中新网9月17日电 国务院新闻办公室今日举行新闻发布会，卫生部部长陈竺、副部长刘谦介绍卫生事业改革发展进展情况，并答记者提问。陈竺在回答记者有关新医改下一步会怎么发展等相关提问时表示，卫生部已经启动第一批311个试点县市的公立医院综合改革，争取年内再启动300多个县的试点工作，使得改革成为不可逆转之势。

Beijing, sept. 17 - the state council information office held a press conference today,The ministry of health minister Outlines/Vice minister liu qian introduced reform and development of health programs progress,And answer questions.Outlines in response to reporters about the new reform, the next step will be how to development and other related questions that,The ministry of health has begun the first group of 311 a ShiDianXian city public hospital comprehensive reform,For years restart in more than 300 counties in pilot work,Thus, reform become irreversible trend.

　　陈竺指出，“十二五”期间是我国经济社会发展进程当中一个十分重要的时期，可以说也是深化医改的攻坚阶段。前不久，国务院已经公布了“十二五”医改规划及其实施方案，按照部署，我们将围绕加快健全全民医保体系、巩固完善基本药物制度和基层医疗卫生机构运行新机制、积极推进公立医院改革这三项重点工作，也就是我们说的“三医联动”、“三轮驱动”，争取医改取得新的更大的进展。

Outlines points out that,"1025"During the process of China's economic and social development of a very important period,Can say is also deepen the reform of the stage of storming fortifications.Not long ago,The state council has released"1025"Reform, planning and implementation plan,In accordance with the deployment,We will focus on to speed up improvement of the national health care system/Consolidate the perfect system for basic drugs and a basic medical and health institutions operation mechanism/Actively promote the reform of public hospitals three key work,Is what we say"Three medical linkage"/"Tricycle driver",For reform, achieve new progress.

　　首先是加快健全全民医保体系。就整个国家的基本医保制度而言，一方面还是需要进一步扩大覆盖面，争取更高水平的全覆盖。但是，尤其是要提高保障水平，探索建立大病保障机制，将基本医保和医疗救助制度有机地衔接起来，发挥商业保险的参与优势，最大限度增加群众大病保障水平，切实解决重特大疾病患者的因病致贫问题。当然，我们同时也要推进医保支付制度的改革，提高基本医保管理服务的水平。

The first is to speed up improvement of the national health care system.The whole country in the basic medical insurance system,On the one hand still need to be further extended coverage,For higher level of full coverage.but,Especially to improve the level of security,Exploring to establish guarantee mechanism of a serious illness,The basic medical insurance and medical assistance system organically together,Play commercial insurance participation advantage,Maximize the security level of a serious illness,Solve the great disease because of sickness poor problem.Of course,We also want to promote the reform of the medical insurance payment system,Improve the basic medical insurance management service level.

　　二是巩固和完善基本药物制度和基层运行的新机制。需要调整完善国家基本药物目录，并且完善我们的质量监管、生产流通、使用各个环节的保障，有序推进基本药物制度向两个方向拓展，一是向村卫生室和非政府办的基层医疗卫生机构进行延伸，另外基本药物制度也必须向各级医疗卫生机构扩展，也就是说要向医院扩展，从而进一步扩大基本药物制度的实施成效。同时，我们要规范基本药物的采购机制，加强供应保障体系建设。继续推进基层医疗卫生机构的综合改革，建立公益性的管理机制，长效性的补偿机制，规范性的采购机制，竞争性的用人机制，还有激励性的分配机制。

The second is to reinforce and perfect essential drugs system and the basic operation of the mechanism.Need to adjust and improve the national essential drugs list,And improve our quality supervision/Production and circulation/Use the security of each link,Orderly propulsion system for basic drugs to two direction development,One is to the village clinic and non-government basic medical and health institutions extensions,Another essential drugs system to medical and health institutions at various levels must be extended,That is to expand to the hospital,To further expand the essential drugs system the implementation effect.At the same time,We should regulate basic drug procurement mechanism,To strengthen the supply security system construction.Continue to promote the comprehensive reform of the medical and health institutions,To establish the management mechanism of public welfare,Long-term sexual compensation mechanism,Normative procurement mechanism,Competitive mechanism of employing,And the distribution of the incentive mechanism.

　　三是重中之重是全力推进公立医院改革。首先我们确定了县医院作为公立医院综合改革的突破口，我们已经启动了第一批311个试点县市的公立医院综合改革，争取年内再启动300多个县的试点工作，使得改革成为不可逆转之势。同时，推动一批大城市、大医院的综合改革，以取消以药补医为关键环节，以支付方式的改革为切入点，合理调整医疗服务价格，提升医疗服务能力，确保服务的效率、质量和安全，扎实开展各项便民惠民措施。同时，我们还需要建立上下联动的医疗服务体系，也就是城市大医院要更多地支持基层医疗卫生机构的工作，形成首诊在社区、双向转诊的良性互动局面，建立一个合理的分层医疗的格局，控制医药费用不合理上涨。

Three is the top priority is sparing no effort to promote the reform of public hospitals.First of all, we determined the county hospital as the breach of the public hospital comprehensive reform,We have launched the first group of 311 a ShiDianXian city public hospital comprehensive reform,For years restart in more than 300 counties in pilot work,Thus, reform become irreversible trend.At the same time,Promote a batch of big cities/Big hospital comprehensive reform,To cancel to medicine complement medical as the key link,To pay for the reform of the way as the breakthrough point,The reasonable adjustment of medical service prices,Improve medical service capacity,To ensure the efficiency of the service/Quality and safety,We carry out all solid for the convenience of the measures.At the same time,We also need to build up and down the linkage of medical service system,Also is the city big hospitals do more to support basic medical and health institutions work,Form the first diagnosis in the community/Two-way referral benign interactive situation,To establish a reasonable hierarchical medical pattern,Control unreasonable medical expenses rise.

　　陈竺表示，为了推进这三项重点工作，卫生部需要统筹推动相关领域的改革，进一步提高公共卫生服务水平，切实体现预防为主方针的贯彻落实，尤其是要注意应对慢性非传染性疾病，继续提高对传染性疾病、突发公共卫生事件的控制和处置能力。尤其需要创新医疗卫生人才培养和使用制度，加快建立住院医师规范化培训制度，落实全科医生的培养培训制度，在基层建立高水平的健康守门人的核心队伍。

Outlines said,In order to promote the three key work,The ministry of health need to plan as a whole to promote the reform of the related fields,Further improve the level of public health service,Embody the implementation of the policy of prevention,Especially attention should be paid to deal with chronic non-communicable diseases,Continue to improve the infectious diseases/Sudden public health incident control and disposal ability.Especially need innovation medical and health personnel training and use system,To speed up the establishment of a resident standardization training system,Implement general practitioners cultivation training system,In the basic unit to establish a high level of health the gatekeeper of the core team.

　　陈竺还指出，此外，需要鼓励社会资本举办医疗机构，形成多元化办医格局，既能够形成公立医院和民营医院相互支持、相互促进的局面，又能够满足人民群众不断增长的多样化的需求。最后，我们还要切实推进卫生信息化发展，包括居民健康卡的工作，这方面的工作首先是便民惠民，同时也有利于提高卫生事业管理水平，更好地为人民群众的健康服务。(据中国网文字直播整理)

Outlines also pointed out that,In addition,Need to encourage social capital conduct medical institutions,Form diversified do medical pattern,Not only can form the public hospital and private hospital support each other/To promote each other's situation,And can satisfy the people's growing the demand of diversification.finally,We need to promote health information development,Including residents health card work,This aspect of work for the convenience of the first is we,At the same time also is helpful to improve the health level of management,Better for people's health services.(According to China text live finishing)