广东省卫生厅副厅长廖新波谈医改——

Guangdong provincial health bureau deputy director manifold new wave talk about medical reform --

　　“当医生的劳动价值提高后，医疗费用是否就会下降呢？大检查、大处方是否就会减少呢？一定是会的，但是也不要抱太多希望！”前日，广东省卫生厅副厅长廖新波出席由广州医学院第二附属医院举办的首届广州脑血管病论坛时指出，我国大病致贫、返贫情况非常严重，他呼吁政府提升医疗的公益性，建立大病救助机制。

“When the doctor's labor value increase，Whether medical costs will drop it？examination、Whether DaChuFang will reduce it？Must be will，But they also do not have too much hope！”The day before yesterday，Guangdong provincial health bureau deputy director manifold new wave attended the second affiliated hospital of guangzhou medical college held the first guangzhou cerebrovascular disease BBS out，Our country comes to a serious illness、The situation has been very serious poverty，He urged the government to improve the social benefits of medical treatment，Establish a serious illness relief mechanism。

　　谈现状： Talk about present situation：

　　大病致贫返贫情况很严重 A serious illness comes to poverty situation is very serious

　　会议透露，目前，脑血管病已成为危害我国中老年人身体健康和生命的主要疾病，是我国居民死亡的第一位原因。

The meeting revealed，At present，Cerebrovascular disease has become a danger to our country the elderly health and life of the main diseases，Residents in our country is the first cause death。

　　据悉，我国脑卒中年发病率是150~200/10万人，全国每年新发脑卒中约200万人；每年死于脑血管病约150万人；存活的患者数(包括已经痊愈者)是600万~700万人。在存活的脑血管病患者中，约有3/4不同程度地丧失劳动能力，其中重度致残者约占40%。

It is reported，Our country in stroke incidence is 150 ~ ten thousand 200/10，The new hair stroke each year about 2 million people；Million die each year from cerebrovascular disease of about 1.5 million people；Survival of patients number(Including those have been recovered)Is 6 million ~ 7 million。In survival of cerebrovascular disease in，About three-fourths of different degree lose labor ability，The severe disability were about 40%。

　　目前，全国每年用于治疗脑血管病的费用估计要在100亿元以上，加上各种间接经济损失，每年因本病支出接近200亿元。

At present，The national each year for the treatment of cerebrovascular disease cost is estimated at 10 billion yuan of above，Add various kinds of indirect economic loss，Every year because of the disease spending nearly 20 billion yuan。

　　“脑血管疾病是四大杀手之一，也是大病的一种。”廖新波也说，在我国，大病致贫、返贫的情况非常严重，“跟白血病、肿瘤一样，因脑血管疾病引起的生活、工作困难的情况比比皆是。”

“Cerebrovascular disease is one of the four major killer，Is also a kind of a serious illness。”Manifold new wave also said，In our country，Comes to a serious illness、The poverty situation is very serious，“With leukemia、As tumor，For cerebrovascular diseases caused by life、Work difficult situation can be found everywhere。”

　　谈医改： Talk about medical reform：

　　呼吁医生不要替药厂打工 Call for the doctor don't work for pharmaceutical companies

　　廖新波将话锋转到医改的话题上。

Manifold new wave of reform, will be transferred to the topic。

　　“医学技术不断发展，医改不断深入，我们在提高医生的劳动价值方面做了很多尝试。”他说，北京和深圳也正在医改，都是围绕着如何提高医生的劳动价值和减少患者的医疗费用两个问题进行。

“Medical technology has been developing continuously，Deepening reform,，We improve the doctor's labor value aspects attempts were made。”He said，Beijing and shenzhen is also cure，On how to improve the doctor's labor value and reduce patients' medical costs two problems。

　　“当医生的劳动价值提高后，医疗费用是否就会下降呢？大检查、大处方是否就会减少呢？”廖新波直言，“一定是会的，但是也不要抱太多希望！”

“When the doctor's labor value increase，Whether medical costs will drop it？examination、Whether DaChuFang will reduce it？”Manifold new wave the truth，“Must be will，But they also do not have too much hope！”

　　他认为，过度治疗仍然会存在。过度治疗的原因固然有很多，有机制方面的原因，也有流通领域的原因，尤其是卫生材料，比如支架、导管价格本来就贵，就算不加收15%，也是贵。“可是，如果在本来就贵的基础上，再提高医生的劳动价值，今后的医改会让百姓满意吗？”

He thinks，Excessive treatment will still exist。Excessive treatment of reason is there are many，A mechanism reasons，Also has the reason of circulation field，Especially health materials，Such as support、Catheter price was expensive，Even if not added 15%，Is your。“but，If the was expensive basis，To improve the doctor's labor value，The future reform, will make people satisfied？”

　　“医生的劳动价值问题，我们过去一直习惯于以药养医的旧体制，但是，以药养医给医生带来什么坏处，医生非常清楚。”他说，“医改就是要使医生的尊严得到体现，而不是替药厂和卫生材料打工。”

“The doctor's labor value problem，In the past, we have been used to raise medicine medical old system，but，To raise the medical medicine to the doctor bring no harm，The doctor is very clear。”He said，“Reform is to make the doctor's dignity be reflected，Not for pharmaceutical factory and health work material。”

　　谈解决： Talk about solving：

　　大病需政府建立救助机制 A serious illness need government to establish rescue mechanism

　　“作为医生，我们需要用自己的技术、良心和责任好好为人民服务，而作为政府部门，更是要在提高医院的公益性方面做出努力。”廖新波坦言，“我们都知道，医院本身没有公益性可言，它只是提供服务的平台。医疗公益性的提升要政府来做。大病救助，需要政府建立救助机制，因为医生不可能不赚钱，亏本来做。”

“As a doctor，We need to use their own technologies、Conscience and responsibility to serve the people，As a government department，But also to improve hospital in the aspects of public welfare efforts。”Manifold new wave said，“We all know that，There is no public welfare hospital itself，It's just provide services platform。Medical pro bono ascension to the government to do。Serious illness salvage，Needs the government to establish rescue mechanism，Because the doctor could not earn money，Sacrifice to do。”

　　他说，尊敬生命，作为医生理所当然；而作为病人和制定政策的人，要更加尊敬生命。“如果制定政策的人不尊敬生命，就会扭曲政策；如果病人不尊重生命，就会对医生和医学不尊重。”

He said，Honor life，As a doctor for granted；As a patient and policy makers are，Be more respect for life。“If the policy makers are not honor life，Will distort policy；If the patient has no respect for life，Will the doctor and medical don't respect。”

　　他还笑言：“医改需要大家的共同努力，而不是我一个人在媒体上咋咋呼呼。”他希望大家共同努力，在医改工作方面有所建树，“使我们能够安心踏实地为人民服务，而不是窝囊委屈地生活着”。 黄蓉芳 许咏怡

He smiled and said：“Medical need everyone's joint effort，But I'm not the only one in the media zha zha shout。”He hope everyone work together，In the medical reform work contribute，“We can set his mind at to steadfastly to serve the people，Not timid injustice to live with”。 HuangRongFang 许咏怡