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。刘谦指出，今年上半年，全国已经有343641名患者被纳入新农合的重大疾病救治保障范围。

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.Liu qian pointed out that,In the first half of this year,The whole nation has had 343641 patients were included in the new agriculture close major disease treatment the scope of protection.

　　刘谦指出，卫生部是在主管新农合的工作，对于农村居民重大疾病的医疗保障给予了高度重视。这项工作卫生部从2010年6月就开始启动，作为探索，是会同民政部一起。先是以农村儿童的先心病和急性白血病这两个病开始，逐步扩大到今年的20种疾病。主要的做法是通过对试点的病种实施临床路径管理，同时实行按病种定额或限价付费方式，这些改革的配套措施，规范了医疗行为，同时有效地控制费用。新农合在限定费用的基础上，将重大疾病的实际报销比例提高到70%。对于符合条件的救助对象，就是贫困的人群，跟民政部合作，由民政部对救助对象再给予补偿20%，二者相加可以到90%。

Liu qian pointed out that,The department of health is in charge of the new farm work together,For rural residents of major disease medical security given highly attention.The ministry of health the work from June 2010 began to start,As exploration,In conjunction with the ministry of civil affairs is together.First rural children's congenital heart disease and acute leukemia this two disease started,Gradually expanded to this year's 20 kind of disease.The main way is through the pilot diseases the clinical pathway management,At the same time practice press disease to quota or price payment,These reform measures,To standardize the medical behavior,At the same time effectively control expenses.New farming combined on the basis of limited cost,Will serious illness of the actual reimbursement ratio increased from 70% to.To meet the conditions of the rescue object,Is the poor people,Cooperation with the ministry of civil affairs,By the ministry of civil affairs to rescue object to compensate 20%,Both additive can to 90%.

　　卫生部采取的办法是逐步扩大试点，2010年开始是两个病，到2011年两个病在新农合统筹地区全面铺开了，同时增加了6个病做试点。到2012年，前面的8个病全面铺开，有三分之一的统筹地区增加了12种病，现在是20种病。今年上半年，全国已经有343641名患者被纳入新农合的重大疾病救治保障范围，其中白血病患儿有4000多人，先心病患儿14000多人，费用的补偿比分别达到74.1%和77%，如果是贫困人口再加上救助的话会更高。

The ministry of health to take method is to gradually expand the pilot,2010 start are two disease,By 2011 two disease in the new agriculture together as a whole the area the spread to open completely,At the same time increase the six disease do pilot.By 2012,In front of the eight disease spread to open completely,A third of as a whole the area increases the 12 kinds of disease,It is 20 kinds of disease.In the first half of this year,The whole nation has had 343641 patients were included in the new agriculture close major disease treatment the scope of protection,The leukemia children more than 4000 people,More than 14000 children with congenital heart disease,The cost of compensation ratio was 74.1% and 77% respectively,If it is poor plus assistance would be higher.

　　刘谦还指出，妇女“两癌”等6种疾病的救治人数也显著增加，累计补偿金额已经达到9.23亿元。新增12种病的试点也有93181名患者获得了救治，补偿的金额也达到3.88亿元。参合农民患重大疾病的费用负担明显减轻。

Liu qian also pointed out that,women"Two carcinoma"Six kinds of disease treatment also significantly increase the number,Accumulative total compensation amount has reached 923 million yuan.New 12 kinds of disease of pilot also have 93181 patients received treatment,The amount of compensation has reached 388 million yuan.Ginseng adds up to farmer suffer from serious illness expense burden improved obviously.

　　刘谦称，前不久，发改委等六部门印发了《关于开展城乡居民大病保险工作的指导意见》，新农合重大疾病保障试点工作和六部委即将开展的大病保险工作的目的都是一样的，只是具体操作是有两种方式，新农合大病保障是按疾病走的，大病保险是按费用走的。这两种方式各有所长。按疾病走，选择的是危害比较严重的病，而且这些病临床路径是清楚的，就是说它的治疗是很规范的，同时费用也是可控的，能够知道大概是多少钱，而且疗效也是可知的，预后是清楚的。但是，病人是不能选择患病种类的，这种方法会有公平性欠佳的问题。按费用走，超过多少钱都给予报销，比较公平是它最大的优点。但是因为有些疾病的费用不可预见，会给基金带来很大的风险。

Liu QianChen,Not long ago,Development and reform commission, and other six departments of the issued by[About urban and rural residents to carry out a serious illness insurance work guiding opinions],New farmers joint major disease security pilot work and six ministries and commissions is going to carry out a serious illness insurance of the purpose of the work is the same,Just concrete operation is there are two ways,New farmers close a serious illness security is by the disease go,A serious illness insurance cost is to go.This two ways each has his strong point.According to the disease go,Select the harm serious disease,And these disease clinical pathway is clear,Is it treatment is very standard,At the same time cost is controlled,To know is probably how many money,And the curative effect is also known,Prognosis is clear.but,The patient is cannot choose sick kinds of,This method will have the problem of poor equity.According to the costs go,More than how many money to submit an expense account,Comparative fair is its biggest advantage.But because the cost of some diseases do not foresee,Will give fund great risk.

　　刘谦还表示，卫生部做这项工作是采取了“小步快跑”的办法，第一年2个病，第二年增加6个病，第三年又增加了12个病，这样就是20个病。目前卫生部还在进一步制定其他疾病的临床规范。作为卫生部来说，因为前期已经开展了大病的新农合的工作，所以衔接上的就是优先考虑这20个大病，但是会更进一步尽快扩大它的范围。随着投资水平和管理水平的提高，新农合对农民大病的保障能力还会进一步提高。

Liu qian also said,The ministry of health to do the job is taken"Step run"way,The first year two disease,The second year increase six disease,The third year added 12 disease,This is 20 disease.At present the ministry also in further clinical standard for other diseases.As for the ministry of health,Because early days had carried out a serious illness new farm work together,So the cohesion is preferred this 20 a serious illness,But will further expand the scope of it as soon as possible.As the level of investment and management level of increase,New farmers close to the security of a serious illness farmers will also further enhance the ability.

　　陈竺补充指出，如何确保大病的医疗服务能力。这个服务实际上也包括预防、早期的诊断和治疗、康复等等。有一些病只能在大医院治疗的，目前还不能在基层医院进行，但是也要基层的配合，就是要把患者筛查出来。这个筛查的能力建设是需要过程的，这是一类主要依托我们的三级甲等医院、专科医院进行救治的疾病。还有一些大病的诊断，特别是病因诊断可能主要是在大医院做的，但是它的日常服务在基层，也就是在县级医院甚至是乡镇卫生院做的。

Outlines added,How to ensure that a serious illness medical service capacity.This service in fact also includes prevention/Early diagnosis and treatment/Rehabilitation and so on.There are some disease only in large hospital treatment,At present it cannot be at the basic level hospital,But also to grass-roots fit,Is to put the patient screening out.This screening ability construction is the need to process,This is a kind of main rely on our three level of first-class hospital/Specialized subject hospital for treatment of the disease.There are some serious illness diagnosis,Especially etiology diagnosis may mainly in big hospitals do,But it's daily service in the basic unit,Also is at or above the county level in the hospital even township health center do.

　　陈竺指出，中国2800多个县市级的医院当中，现在还有大概800个没有肾科医生，没有血液透析设施，必须把县级医院的能力提高起来。像这类工作，也应该以县医院作为一个区域的医疗技术的中心服务平台来进行提供。

Outlines points out that,China's more than 2800 theory guilds of hospital,Now there are about 800 no renal family doctor,No blood dialysis facilities,Must have the ability to the hospital at or above the county level shall improve up.Like this kind of work,Should also be in county hospital as a regional medical technology center services platform to provide.

　　陈竺还指出，除了医务人员这方面的能力不足以外，还要提到药品，特别是基本药物的供应保障能力。血友病这一次列入了20个大病，血友病的治疗离不开血浆制品类的药物，但国家现在的血浆制品药物处在一个非常严峻的紧平衡的状态，有的时候我们连抢救用药都有断货的情况。

Outlines also pointed out that,In addition to medical staff this ability is insufficient outside,Also mentioned drugs,Especially basic drug supply support capacity.Hemophilia this time included in the 20 a serious illness,The treatment of hemophilia from plasma products type of drugs,But the country now plasma products drug in a very severe tight balance state,Sometimes we even rescue drugs have broken the goods.

　　陈竺称，大病的救治保障，实际上是要把整个医疗服务体系的能力建设提高到一个新的水平，而且要把保基本、强基层、建机制作为基本原则。这就是为什么卫生部最近准备就这方面的工作进行再部署。一个大病抓住了医改的特别是公立医院改革的核心问题，一个就是谁提供高质量的服务，另外就是谁来提供可持续的保障，这些问题解决了，就应该是医改成功的一个重要标志，人民群众会得到实惠，医务人员也会受到鼓舞。

Outlines says,The treatment of a serious illness protection,In fact is to put the whole medical service system construction of ability raise to a new level,And to put the basic/Strong base/Build mechanism as the basic principle.This is why the ministry of health recently is ready to have the work deployment again.A serious illness caught the reform, especially the core issue of public hospital reform,One is who provides high quality service,The other is the who to provide sustainable security,These problem solved,It is the success of reform, an important sign,People will get benefits,Medical personnel will also be encouraged.