中新网8月7日电 据卫生部网站消息，卫生部、国务院医改办等五部委日前联合印发关于做好2012年公立医院改革工作的通知。通知要求，促进公立医院优先配备、优先使用基本药物，控制医药费用不合理上涨。

Beijing August 07 dec according to the health ministry's website reported，health、Cure of the state council office, etc by five ministries jointly issued by about 2012 years to public hospital reform work notice。Notice requirements，Promote public hospital equipped with priority、Priority in use of basic drugs，Control medical costs is not reasonable to rise。

　　——继续推行便民惠民措施，加强医院内部管理

-continued to implement convenience huimin measures，Strengthen the internal management

　　以病人为中心，以服务为导向，巩固便民惠民措施成果。继续推进“三好一满意”、“医疗质量万里行”和抗菌药物临床应用专项整治活动。进一步开展预约诊疗活动，全国所有三级医院和有条件的二级医院广泛开展通过网络、电话、短信等方式的预约挂号工作，积极推进区域统一预约挂号平台建设。优化门急诊服务和流程，实行“一站式”服务和自助服务，提供方便快捷的检查结果查询服务，全国有条件的三级医院普遍开展双休日及节假日门诊，充实门诊力量。扎实推进优质护理服务，全国所有三级医院优质护理服务覆盖60%以上的病房，三级甲等医院实现全院覆盖，60%的地(市)级二级医院和30%的县级二级医院开展优质护理服务。临床一线护士占全院护士比例不低于95%，病房实际护床比不低于0.4:1，工作量大、危重患者多的病房要增加护士配备。建立健全医疗纠纷第三方调解机制和医疗责任保险制度，实现医疗纠纷人民调解制度县级以上全覆盖。

With the patient as the center，To service oriented，Consolidate convenience huimin measures results。Continue to promote“Miyoshi YiManYi”、“Medical quality tour”And antibacterial drugs for clinical use special regulation activities。Further develop an appointment clinical activities，The national all level 3 hospitals and conditional level 2 hospitals extensively through the network、phone、Text messages in ways make an appointment，Promoting regional unified make an appointment platform construction。Optimize this service and process，implement“one-stop”Service and self-service，To provide convenient and quick examination results, inquires the service，The conditional level 3 hospital in general holidays and weekends outpatient service，Enrich outpatient service power。Effectively promoting nursing service quality，The national all level 3 hospital nursing quality service to cover more than 60% of the ward，Three level of first-class hospital realize cover partial，60% of the land(city)Level 2 class hospital at the county level and 30% of the second class hospitals provide high quality nursing services。Clinical nurse a line of the whole institutes nurses proportion is not less than 95%，Ward care than actual bed not less than 0.4:1，Workload big、Critical patients more ward to increase with the nurse。Set up and perfect the medical dispute mediation in the third party and the medical liability insurance system，Realize medical disputes at or above the county level people's mediation system complete coverage。

　　以临床路径管理和信息化建设为抓手，提升医院管理的科学化、精细化、专业化水平。所有三级医院和有条件的二级医院都开展临床路径管理试点，所有三级甲等医院和至少40%的二级甲等医院实行临床路径管理，病种数分别不少于每家医院15个和5个。进一步完善与区域信息平台衔接、以电子病历建设和医院管理为重点的医院信息化网络，探索将医院信息化系统与基本医疗保障经办机构和医疗服务监管信息系统相连接。

Clinical pathway and the information management in construction of high-quality curriculums，Improve the management of hospital scientific、fine、Professional level。All of the third class hospitals and the conditions of the second class hospitals are developing clinical path management pilot，All three level of first-class hospital and at least 40% of the level 2 of first-class hospital clinical pathway of management，Diseases are not less than each hospital number 15 and 5。Further perfect and regional information platform cohesion、With electronic medical records construction and the hospital management is to focus on the hospital information network，Explore the hospital information system and the basic medical insurance agency orgnaization and medical service connected monitoring information system。

　　推进医院内部组织结构和决策机制的科学化设置。精简医院内部行政机构。强化财务、内部审计，保障医院经济运行安全有序。三级医院要按照医院财务制度的有关规定尽快设立总会计师。进一步推进后勤社会化管理。推进重大决策的科学化、民主化进程，探索建立以理事会为主要形式的决策监督机构， 建立决策、执行、监督相互分工、相互制衡的权力运行机制。

Promote the internal organization structure and decision-making mechanism of scientific Settings。Streamline the internal administrative institutions。Strengthening financial、Internal audit，Ensure safe and orderly economic operation of the hospital。Level 3 hospital to hospital financial system in accordance with the relevant provisions of the general accountant set up as soon as possible。To further promote the logistics socialization management。Promote great and decision-making more scientific、Democratization process，Explore a council as the main form of decision oversight agency， Establish decision-making、execution、Supervision division of each other、Mutual containment of power operation mechanism。

　　——充分调动医务人员积极性

-fully mobilize enthusiasm medical staff

　　完善医院内部分配激励机制。加强人员绩效考核，将医务人员工资收入与医疗服务技术水平、质量、数量、成本控制、医德医风、群众满意度等考核结果挂钩，做到多劳多得、优绩优酬、同工同酬。收入分配向临床一线医务人员倾斜。提高医院人员经费支出占业务支出的比例，提高医务人员待遇。

Perfect the internal distribution incentive mechanism。Strengthen personnel performance evaluation，Will the medical staff wage income and medical service technical level、quality、number、Cost control、ethics、The masses satisfaction assessment results such as hook，Do more gain for more pay、Optimal performance for optimal、Equal pay for equal work。Income distribution clinical medical staff to a line to tilt。Improving hospital personnel expenditure accounts for the proportion of business expenses，Improve the medical staff treatment。

　　建立健全住院医师规范化培训制度，制定制度框架和政策体系。在2011年培训的基础上，扩大培训规模。继续推进医师多点执业，扩大试点范围。

Set up and perfect the resident standardization training system，Make the institutional framework and the policy system。In 2011, based on the training，Expand training scale。To continue to push forward the doctors more practice，To expand the scope。

　　——优化医疗服务体系，建立分工协作机制

-medical service system optimization，Cooperate mechanism

　　加强对医疗服务体系的规划调控。各省(区、市)要修订完善区域卫生规划和区域医疗机构设置规划。各国家联系试点城市要完成区域卫生规划和区域医疗机构设置规划的制订工作，明确医院的种类、数量、规模、布局。每千常住人口医疗卫生机构床位数达到4张的，原则上不再扩大公立医院规模。加强区域卫生规划等规划的刚性约束，控制中心城区医疗资源增长，控制大型医疗机构单体规模扩张，严格控制建设标准、规模和设备配备。加强薄弱区域和薄弱领域能力建设，大力发展护理院、康复医院等医疗机构。完善中医医院服务体系。

To strengthen medical service system planning regulation。provinces(area、city)To revising perfect regional health planning and regional program of the establishment of medical institutions。Each country to complete contact pilot city regional health planning and regional program of the establishment of medical institutions for the job，Clear the kinds of hospital、number、scale、layout。Per permanent population medical health care institutions to achieve the four tickets，In principle, no longer expand the scale of public hospital。Strengthen regional health planning the rigid constraints such as planning，The control center city medical resources growth，Control large medical institutions monomer scale expansion，To strictly control the construction standards、Equipped with scale and equipment。Strengthen the weak area and the weak ability construction field，Vigorously develop nursing center、Rehabilitation hospital medical institutions。Perfect service system of traditional Chinese medicine hospital。

　　建立健全公立医院与基层医疗卫生机构的分工协作机制。公立医院重点加强对基层医疗卫生机构人才、技术和管理的支持指导。建立通过基层医疗卫生机构预约公立医院门诊的绿色通道。

To establish and perfect the basic public hospital and medical and health institutions division of cooperation mechanism。Strengthening public hospital medical and health institutions at the grassroots people、Technology and management support guidance。Set up through the basic medical and health institutions public hospital outpatient appointment of the green channel。

　　——多管齐下，控制医药费用不合理上涨

-multi-pronged，Control medical costs is not reasonable to rise

　　加强对医疗服务行为和医疗费用的监管控制。各地要合理确定控费目标，各级卫生行政部门将次均费用和总费用增长率、平均住院日及药占比等控制管理目标纳入公立医院目标管理责任制和绩效考核范围。加强对费用增长速度较快疾病诊疗行为的重点监控。强化医保对医疗服务的监控作用。

To strengthen medical service behavior and medical expenses regulatory control。The various localities should reasonably determine the target control fee，Public health administrative department at various levels are expenses and total cost ort growth rate、The day in hospital and medicine than the control management target of public hospital management accountability into goals and performance evaluation scope。To strengthen cost growth speed disease diagnosis and treatment of key control behavior。Strengthen medical insurance of medical service monitoring role。

　　加强医院内部成本控制管理。加强医院财务管理，实行成本核算与控制。促进公立医院优先配备、优先使用基本药物，广泛使用适宜技术。逐步实行同级医疗机构检查、检验结果互认。创新服务方式，通过开展日间手术、延伸护理服务等，降低医药费用。

Strengthen the internal management of cost control。Strengthen the financial management，Implementing cost accounting and control。Promote public hospital equipped with priority、Priority in use of basic drugs，Extensive use of appropriate technology。At the same level shall gradually medical institution examination、Test results recognition。Innovation service way，Through the development of ambulatory surgery、Extended care services, etc，Reduce medical expenses。