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。陈竺指出，党的十六大以来，中国卫生事业得到全面发展，人民群众健康水平显著提高。

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 points out that,Since the 16th CPC national congress,Chinese health undertakings have all-round development,People's health level increased significantly.

　　陈竺指出，中共中央、国务院一向高度重视人民群众的健康和卫生事业的发展。党的十六大以来，中国卫生工作取得积极进展，覆盖城乡的医疗卫生服务体系基本形成，疾病防治能力不断增强，医疗保障覆盖人口逐步扩大，基本药物制度初步建立，卫生事业得到全面发展，人民群众健康水平显著提高。人均期望寿命从2000年的71.4岁提高到2010年的74.8岁。孕产妇死亡率逐年下降，从2002年的51.3/10万下降到2011年的26.1/10万。婴儿死亡率及5岁以下儿童死亡率持续下降，婴儿死亡率从2002年的29.2‰下降到2011年的12.1‰，5岁以下儿童死亡率从2002年的34.9‰下降到2011年的15.6‰，提前实现联合国千年发展目标，我国居民的健康水平已处于发展中国家前列。

Outlines points out that,The central committee of the communist party/The state council has always attaches great importance to people's health and health development.Since the 16th CPC national congress,Chinese health have made positive progress,Covering both urban and rural medical and health service system basic formation,Disease prevention and control increased the capacity,Medical insurance coverage population gradually enlarged,Essential drugs system has been set up preliminarily,Health undertakings have all-round development,People's health level increased significantly.Average life expectancy from 71.4 in 2000 to 2010 in raising the age 74.8 years.The maternal mortality rate to drop year by year,From 2002 in 51.3/10 descend to 2011 years of 26.1/10.Infant mortality rate and mortality of children under five years old is declining,Infant mortality from 2002 in 29.2 ‰ descend to 2011 years of 12.1 ‰,Mortality of children under five years old from 2002 in 34.9 ‰ descend to 2011 years of 15.6 ‰,Advance to realize the UN millennium development goals,Health level of the residents of our country has been in the forefront of the developing countries.

　　陈竺指出，2009年3月，中共中央、国务院做出了进一步深化医药卫生体制改革的重大决策，确定了2009--2020年卫生改革的制度框架、政策思路和目标任务，经过三年多的努力，五项重点改革统筹推进，取得了重大阶段性成效。

Outlines points out that,In march of 2009,The central committee of the communist party/The state council made a further deepening the reform of medical care system making important decisions,Determine the health reform in 2009-2020 the system framework/Policy idea and goal task,After three years of hard work,Five key reform as a whole propulsion,Made great stage effect.

　　一是基本医疗保障制度基本建立。2011年，城乡居民参加职工医保、城镇居民医保、新农合人数超过13亿，覆盖率达到95%以上，中国建立起世界上最大的医疗保障网。2003年起开展新型农村合作医疗制度试点并逐步在全国推广，覆盖面迅速扩大，全国参合人口从2003年的0.8亿增至2011年的8.32亿。新农合筹资力度逐年加大，医疗保障水平大幅提升。新农合人均筹资水平从2003年的30元提高到2011年的246元，受益人次数从2004年的0.76亿人次提高到2011年的13.15亿人次，政策范围内住院费用报销比例达到70%以上。新农合重大疾病保障机制初步建立，2012年上半年已有超过34万人次获得补偿。2003年和2005年分别建立了农村和城市医疗救助制度，2011年全国城乡医疗救助总人次达8887万，救助资金支出186.6亿元。

One is the basic medical security system basic establishment.In 2011,,Urban and rural residents to participate in medical worker/Medical insurance for urban residents/New farmers more than $1.3 billion,Rate is above 95%,China set up the world's largest medical security nets.Since 2003, to carry out the new rural medical cooperative system in the pilot and gradually spread in the whole nation,Coverage expanded rapidly,Ginseng to add up to the national population from 2003 in 080 million to 2011 in 832 million.New farmers joint financing strength increased year by year,The medical security level improved significantly.New farmers $per capita funding level from 2003 in 30 yuan increased to 2011 yuan in 246,The number of beneficiary from 2004 in 076 million to improve people in 2011 to 1.315 billion people,Within the scope of policy in hospital expense ratio above 70%.New farmers joint major disease safeguard mechanism preliminarily established,In the first half of 2012 more than 340000 passengers get compensation.In 2003 and 2005 respectively to establish the rural and urban medical assistance system,In 2011 the urban and rural medical assistance total 88.87 million people,Rescue capital spending 18.66 billion yuan.

　　二是基本药物制度从无到有建立起来。政府办基层医疗卫生机构全部配备使用基本药物并实施零差率销售。目前，正向村卫生室和非政府办基层医疗卫生机构延伸。基层基本药物价格比改革前平均下降30%。人事、分配、补偿和绩效考核等方面的基层医疗卫生机构运行新机制逐步建立。据调查，改革后财政和医保对基层医疗卫生机构收入的补偿比例达到72%，比改革前提高了22个百分点。

The second is essential drugs system built from scratch.Government basic medical and health institutions all equipped with use basic drugs and implement zero sales rate.At present,Forward village clinic and non-government basic medical and health institutions extensions.Basic essential drugs price before the reform an average 30% decline.personnel/distribution/Compensation and performance appraisal of basic medical and health institutions operation mechanism is gradually establish.According to the survey,After the reform of financial and medical insurance for basic medical and health institutions income compensation ratio reached 72%,The reform increased by 22% than before.

　　三是基层医疗卫生服务体系建设显著加强。覆盖城乡的基层医疗卫生服务网络基本建成，基层医疗卫生机构软硬件都得到很大改善，基层服务网底功能逐步显现。医改三年来，基层医疗卫生机构的诊疗人次比改革前增加8.43亿，增长了28.5%。“小病在基层，大病去医院”的就医新秩序正在形成。

Three basic medical and health services system construction to strengthen significantly.Covering both urban and rural areas at the grass-roots level of medical and health service network basically completed,Basic medical and health institutions hardware and software have been improved greatly,The primary service WangDe function gradually appear.Cure for three years,Basic medical and health institutions and medical people than before the reform an increase of 843 million,Increased by 28.5%."Ailments in the basic unit,Serious illness to the hospital"Go to a doctor of the new order are forming.

　　四是基本公共卫生服务逐步均等化水平明显提高。国家免费向全体城乡居民提供10类41项基本公共卫生服务项目。此外，针对特殊疾病、重点人群和特殊地区，国家实施重大公共卫生服务项目，惠及近2亿群众。国家支持8000多个公共卫生服务机构建设，公共卫生服务能力有效提升。

Four is the basic public health services equal level gradually increased obviously.Free country to all urban and rural residents provide 10 class 41 basic public health services.In addition,According to the special disease/Key crowd and special area,National implementation of major public health services,Benefit nearly 200 million people.The state supports more than 8000 public health service organization construction,The public health service capacity effectively increased.

　　五是公立医院改革试点有序推进。在17个国家试点城市、37个省级试点城市、超过2000家医院推进公立医院体制机制改革试点。探索建立现代医院管理制度，推进大卫生体制下的管办分开。北京、深圳等试点城市近期公立医院改革在取消药品加成、建立全新补偿、运行、监管机制上取得突破性进展和初步成效。全面推进预约挂号、双休日和节假日门诊、优质护理服务等便民惠民措施。开展临床路径管理，推行同级医疗机构检查检验结果互认，有效控制医药费用。以取消以药补医机制为关键环节，启动县级公立医院综合改革，统筹推进人事、分配、补偿、绩效考核等方面的改革，注重提升服务能力，构建基层首诊、双向转诊、上下联动、分工协作的就诊新格局。(据中国网文字直播整理)

5 it is public hospital reform pilot ordered propulsion.In 17 countries pilot cities/37 provincial pilot cities/More than 2000 hospitals propulsion public hospital system mechanism reform pilot.Explore the establishment of a modern hospital management system,Promote large health system of the tube to separate.Beijing/Shenzhen city in the near future the pilot reform of public hospitals in cancel drug addition/To establish a new compensation/operation/Supervision mechanism breakthrough and preliminary achievements.Comprehensively promote make an appointment/Weekends and holidays outpatient service/High quality nursing service we for the convenience of the measures.Developing the clinical path management,Implementation of the medical institutions at the same level and inspection results recognition,Effective control of the medical expenses.To cancel to medicine complement medical mechanism as the key link,At or above the county level shall start public hospital comprehensive reform,Overall propulsion personnel/distribution/compensation/The reform of the performance evaluation, etc,Pay attention to improve service ability,Building the first diagnosis at the grass-roots level/Two-way referral/Fluctuation linkage/Division of Labour cooperation of the new pattern to see a doctor.(According to China text live finishing)

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In 2011, urban and rural medical insurance has a ratio of 89% and 97% rural super town

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Commercial insurance agency orgnaization of new agriculture close business has covered 140 wing

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