家国情怀推医改 三年实践聚共识--我国深化医改三年取得阶段性成效 Home countries feelings push three years together cure of the practice in the deepening of medical consensus-three years has made some achievements

　　中国医药卫生体制改革虽遇千难万阻，但由于推行者的家国情怀，全社会的理解支持，这一涉及13亿人民健康福祉的重大民生工程在三年的实践中终于凝聚成共识，取得阶段性明显成效。

China medical health system reform in difficult though thousands of all resistance，But because TuiHangZhe home countries feelings，The understanding of the whole society to support，This involved 1.3 billion people's health in the welfare of the people's livelihood engineering major three years of practice finally converge into consensus，Has made some significant results。

“制度优势”催生“阶段成果” “System advantage”ecbolic“Stage results”

　　改革开放30多年，中国走过农村改革、经济体制改革的风风雨雨，却迟迟没能走出医改的困境。卫生部部长陈竺说，当时曾一度认为医疗卫生事业能够通过市场化来解决，因而对卫生事业投入相对不足。直到2003年，我国有医保的人仍只占15%左右，且主要集中在城市。广大农民和没有医保的居民，只能“小病拖、大病扛”，因病致贫因病返贫现象比较普遍。

30 years of reform and opening up，China through rural reform、The reform of economic system of disturbances，Actually slowly didn't can get out of the predicament of the cure。Health minister Chen middle&small said，He was once thought that medical and health services can through the market to solve，So for health into relatively inadequate。Until 2003，Our country has the medical insurance people who still accounts for only of the 15% or so，And the main focus in the city。The farmers and no health care residents，Can only“Ailment pulls、Carried a serious illness”，Become financially-difficult or common poverty due to illness。

　　医疗事业的属性问题从2006年开始得到各方关注，最终明确“在基本医疗上必须由政府主导，强调其公共产品的属性”。国务院医改办主任孙志刚接受记者采访时说：“中国医改坚持群众利益至上，贯彻群众路线。这样的方向和路径，是中国社会主义制度的必然取向，是取得成功的关键前提。”

The attributes of the medical cause problems from 2006 began to get the parties concerned，Finally clear“In the basic medical by government must be led，Emphasize its public product attributes”。Cure of the state council SunZhiGang do director told reporters：“China medical adhere to the mass benefits first，Implement the mass line。Such direction and path，Is China's socialist system inevitable orientation，The key to success is the premise。”

　　短短三年，中国织起世界上最大的基本医疗保障网；初步建立国家基本药物制度，以药补医机制在基层医疗机构得到破除；各类重大公共卫生服务项目累计覆盖近2亿人群；成为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。

Just three years，China's knitting on the world's largest basic medical insurance nets；Initially established a national system for basic drugs，To fill in the primary medical mechanism medicine medical institutions get the dust；All kinds of major public health service project accumulative total cover nearly 200 million people；Become primary medical and health service system into most、Construction scale biggest、Conditions improve the most obvious period。

　　2003年艰难起步的新型农村合作医疗，在进入深化医药卫生体制改革阶段，已如利刃划竹般顺利，参合率稳定在95%以上。同步推进和完善的，还有城镇居民医保、职工医保。截至去年年底，城乡居民参加三项基本医保人数超过13亿，覆盖率均超过95%。

2003 years of hard started the new rural cooperative medical care，In the medical health system reform deepening stage，Already a sword stroke as well as bamboo，Ginseng add up to rate steady at 95% or more。Synchronous promote and perfect，And medical insurance for urban residents、Worker health care。By the end of last year，Urban and rural residents in three basic medical insurance number more than 1.3 billion，Coverage by more than 95%。

　　卫生部党组书记张茅说，“医改刚起步时，我们这些参与者、推动者，是决心大于信心、勇气大于底气。现在，信心和底气都增加了。”尤为重要的是，实践证明医改的基本方向、基本理念、基本原则、基本路径是可行的，这比成效更为重要。

Health BuDangZu secretary of said，“I just started cure，We, the participants、The facilitator，Is resolve more than faith、Courage is greater than bottom spirit。now，Confidence and bottom spirit to all increased。”Even more important，Practice proves the cure of the basic direction、Basic concept、Basic principles、The basic path is feasible，This is more important than results。

“民生至上”成就“德政口碑” “The livelihood of the people first”achievements“Good public praise”

　　三年医改，重点在基层，成效也凸显在基层。

Cure of the three years，In the primary key，Results also highlights in the primary。

　　湘西的大山、贵州的苗岭、云南的傣寨、青海的藏区……在这些偏远地区，孙志刚一次又一次被基层群众和患者感动：“我到湘西农村，农民提起医改，不断喊‘共产党万岁’；我到贵州云南的一些地方，那里的老百姓拉着手不让走，虽然话语不多，但那是发自内心的感谢。”

Xiangxi mountain、Guizhou detailed description of the、Yunnan dai village、The qinghai Tibetan areas...In these remote areas，SunZhiGang again and again by the masses and patients moved：“I to the west，Farmers filed a cure，Constantly shout‘Long live the communist party of’；I to guizhou yunnan some place，Where the common people pull to begin don't let go，Although few words，But that is from the heart to thank。”

　　陈竺表示，医改获得初步成效，得益于我国政府“民生至上”的执政理念。此轮医改重点在农村，随着保障制度的完善、筹资水平的提升，医改开始将一些重大疾病纳入大病保障。陈竺说：“目前有8个大病种包括宫颈癌、尿毒症等，在试点的基础上已全面推开，仅去年就有20多万患者获得补偿。”

Chen said strong nail-gripping ability，Cure for preliminary results，Benefit from our government“The livelihood of the people first”Ruling concept。This round of cure of the key in the rural areas，With the improvement of the security system、Funding level of ascension，Some major disease will start medical into a serious illness protection。Chen said strong nail-gripping ability：“There are eight major diseases including cervical cancer、Uremia, etc，On the basis of the pilot has full implementation，Last year alone have more than 20 patients to compensate。”

　　曾担任此轮医改方案起草组副组长的张茅表示，当初设计方案时，就把群众的诉求作为医改的主要内容，坚持从群众反映突出的问题出发。如今，13亿人被纳入医疗保障系统，大部分农民不再“小病拖大病扛”。

He once served as a medical this round of QiCaoZu deputy leader of the scheme of said，When program was designed，Put the appeals of the masses as the main content of the cure，From the masses to reflect the prominent problems of the。now，1.3 billion people were included in the medical security system，Most of the farmers no longer“Ailment pulls carried a serious illness”。

　　西宁市第二人民医院消化科住院医师焦峥说，2007年前病房收治的多是医保病人，农村来的病人很少。现在，消化科的病床数翻番，每天50多名病人中，大部分是参加新农合的病人。

The people's hospital of xining city XiaoHuaKe resident JiaoZheng said，2007 years ago were more medical ward is patient，Rural to patients rarely。now，The number XiaoHuaKe double bed，More than 50 patients every day，Most in the new farming and patients。

　　让陈竺津津乐道的是，反映国家整体健康水平的一些重要指标明显改善，婴儿死亡率和孕产妇死亡率明显降低，而且反映城乡差距的两条曲线趋向合拢。因为医改方案安排了中西部孕产妇免费分娩的政策，使我国的住院分娩率超过96%。

Let Chen's heated is strong nail-gripping ability，The health level reflects the nation of some important index improved obviously，Infant mortality rates and the maternal mortality rate is decreased obviously，But reflect the gap of the two curve tends to fold。Because the Midwest medical scheme arrangement of maternal free delivery policy，Our results in more than 96%。

走过风雨，彩虹在前 Through wind and rain，Rainbow in the first

　　聚焦医患关系的电视剧《心术》之所以能够持续热播，从另一个层面表明了社会对医改的关注程度。张茅曾两次约见《心术》作者六六，鼓励她客观地展现医患矛盾，真实地展示各种冲突。“只有直面问题和矛盾，才会找到化解的办法。”张茅说。

Focus on the doctor-patient relationship drama《Scheme design》Are able to stay hits，From another level shows the cure of the society on the degree of concern。ZhangMaoCeng two appointment《Scheme design》The author on the，Encouraged her to show objectively doctor-patient conflicts，Really express all kinds of conflict。“Only enough to face our problems and contradictions，Will find the way to resolve。”Said of。

　　“三年医改一路走来很不容易，遇到很多非议和阻力。”孙志刚感慨地说，现在取得的成绩让越来越多的人达成共识，那就是“方向正确、路径清晰、效果明显”。

“Three years brought along the way it's not easy，Meet a lot of criticism and resistance。”SunZhiGang regrets ground say，Now the achievements for more and more people reach a consensus，That is“Right direction、Path clear、Effect is obvious”。

　　实地考察过中国医改成效的各国同行，对中国医改都给予肯定评价。法国专家介绍本国情况时，打出第一张幻灯片就是“与中国医改同行”。

Field investigation China the effectiveness of the cure of the world together，China is to cure of the positive evaluation。France expert introduction domestic situation，Hit the first slide is“And China's medical counterparts”。

　　三年医改实践，还在基层实现了医患关系的改善。上海市彭浦镇社区卫生服务中心全科团队队长严正，长期坚持为社区居民服务，陆续有51位老人将家里的大门钥匙交给严正。这不仅方便了严正更好地照顾老人，更是对一位社区医生的绝对信任。

Three years medical practice，Also in basic realized the doctor-patient relationship in the improvement。Shanghai PengPu town center of community health service team captain general stern，Insist for a long time for the community residents service，An old man who has 51 will home front door key to stern。This not only convenient the solemn take better care of the old man，But for a community the doctor's absolute trust。

　　说起公立医院改革，张茅表示，当前要抓紧把试点城市的改革经验总结推广，2015年全面推开，让公立医院改革成为不可逆转的大趋势。

Speaking of public hospital reform，Said of，The current to grasp the pilot city reform experience promotion，2015 full implementation，Let the public hospital reform become irreversible trend。

　　医改是个系统工程，涉及方方面面，需要形成合力。国家食品药品监管局局长尹力表示，十二五期间，药品电子监管的实施范围将从基本药物扩大到所有药品，充分发挥电子监管在打击假劣药品、追溯和召回问题药品方面的作用，全力维护群众身体健康。

Cure is a systems engineering，multifaceted，Need to form a cohesive force。The state food and drug supervision bureau chief YinLi said，During 1025，Electronic supervision of the implementation of the drug from the basic drugs scope will be extended to all drugs，Give full play to the electronic monitoring on fighting JiaLie drugs、Tracking and recall problems of the role of drugs，To protect the healthy body。

　　医改是长征，“三年”结束了，医改还在继续。面对成绩不沾沾自喜，面对困难不妄自菲薄，进入深水区的中国医改，已然有了更多的信心和底气。

Cure of the long march is，“Three years”over，Cure continues。Face the result not to gloat，Face difficulty don't cry stinking fish，Into the deep water cure of China，Already have more confidence and style。

　　中国医改，风雨走过，挑战仍在，彩虹在前。

China's medical，Rain through，Challenge is still in，Rainbow in the first。