医改三年取得阶段性成效，离不开各级政府强有力的推动，离不开医务工作者的无私奉献，以及医保经办人员的艰辛付出。日前，记者走访了参与医改的各级干部、医务工作者和医保经办人员，倾听他们讲述三年医改过程中的“苦”与“甜”。

Cure of the three years has made some achievements，Without strong government at all levels to promote，Medical workers from the selfless dedication，And health care personnel of orgnaization of great efforts。a，The reporter interviewed in the cure of the cadres at various levels、Medical workers and medical insurance agency personnel，Listen to their account in the process of cure of three years“bitter”and“sweet”。

　　各级干部：不容易，不退缩 Cadres at various levels：Not easy，Not shrink back

　　据参与医改决策的多位同志介绍，从调研、听取意见、上网，医改方案的出台历时三年。尽管如此，医改方案一出台，就有一些专家持反对意见，而且各地在落实方案的过程中也遇到了很多问题。

According to participate in decision-making more than the cure of comrade is introduced，Research from the、The listening to、Internet，The cure of the scheme for three years on。Even so，A medical scheme to come，There is some experts opposition，And everywhere in the process of implementation scheme also met with a lot of problems。

　　江苏省镇江市医保历经17年风雨，走过了起步、调整、完善和发展四个阶段。镇江市医疗保险结算中心主任李一平说，每个阶段刚开始效果都很明显，但没多久就会发现新问题。17年来，镇江医疗费用结算办法一直在不断调整完善，其间一直伴随各种议论，只有咬牙坚持，才能最终在医院利益和患者利益间建立起最佳平衡点。

Zhenjiang medical insurance after 17 years of wind and rain，Past the start、adjustment、Improvement and development of four stages。Zhenjiang medical insurance settlement, director of the center LiYiPing said，Each phase began effect is obvious，But before long will find new problems。17 years，Zhenjiang medical expense settlement method has been constantly adjust and improve，It has been associated with all kinds of discussion，Only with his teeth to，Can eventually in the hospital patients between interests interests and build up the best balance point。

　　医改三年，是河南卫生工作投入最多、发展最快、成效最好的时期，其中中央和省财政相继投入医改专项资金640多亿元，但河南省卫生厅厅长刘学周最担心的依然是投入不到位。他说：“河南底子薄、欠账多，目前取得的成绩只是阶段性的，还不能满足全省1亿群众的健康需求，我们不敢松懈。”

Cure of the three years，Henan health work is put into most、fastest-growing、Results the best of times，Among them the central and provincial finance have brought into special capital more than 640 yuan，But health commissioner of henan province LiuXueZhou most worried about the investment is still not in position。He said：“Henan inadequate economic、More greatly，At present the achievements of just staged，Still can't meet the demand of the whole province 100 million health，We dare not lax。”

　　新农合能够筹到资金并建立不断增长的筹资机制不容易，能够建成这么多公共卫生设施不容易，能够把多方利益相对兼顾不容易……郑州市卫生局局长顾建钦用7个“不容易”总结医改三年来的艰辛。“再不容易，也不能退缩。三年医改，我们遇到多少误解，当时觉得很委屈，但现在医改的成效有目共睹，群众得到了实惠。”

New farmers to raise funds to close and establish a growing fund-raising mechanism is not easy，Able to build so many public health facilities is not easy，Can put a multi-stakeholder relative consideration not easy...Zhengzhou health bureau chief GuJianQin in seven“Not easy”Summary of the hardships of cure of the three years。“Don't easy to，Also't back down。Cure of the three years，We have many misunderstandings，Felt very grievance，But now the effectiveness of medical to see，The masses gained。”

　　“村医”“片医”：我付出，我无悔 “Village doctor”“Piece of medical”：I pay，I without regret

　　新医改实施后，青海省海晏县甘子河乡俄日村卫生室面貌大变，在过去仅有的温度计、血压计和听诊器“老三件”基础上，新添了冰箱、消毒锅、制氧机、诊查床等。为方便村医巡回上门服务，政府还统一配发了摩托车。

After the implementation of the new medical，The GanZiHe county in qinghai province of seven characters russo-japanese village clinic face big change，In the past only thermometer、Blood pressure cuff and stethoscope“LaoSanJian”basis，Add the new refrigerator、Sterilization pot、Oxygen-produce machine、Inspecting bed,。For the convenience of village doctor tour door-to-door service，The government also unified dispensed the motorcycle。

　　俄日村处在高寒缺氧、服务半径大、交通不便的地带，但无论多远，不管白天黑夜、刮风下雨，只要有病人，37岁的俄日村村医罗藏银巴随叫随到。他说，若不认真工作，就对不起党的好政策和牧民群众的期盼。

Russo-japanese village in chillness、Service radius big、Traffic inconvenience zone，But no matter how far，No matter, day or night、Wind and rain，As long as there is a patient，37 years old, and he hid silver and medical coverage on call。He said，If you don't work hard，I'm sorry the party's good policy and it to the nomads。

　　在贵州省岑巩县凯本乡芭蕉冲村卫生室的玻璃门上，一张纸条的留言温馨感人：如果你有什么问题请稍等，我从家到卫生室大约15分钟左右。纸条上还留了手机号码。这张村医王元香贴的“温馨提示”，就是一份全天候为患者服务的承诺。“15分钟是骑车的时间，步行要40多分钟，路不算近，留个言是怕病人等急了。”王元香说。

In guizhou province 岑巩 county kay own banana rushed the glass door of the village clinic，A note message sweet touching：If you have any question, please wait a moment，I'm from home to clinic about 15 minutes。Note also leave a cell phone number。This piece of village doctor WangYuanXiang stick“Warm prompt”，Is a round-the-clock service commitment for patients。“15 minutes of time by bike，More than 40 minutes' walk，Road is not nearly，Leave a message is afraid of the patient and nasty。”WangYuanXiang said。

　　在河南郑州，社区片医刚上岗时也曾遭受误解：穿着统一的蓝色服装敲门入户，是不是修电器、卖保险的？出诊免费是不是骗人的？但现在，片医已深得民心。

In zhengzhou, henan，The medical community piece just mount guard when also had suffered a misunderstanding：Dressed in unified blue clothing knocked at the door door，If the electric、Sell insurance？Given free deceive people？But now，Piece of medical already popular。

　　7月9日，记者在郑州管城区城东路社区卫生服务中心采访时，恰遇片医王会娟给社区居民黄秀荣打电话询问病情。“前两天黄秀荣不太舒服，我今天再问问。”得知黄秀荣正头晕胸闷、十分难受时，王会娟立即骑上电动自行车，赶到黄秀荣家，给她量血压、喂药。

July 9,，Reporter in zhengzhou GuanChengOu ChengDongLu community health service center in an interview，Just when WangHuiJuan to the community residents of medical HuangXiuRong call to ask's condition。“Two days before the HuangXiuRong not very comfortable，Today I ask again。”That HuangXiu RongZheng dizzy tightness in the chest、Very uncomfortable when，WangHuiJuan immediately on electric bicycle，HuangXiuRong arrived home，Give her blood pressure、Hello medicine。

　　今年70岁的黄秀荣告诉记者，她因病结识了王会娟，从此有了新的寄托。“我打电话她来，不打电话她也来，就像我闺女一样。”王会娟说，社区片医相对固定，和患者接触多了就像亲人一样，对于老年病患，既要负责看病，也要抚慰他们的心灵，“虽然很累，但有成就感”。

This year, the 70-year-old HuangXiuRong told reporters，She met WangHuiJuan because of illness，And this is the new hopes。“I call her，Don't call her to，Like I the girl。”WangHuiJuan said，The medical community of relatively fixed，And patients exposed to too much like family members，In older patients，Both will be responsible for the doctor，Also want to comfort their souls，“Though very tired，But to have a sense of achievement”。

　　医保经办人员：遭白眼，喜相迎 Medical insurance agency personnel：disagreeable，Pleased with

　　从遭白眼到喜相迎，医保经办机构工作人员到农村收费时的境遇转变，也是农民对医改的认识转变。

From disagreeable to our mutually，Protects agency orgnaization staff to charge the plight of the rural when change，The farmers to the understanding of the cure is change。

　　新农合刚起步时，向农民筹资非常难。河南省新安县新农合管理办公室主任马志明回忆说，农合办及乡镇卫生院工作人员进村宣传政策时，很多农民不理解。为做通工作，经办人员一而再、再而三登门，农民烦了，便放狗咬他们。经办人员感叹，去群众家的次数多了，连狗都和他们熟了，不再叫了。

New farming and I just started，Financing is very difficult to farmers。Henan province XinAnXian new farming and management of the office of MaZhiMing recalls，Agriculture and rural hospitals by staff got to the village propaganda policy，Many farmers don't understand。To do the work，The person in charge again and again、Coming over，Farmers vexed，He put a dog bite them。Handling personnel exclamation，Go to the house of the number，Even the dogs and they are ripe，No longer called。

　　马志明说，现在不同了，村干部在喇叭上一广播，群众就到村委交参合费了，即使在外地打工或居住的人员，也想办法托亲戚朋友代缴，生怕参加不上次年的新农合。

MaZhiMing said，It's different now，Village cadres in the trumpet in a radio，The crowd rose into the village to ginseng add up to fee，Even in the personnel out for work or living，Also trying to "or relatives and friends，Fear not the next year in the new farm close。

　　湖北省荆门市掇刀区城乡居民医保制度实施之初，也遇到群众的不理解，工作人员一次次地上门做工作。农民群众下地干活，工作人员就边帮忙边宣传政策；城镇居民白天上班不在家，工作人员就晚上上门。在工作人员的坚持和努力下，群众的思想通了，参保积极性高了，参保人员由启动时的不到11万人增加到目前近20万人。

Duo knife area of people in jingmen, hubei province of urban and rural residents at the beginning of the implementation of the medical insurance system，Also meet the people do not understand，Staff work again and the door。And the farmers work，Workers have edge help side propaganda policy；Urban residents is not at home at work during the day，Work staff on the night the door。In the work of personnel to adhere to and efforts，People thought through，Ginseng protect high enthusiasm，Ginseng protect personnel to start by less than 110000 people has increased to nearly 200000。

　　记者采访中，不少参与医改的基层干部表达了这样的心声：三年医改已取得阶段性成效，但医改还将继续向前推进，未来任重道远，还有可能被误解，还会被质疑，但只要真心为群众利益着想，我们收获的“甜”一定会多过“苦”。

Reporter interview，In many of the cure of the grassroots cadres expressed such aspirations：Three years has brought has made some achievements，But medical will continue to advance，The future still has a，And may be misleading，Will also be questioned，But as long as true for the masses interests in mind，We harvest“sweet”Will more than“bitter”。