012 is the reform of public hospitals“Local pilot”Turned to“Full implementation of”First years，The expanding and deepening reform in three level to be realized：

　　一是按照《关于县级公立医院综合改革试点的意见》，落实好县级医院改革的各项政策措施。

According to a《At the county level about public hospital comprehensive reform pilot opinion》，Implement hospital reform at the county level of the various policy measures。

　　二是加大试点城市体制机制改革探索的力度。要以“四个分开”为核心，转换补偿机制，破除以药补医；要理顺政府与公立医院的关系，推进政事分开、管办分开；要充分发挥医保作用，控制医药费用。

Second, strengthen reform of mechanism of system of pilot city of exploration efforts。to“Four separate”As the core，Conversion compensation mechanism，Break up with medicine cures；To rationalize the relationship between the government and public hospital，Push separate politics、Tube do separate；To give full play to the health care function，Control medical expenses。

　　三是在全国面上进一步开展便民惠民工作，组织好公立医院的大病保障工作，让群众得实惠。

Three is the further research in on convenience huimin work，Organize public hospital of a serious illness security work，To enrich the masses。

　　马晓伟要求，各地要抓住机遇，把握重点，做好2012年公立医院改革工作。一是以支付方式改革为切入点，破除以药补医。二是坚持“政事分开、管办分开”的改革方向，建立健全对公立医院的激励约束机制。三是大力推进县级公立医院综合改革试点工作。四是扎实开展各项便民惠民措施，提高医院管理水平。五是完善服务体系，建立上下联动、分工协作的多元办医体系。六是多管齐下，控制医药费用不合理上涨。

MaXiaoWei requirements，The various localities should seize the opportunity，Grasp the key，Do 2012 public hospital reform work。One is the payment reform as the breakthrough point，Break up with medicine cures。Two is to insist“Separate politics、Tube do separate”The direction of reform，Establish and perfect the incentive to public hospital restriction mechanism。Three is to greatly promote the comprehensive reform at the county level public hospital pilot projects。Four is solid conducting various convenience huimin measures，Improving hospital management level。Five is the perfect service system，Build up and down linkage、Division of the diversity of the medical system for cooperation。Six is multi-pronged，Control medical costs is not reasonable to rise。