中新网9月6日电 据卫生部网站消息，国务院参事室4日举行“我国医药卫生体制改革”报告会。中国卫生部副部长、国务院医改办副主任马晓伟在会上指出，公立医院改革在面上不断拓展，全国已有19个省(区、市)的600余所县级医院启动了综合改革试点。

Beijing on September 6, according to the ministry of health news website,The state council advisory office held on 4"Our country medicine health system reform"report.China's vice minister of health/Cure of the state council to do vice director MaXiaoWei at the meeting that,Public hospital reform in surface continue to expand,The country had been 19 provinces(area/city)More than 600 of the hospital at or above the county level shall start the comprehensive reform pilot.

　　马晓伟指出，随着改革的不断深化，各级领导干部对医改的重视程度不断提升，相关部门的共识逐步凝聚。公立医院改革在面上不断拓展，全国已有19个省(区、市)的600余所县级医院启动了综合改革试点；北京、上海、深圳等中心城市的改革试点工作取得明显进展，大城市引领、大医院带动、大政策实施、大手笔推进的改革画卷正在展开。

MaXiaoWei pointed out that,With the deepening of the reform of the,Leading cadres at all levels to the attention of medical degree continuously improve,Relevant departments consensus gradually cohesion.Public hospital reform in surface continue to expand,The country had been 19 provinces(area/city)More than 600 of the hospital at or above the county level shall start the comprehensive reform pilot;Beijing/Shanghai/Shenzhen, and other central cities of the pilot reform has achieved remarkable progress,Cities lead/Big hospital drive/Big policy implementation/Promote the reform of the big picture is underway.

　　马晓伟称，与此同时，公立医院改革在点上不断深化，围绕关键政策的共识逐步凝聚。

MaXiaoWei says,meanwhile,Public hospital reform at point deepening,Around the key policy consensus gradually cohesion.

　　——在医疗服务的组织方面，越来越多的城市以人民群众医疗服务需求为导向，建立上下联动的分工协作机制，促进资源横向整合和纵向流动；

- in medical service organization,More and more city people's medical service needs as the guidance,The division of work and establish linkage mechanism,Promote resource horizontal integration and vertical mobility;

　　——在推进“政事分开、管办分开”方面，各地通过创新政府对医院的管理方式，既保证医院运行符合公益性要求，又确保医院发展具备生机活力；

- in advance"Government affairs separate/Pipe run separate"aspects,All through the innovation of hospital management mode of the government,Not only ensure the hospital operation conform to the public welfare requirements,And to ensure that the hospital development have vitality;

　　——在推进医药分开方面，各地以医疗服务价格体系调整为基础、以改革基本医保支付方式为核心、以落实政府财政投入政策为保障，破除以药补医，重构补偿机制。

- in promoting medical separate aspects,In all medical service price system adjustment as the foundation/To reform the basic medical insurance payment as the core/To implement the government financial investment policy as the guarantee,Break up with medicine medical,Reconstruction compensation mechanism.

　　马晓伟指出，两年多来，公立医院费用控制取得初步成效，便民惠民措施的推进改善了群众就医体验，第三方调查显示，人民群众正在感受到医改所带来的实惠。

MaXiaoWei pointed out that,For more than two years,Public hospital cost control achieved initial results,We for the convenience of the measures to promote the improved medical treatment experience,The third party survey,People are feel reform brought about by the benefits.

　　马晓伟强调，公立医院改革的进一步深化必须以实事求是的态度对待医药卫生事业的发展规律，尊重地方的首创精神，发挥医务人员作为改革主力军的作用，认清形势，增强信心，坚定不移地落实好各项改革政策。要立足国情，充分考虑地区差异，不搞一刀切，不一蹴而就，循序渐进地推进改革。

MaXiaoWei emphasize,The further deepening of reform of public hospitals must be practical and realistic attitude towards the development of the cause of medical and health law,Respect the local pioneering spirit,Play the medical staff as reform important role,Recognize the situation,Enhance confidence,Unswervingly implement the reform policies.To base on the national conditions,Fully consider regional difference,Don't make one size fits all,Don't accomplish in one move,Gradual reform.

　　马晓伟提出，要在对既往卫生工作经验的继承和总结上，做好三方面工作，以实现把基本医疗卫生制度作为公共产品向全体人民提供的改革目标。具体为：

MaXiaoWei put forward,In to previous health work experience on inheriting and summary,To do three work,In order to realize the basic medical and health system, as public products to provide all the people as the goal of reform.Specific for:

　　一是巩固和发展三级网的宏观资源配置体制。分别以城市三甲医院和县级医院为龙头，建立向基层辐射的分工协作机制，提升城乡医疗服务体系技术能力，同时做好城乡对口支援工作。

One is to consolidate and develop the tertiary network macro resource allocation system.Respectively by city 3 armour hospital and the hospital at or above the county level for leading,Establish to grassroots radiation the division of work mechanism,Promotion of urban and rural medical service system technical ability,At the same time make urban and rural contra-aperture support work.

　　二是完善简政放权、多劳多得的微观激励机制。探索建立与医疗行业特点相适应的医生薪酬制度，改革人事制度以促进人员流动，完善对公立医院的补偿、监管等外部政策。

Two is it can consummate streamline administration decentralization/More pay for more work of micro incentive mechanism.Explore the establishment and the medical industry characteristics in line with the doctor salary system,The reform of personnel system in order to promote personnel flow,Perfect for public hospital compensation/Supervision of external policy.

　　三是促进基本医疗服务体系与基本医疗保障体系协同发展。以群众需求为导向，建立健全基本医疗保障制度，充分发挥其分担费用、抵御风险的作用；推进基本医保支付方式改革，转变医务人员激励导向，推动医疗机构提升效率、加强管理、控制费用，促进分级诊疗格局的形成。

The third is to promote the system of basic medical services and basic medical security system coordinated development.To the masses demand as the guide,Establish and perfect the basic medical insurance system,Give full play to its share the cost/The role of the risks;Promote basic medical insurance payment reform,Change medical staff incentive guide,Promote medical institutions promote efficiency/To strengthen management/Control cost,To promote the formation of the pattern classification diagnosis and treatment.

　　马晓伟指出，公立医院的改革要紧紧围绕解决群众“看病难、看病贵”问题，推进体制创新和机制转换。在体制创新方面，要以有效管理和发展医疗服务体系为目标，改革管理体制；要推动医疗资源整合，完善办医体制，实现上下结合、城乡结合、急慢结合、防治结合。在机制转换方面，要积极推进医保支付方式改革，建立与市场经济体制相适应的医疗服务监管机制，使政府对公立医院的经济管理和行业监管“两到位”，在制度建设方面，要健全基本医疗保障制度，建立住院医师规范化培训制度和全科医生制度，推动医疗卫生事业持续健康发展。

MaXiaoWei pointed out that,The reform of public hospital should be closely around the solution"See a doctor difficult/The doctor your"problems,Promote the innovation of system and mechanism transformation.In the system innovation,With effective management and development of medical service system as the goal,Reform the management system;To promote the integration of medical resources,Perfect medical system do,Realize with up and down/Of rural and urban combination/Steep slow combined with/Control combined with.The mechanism of the conversion aspects,To actively promote reform of the medical insurance payment,Establish to adapt to market economy system of medical service supervision mechanism,Make the government in public hospital economic management and industry supervision"Two in place",In the system construction,To improve the basic medical insurance system,Establish resident standardization training system and general practitioners system,To promote the sustained and healthy development of medical and health service.