中新网9月19日电 据卫生部网站消息，卫生部党组书记张茅在2012年第9期《紫光阁》杂志上撰文谈公立医院改革。张茅强调，公立医院改革的出发点和落脚点是为了满足群众就医方便、负担减轻、质量提升的要求。在今后的公立医院改革中，要紧紧围绕缓解群众看病难、看病贵问题，以服务病人为中心，以优化质量为导向，以强化管理为手段，继续巩固便民惠民措施成果，着力构建长效机制。全文如下：

Beijing on September 19, according to the ministry of health news website,Health BuDangZu secretary zhang in the 9th 2012[department]Magazine articles about public hospital reform.Zhang stressed,Public hospital reform is the starting point and the foothold in order to satisfy the masses doctor convenient/burden/The requirement of quality improvement.In the future in the reform of public hospitals,To alleviate the masses closely around to see a doctor difficult/Expensive to see a doctor,To serve the patient as the center,In order to optimize the quality as the guidance,To strengthen the management as the means,Continue to consolidate the achievements we for the convenience of the measures,To build up a long-term mechanism.Full text is as follows:

　　公立医院是我国医疗服务体系的主体，公立医院改革是缓解人民群众看病难、看病贵的重点和难点问题。深化医改三年来，在17个国家联系试点城市、37个省级试点城市、2000多家公立医院开展了改革探索，在创新体制机制、完善服务体系、加强内部管理、加快形成多元化办医格局等方面取得了积极进展。

Public hospital is the main body of Chinese medical service system,Public hospital reform is to alleviate people's hard to see a doctor/The doctor your key and difficult problem.Deepen the reform in three years,In 17 countries contact pilot cities/37 provincial pilot cities/More than 2000 home public hospital reform carried out to explore,In the innovation system mechanism/Perfect service system/To strengthen internal management/Speed up the formation of diversified do medical pattern made positive progress.

　　“十二五”期间是深化医改的攻坚阶段，也是实现到2020年人人享有基本医疗卫生服务远景目标的关键时期。今后一段时期，我们将继续紧紧围绕医保、医药和医疗三个重点环节，实行“三轮驱动”。作为“三轮”中的关键一环，公立医院改革是“十二五”期间深化医改的三项重点改革任务之一。按照中央要求，公立医院改革由局部试点转向全面推进，要特别抓好县级公立医院综合改革试点，同时深化和拓展城市公立医院改革。为此要重点做好5方面的工作。

"1025"During the reform deepening stage of storming fortifications,Also is the realization to 2020 everyone will have access to basic medical and health services of the long-term goal of the critical period.For a long time,We will continue to closely around medical insurance/Medicine and medical three key links,implement"Tricycle driver".as"Three rounds"A key link of,Public hospital reform is"1025"During the reform, deepen the reform of one of three key task.According to the requirements of the central,Public hospital reform by local pilot to promote,Be especially at or above the county level shall pay special attention to public hospital comprehensive reform pilot,At the same time deepening and expanding urban public hospital reform.Therefore, it is necessary to focus on the five aspects of work well.

　　

一、以破除以药补医机制为关键环节，推进县级公立医院综合改革 a/To break up with medicine medical mechanism as the key link,Promote public hospital comprehensive reform at or above the county level

　　县级公立医院是农村三级医疗卫生服务网的龙头，是广大农村居民看病就医的重要场所。推进县级医院综合改革，转换运行机制，提升服务能力，是贯彻落实“保基本、强基层、建机制”的内在要求，是缓解群众看病难、看病贵问题的重要环节，是统筹城乡卫生发展的重要举措。与城市医院相比，县级医院不存在复杂的办医主体，外部管理体制和内部治理机制相对单一，推动改革的难度也相对较小。县级医院率先推进改革，提高医疗卫生服务水平和能力，可以为城市公立医院改革积累经验、创造条件。为此，中央决定在公立医院改革中首先推开县级公立医院改革。

Public hospital is at or above the county level rural tertiary medical and health service network bibcock,The rural residents is an important place for hospital.Promote the hospital comprehensive reform at or above the county level,Conversion operation mechanism,Improve service ability,Is implementing the"The basic/Strong base/Built mechanism"The inherent requirement of,See a doctor difficult is to alleviate the masses/The doctor expensive of the important link,Is the coordination of urban and rural health development important action.Compared with the city hospital,The hospital at or above the county level shall not exist complex do medical subject,External management system and internal governance mechanism relatively single,Promote the reform of the difficulty is also relatively small.At or above the county level shall take the lead in promoting hospital reform,To improve medical and health service level and ability,For urban public hospital reform accumulate experience/Create conditions.therefore,The central government decided to in the public hospital reform, in the first place, pushed open the public hospital reform at or above the county level.

　　今年6月，国务院办公厅印发了《关于县级公立医院综合改革试点的意见》，决定在全国选择311个县(市)作为第一批县级公立医院综合改革试点地区，中央财政对每个县(市)补助300万元，带动和引导地方给予更多的财政投入，适时启动第二批改革试点，为到2015年全面推开改革奠定扎实基础。

In June this year,Issued by the general office of the state council the[At or above the county level about public hospital comprehensive reform pilot opinion],Decide on the choice of 311 counties(city)As one of the first public hospital at or above the county level comprehensive reform pilot area,The central finance in each county(city)A subsidy of RMB 3 million,Promote and guide local give more financial investment,A timely start the second batch of pilot reform,For the full implementation of reform in 2015 laid solid foundation.

　　推动县级公立医院综合改革，要全力抓好以下几项工作：

At or above the county level to promote public hospital comprehensive reform,Want to pay special attention to the following several work:

　　(一)破除以药补医机制。取消药品加成政策，将试点县级医院补偿由服务收费、药品加成收入和政府补助三个渠道改为服务收费和政府补助两个渠道。医院由此减少的合理收入，要采取财政、医保、价格等政策联动的方式予以补偿。一是落实政府财政投入政策。继续完善和强化政府在县级医院基本建设及大型设备购置、重点学科发展、人才培养、离退休人员费用、政策性亏损补贴、承担公共服务等6个方面的投入责任。同时采取有效措施，逐步化解医院长期债务，减轻医院的运行压力。二是发挥医保补偿作用。到2015年，城镇居民医保和新农合政府补助标准将提高到每人每年360元以上，随着医保筹资水平的提高逐步提高参保群众的报销比例，调整和完善基本医保药品、诊疗项目和医疗服务设施目录，缩小与实际住院费用支付比例之间的差距，既扩大广大群众普惠性的受益程度和水平，也为县级公立医院改革提供重要的筹资来源。在此基础上，积极推行总额预付、按病种、按人头、按服务单元等付费方式，切实发挥医保在规范服务、提升效率、控制费用等方面的激励约束作用。三是理顺医疗服务价格体系。按照总量控制、结构调整的原则，降低药品和高值医用耗材价格，降低大型医用设备检查、治疗价格，同时合理提高体现医务人员技术劳务价值的诊疗、护理、手术等项目价格，实现医药服务价格的有升有降，既维护医疗机构的生存和发展，调动医务人员积极性，又不增加人民群众的医疗费用负担。

(a)Break up with medicine medical mechanism.Cancel the drug addition policy,Will pilot hospital compensation at or above the county level by the service charge/Drug addition income and government subsidies three channels to service charges and the government subsidies two channels.The hospital which reduce the reasonable income,Take financial/Medical insurance/Price policy linkage way compensation.One is to implement the government financial investment policy.We will continue to improve and strengthen the government at or above the county level in the hospital basic construction and large scale equipment acquisition/Key discipline development/Personnel training/Retired personnel expenses/Policy loss subsidies/Take on the public service and so on six aspects of the investment responsibility.At the same time take effective measures,Gradually dissolve hospital long-term debt,Reduce hospital operation pressure.2 it is play role medical insurance compensation.By 2015,Medical insurance for urban residents and new farming together the government subsidies standards will increase to 360 yuan per person per year,As health care financing to raise the level of gradually raise the proportion of ginseng to submit an expense account,To adjust and improve the basic medical insurance drugs/Diagnosis and treatment projects and facilities of medical treatment service directory,Narrowing and actual hospitalization expense proportion pay gap between,Has expanded the masses pratt &whitney sexual benefit degree and level,Also for public hospital reform at or above the county level shall provide an important source of financing.On the basis of,Actively promote the total advance/Press disease to/According to the head/According to the service unit pay mode, etc,And develop medical insurance in the standardization of service/Promote efficiency/Control expenses, etc aspects of incentive and constraint function.The third is straighten out the medical service price system.According to the total amount control/The principle of structural adjustment,Lower drug and high value of medical consumable price,Reduce the large medical equipment inspection/Treatment price,At the same time improve the medical personnel reasonably reflect the value of diagnosis and treatment technology services/nursing/Surgery for the project price,To realize medical service price can rise and fall,Maintain the survival and development of medical institutions,Mobilize medical staff enthusiasm,And not to increase people's medical expense burden.

　　(二)改革人事分配制度。科学合理确定人员编制，建立动态调整机制。落实县级医院用人自主权，全面推行聘用制度，坚持竞聘上岗、按岗聘用、合同管理，建立能进能出、能上能下的灵活用人机制。加强人员绩效考核，健全以服务质量、数量和患者满意度为核心的内部分配机制，做到多劳多得、优绩优酬、同工同酬，收入分配向临床一线、关键岗位、业务骨干等人员倾斜，适当拉开差距，体现医务人员技术服务价值。

(two)The reform of personnel distribution system.Scientific and reasonable to determine staffing,Establishing the dynamic adjustment mechanism.Implementation of hospital autonomy at or above the county level shall employ persons,The full implementation of the employment system,Adhere to the competition mount guard/According to the employment/Contract management,Establish entering and going out/Can on flexible employing mechanism.Strengthen the personnel performance appraisal,To improve the service quality/The quantity and the patient satisfaction is the core of the internal distribution mechanism,Do more pay for more work/Optimal performance for optimal/Equal pay for equal work,Income distribution to clinical a line/Key position/Business backbone such personnel tilt,Appropriate crossed,Reflect the medical staff technical service value.

　　(三)提升医疗服务能力。加强临床重点专科建设和急救服务体系、薄弱科室和核心科室建设，使县级医院发挥农村地区医疗服务中心、技术指导中心和业务管理中心的作用。依托远程信息平台开展远程诊疗工作，提升县级医院重点疾病服务保障水平。积极培养或引进县内学科带头人。经批准可在县级医院设立特设岗位引进急需高层次人才，合理确定财政补助标准，由中央和省级财政支持，招聘优秀卫生技术人才到县级医院工作。

(three)Improve medical service capacity.Strengthen clinical key subject construction and emergency service system/Weak department and core section office construction,At or above the county level shall make hospital medical service center play in rural areas/Technical guidance center and business management center role.Relying on the remote information platform to carry out remote diagnosis and treatment work,At or above the county level shall improve hospital key disease service safeguard level.Actively cultivate or introduce the leader in the field of the county.The approval at or above the county level shall set up in hospital introduction AD hoc positions in urgent need of high-level talents,Reasonable financial aid standard,The central and provincial financial support,Recruiting good health technical personnel to the hospital at or above the county level.

　　

二、继续推行便民惠民措施，建立健全长效机制 two/We continue to implement for the convenience of the measures,Build and make perfect long-term mechanism

　　公立医院改革的出发点和落脚点是为了满足群众就医方便、负担减轻、质量提升的要求。大力推行便民惠民措施，是改善群众看病就医感受最直接的手段，对构建和谐医患关系具有积极作用。深化医改以来，各地以人民群众需求为出发点，推出了一系列看得准、见效快的便民惠民措施，这些措施在群众明显受益的同时，对公立医院体制机制改革也形成倒逼机制。从这个角度而言，推行便民惠民措施也是公立医院体制机制改革的重大举措。

Public hospital reform is the starting point and the foothold in order to satisfy the masses doctor convenient/burden/The requirement of quality improvement.Vigorously promote we for the convenience of the measures,The feeling is to improve hospital the most direct means,To build a harmonious doctor-patient relationship has the positive role.Deepening reform, since,With all the people demand as the starting point,Introduced a series of see a tune/Rapid we for the convenience of the measures,These measures in mass obvious benefit at the same time,In public hospital system mechanism reform also DaoBi formation mechanism.From this Angle character,For the convenience of the implementation of the measures we also public hospital system mechanism reform of the major move.

　　在今后的公立医院改革中，我们将紧紧围绕缓解群众看病难、看病贵问题，以服务病人为中心，以优化质量为导向，以强化管理为手段，继续巩固便民惠民措施成果，着力构建长效机制。

In the future in the reform of public hospitals,We will closely around ease people see a doctor difficult/Expensive to see a doctor,To serve the patient as the center,In order to optimize the quality as the guidance,To strengthen the management as the means,Continue to consolidate the achievements we for the convenience of the measures,To build up a long-term mechanism.

　　(一)改善就医环境。继续深化以人为本的服务理念，全面开展预约诊疗服务，优化医院诊疗环境和流程，推广便民门诊和优质护理服务。积极探索先看病、后付费服务模式，实行“一站式”服务。

(a)Improved medical environment.Continue to deepen the people-oriented service idea,Make an appointment to carry out comprehensive medical services,Optimization hospital diagnosis environment and process,For the convenience of the promotion of outpatient service and high quality nursing service.Explore to see a doctor first/After paid service mode,implement"one-stop"service.

　　(二)控制费用增长。改革传统的按项目付费方式，着力推进医保支付方式改革。实行差别化的政策措施，推动医保支付政策向基层医疗机构倾斜，拉大不同级别医疗卫生机构报销比例。严格大型医疗设备准入和二、三类医疗技术临床应用准入管理，重点加强对高风险、高费用技术的准入管理。促进公立医院合理配备、优先使用基本药物，推广适宜技术。完善药品集中招标采购制度，积极推动高值医用耗材集中采购。加强医院财务管理，实施成本核算与控制。

(two)Control cost growth.Reforming the traditional item payment,Focus on promoting the reform of the medical insurance payment.Implement differentiation policy measures,Promote the medical insurance payment policy to grassroots medical institutions tilt,Widening different grade medical and health institutions to submit an expense account proportion.Strict large medical equipment access and two/Three types of medical technology clinical application access management,Key strengthen the high risk/High cost technology access management.To promote public hospitals equipped with reasonable/First use of essential drugs,Appropriate technology promotion.Perfect the drug centralized bid procurement system,Actively promote the high value of medical consumable centralized purchasing.To strengthen hospital financial management,Implement cost accounting and control.

　　(三)提高管理水平。完善医疗质量管理与控制体系，大力推行临床路径管理，开展单病种质量控制，缩短平均住院日，推行检验检查结果互认。继续开展抗菌药物临床应用专项整治活动，落实处方点评制度。完善以电子病历建设和医院管理为重点的医院信息化网络。

(three)Raise the level of management.Improve medical quality management and control system,Vigorously carry out the clinical pathway management,Carry out single disease quality control,Shorten the average day in hospital,Implementation of the inspection results recognition.Carry on clinical application of antibacterial drugs special improvement activities,Implement prescription comment on system.To perfect the construction of electronic medical records and hospital management as the focus of the hospital information network.

　　

三、加强上下联动，建立公立医院与基层医疗卫生机构的分工协作机制 three/Strengthen the linkage and,To establish public hospital and basic medical and health institutions and the division of work mechanism

　　实行上下联动，建立公立医院与基层医疗卫生机构的分工协作机制，有利于提高医疗卫生资源的使用效率，有利于巩固基层医疗卫生机构的改革成果，也有利于深化和拓展公立医院改革的实际成效。

Implement fluctuation linkage,To establish public hospital and basic medical and health institutions and the division of work mechanism,To improve medical and health resources use efficiency,To consolidate the basic medical and health institutions reform achievements,But also to deepen and expand public hospital reform of the actual effect.

　　积极构建公立医院与基层医疗卫生机构长期稳定的分工协作机制，要切实抓好以下几项重点工作：

Actively construct public hospital and basic medical and health institutions long-term stability of the division of Labour cooperation mechanism,We need to pay special attention to the following several key work:

　　(一)积极开展对口支援。进一步巩固和深化“万名医师支援农村卫生工程”的经验，加大投入，建立机制，完善政策。城市医院要加强对县级医院、县级医院要加强对基层医疗卫生机构的技术帮扶指导和人员培训，支持县级医院对乡镇卫生院和村卫生室医务人员进行专项培训和定期轮训。可以从城市三级医院选聘一批有管理经验的业务骨干到对口支援的县级医院担任院长、副院长或科主任。鼓励和引导城市大医院在职或退休的骨干医师到县级医院执业。通过政府给予政策支持、职称晋升、荣誉授予等措施，吸引和鼓励优秀人才到县级医院长期执业。

(a)Actively support to mouth.To further consolidate and deepen"Physicians support rural health project"experience,Increasing investment,Establishment of mechanism,Perfect policy.City hospital to strengthen the hospital at or above the county level/The hospital at or above the county level should strengthen the basic medical and health institutions and technical supporting guidance and personnel training,Support for township health center hospital at or above the county level and the village clinic medical personnel for special training and regular training in rotation.From the city tertiary hospital hiring a batch of management experience of the business backbone to support at or above the county level of the hospital as a director/Vice President or section head.Encourage and guide urban big hospital on-the-job or retired physicians to the backbone of the hospitals at the county level.Through the government to give policy support/Title promotion/Such measures as award,To attract and encourage talents at or above the county level to hospital long-term practice.

　　(二)支持医疗联合体的发展。鼓励医院和基层医疗卫生机构采取多种形式的联合与合作，探索建立紧密型的医疗联合体和医疗集团，促进公立医院与基层医疗卫生机构形成利益共同体，下沉优质卫生资源，提升基层医疗卫生机构服务能力和水平。

(two)Support the development of the medical association.Encourage hospitals and basic medical and health institutions to take a variety of forms of the joint and cooperation,Explore the establishment of close medical association and medical group,Promote the public hospital and basic medical and health institutions formation community of interests,Sinking quality health resources,Ascension grassroots medical health service ability and the level.

　　(三)提升医疗卫生服务的可及性。针对一些地区地广人稀、交通不便、卫生服务可及性差的现实情况，在政府的支持下，组织和引导医疗卫生机构采取多种方式，长期为边远和医疗水平欠发达地区提供对口支援和巡回医疗服务。积极推动城市大医院对基层医疗卫生机构开展远程医疗服务，使病人就近就便地获得高质量的医疗卫生服务，减少就医成本，惠及人民群众，充分体现医疗卫生服务的公平性。

(three)Improve medical and health services of accessibility.In some areas is scarcely populated/Traffic inconvenience/Health service accessibility sent the reality of the situation,In the government's support,Organize and guide the medical and health institutions to take a variety of ways,For a long time for the remote and medical level of less developed areas to provide support and medical tour service.Actively promote the city big hospitals to basic medical and health institutions and remote medical treatment service,Make the patient nearby while you're at it to get high quality medical and health services,Reduce medical cost,Benefit people,Fully embody the fairness of medical and health services.

　　

四、加大工作力度，促进多元化办医格局形成 four/Increasing working momentum,Promote diversified do medical pattern form

　　鼓励和引导社会办医，有利于提供多层次、多样性的医疗卫生服务，扩充医疗资源供给，也有利于形成公立医院改革的竞争压力，激发改革的内在动力。深化医改明确提出坚持非营利性医疗机构为主体、营利性医疗机构为补充，公立医疗机构为主导、非公立医疗机构共同发展的办医原则。2010年11月，国务院办公厅转发了发展改革委、卫生部等有关部门《关于进一步鼓励和引导社会资本举办医疗机构的意见》，从社会资本举办医疗机构的准入、执业、监管和发展等方面进一步细化了促进社会办医工作的具体政策措施。卫生部门完善了医疗机构分类管理、大型医用设备配置、外资办医审批程序和条件、医师多地点执业、医疗机构等级评审等配套政策，明显改善了社会办医的执业环境，促进了社会办医持续健康发展。

Encourage and guide social do medical,To provide mutiple level/The diversity of medical and health services,Expansion medical resources supply,Also be conducive to the formation of public hospital reform pressure of competition,Arouse the inner motive power of reform.Deepening reform, to put forward a non-profit medical institutions as the main body/For-profit medical institutions for the supplement,The public medical institutions as the leading factor/The public medical institutions for medical common development principles.In November 2010,The general office of the state council forward the development and reform commission/The ministry of health and other relevant departments[On further encourage and guide the social capital held the opinions of the medical institution],From the social capital hold the access medical institutions/practice/Supervision and development further detailed the promoting social do medical work of the specific policy measures.Department of health improved the medical institution classification management/Large medical equipment allocation/Foreign affairs office in medical examination and approval procedures and conditions/More doctors site practice/A medical institution level evaluation and supporting policies,Obviously improves the medical society, do the practice environment,Promote the social medical do the sustainable and healthy development.

　　国务院“十二五”医改规划提出，到2015年非公立医疗机构床位数和服务量要达到总量的20%左右。为实现这一目标，下一步将围绕以下几个方面开展工作：

The state council"1025"Reform plans to put forward,By 2015 the public medical institutions bedspace and services to reach about 20% of the total.To achieve this goal,The next step will focus on the following aspects to begin the work:

　　(一)强化设置规划。加快编制区域卫生规划和医疗机构设置规划，在优质资源相对充沛的区域，新增卫生资源优先考虑引进社会资本。严格控制公立医院的无序扩张，每千常住人口医疗卫生机构床位数达到4张的，原则上不再扩大公立医院规模。探索开展公立医院改制试点，鼓励社会资本对部分公立医院进行多种形式的公益性投入。引导民营医疗机构走差异化发展道路，形成与公立医院功能互补、良性有序的市场竞争格局。

(a)Strengthen the setup planning.Speed up to work out the regional health planning and program of the establishment of medical institutions,In the high quality resources relatively abundant area,New health resources is preferred introduction of social capital.Strictly control the public hospital disordered expansion,Per thousand permanent population medical and health institutions bedspace up to four zhang's,In principle, no longer expanding scale of public hospital.Explore to carry out public hospital reform pilot,Encourage social capital on the part of the public hospitals in various forms of public investment.Guide private medical institutions go different development road,Formation and public hospital function complementary/Benign and orderly market competition pattern.

　　(二)改善执业环境。在各级政府的领导下，卫生部门要加强与其他有关部门的协调配合，积极主动协调解决社会办医中存在的困难和问题，着力推动落实民营医疗机构在价格、税收、土地等方面政策，保证在机构准入、医保定点资格、重点学科建设、职称评审、继续教育等方面保证民营医疗机构享受和公立医院一样的待遇。

(two)Improve practice environment.Under the leadership of the government at all levels,Department of health and other relevant departments should strengthen coordination,Initiative to coordinate and solve social do medical the difficulties and problems,To promote the implementation of private medical institutions in the price/tax/Land policy, etc,Guarantee agencies access/Fixed-point medical qualification/Key discipline construction/Title appraisal/Continue to education, etc guarantee private medical institutions enjoy and public hospital the same treatment.

　　(三)提升服务水平。鼓励三甲公立医院对口支援综合实力较弱的民营医疗机构，扶持其提高管理水平和业务能力，政府在政策、资金安排等方面予以必要保证。支持和鼓励将符合条件的民营医疗机构成为医学院校的附属医院或教学医院，不断提升社会办医的整体医疗、教学、科研能力。同时，将民营医疗机构作为住院医师和全科医师规范化培训的实施范围，切实加强人才培训机制建设。鼓励具备较强实力的民营医疗机构对口支援薄弱地区县、乡医疗机构和城市社区卫生服务机构，增强社会办医的影响力。

(three)Enhance service level.Encourage top of public hospital support comprehensive strength weak private medical institutions,Support the raise the level of management and professional ability,The government in the policy/Financial arrangements shall be necessary guarantee, etc.Support and encourage will meet the conditions of the private medical institutions to become medical college hospital or teaching hospital,Continuously improve the overall social do medical health/teaching/Scientific research ability.At the same time,Will the private medical institutions as resident and general practitioner standardization training scope of implementation,Strengthen the construction of talent training mechanism.Encourage have strong strength of private medical institutions to mouth support weak area county/Township medical institutions and urban community health service agencies,Enhance the influence of the medical society, do.

　　(四)加强监督管理。进一步完善监管体系，推行全行业和属地化管理，将民营医疗机构纳入统一的医疗机构评审评价体系和医疗质量控制评价体系，实行动态管理，定期组织专家对其执业活动进行指导和监督，引导民营医疗机构规范执业，做到服务与监管并重。

(four)Strengthen the supervision and management.Further perfect regulation system,Implementation of the whole industry and local administrator,Will the private medical institutions into the unified medical institutions review evaluation system and medical quality control evaluation system,Dynamic management to the,Organize experts to the guidance and supervision practice activities,Guide private medical institutions regulate professional,Do service and supervision and.

　　

五、统筹兼顾，同步推进其他配套改革 five/Overall consideration,Synchronous propulsion other coordinated reforms

　　公立医院改革涉及面广、情况复杂、改革难度大，涉及多种复杂利益关系的调整，需要一个长期的过程。为确保公立医院改革顺利推进，必须同步推进调动医务人员积极性、加强卫生人才队伍和卫生信息化建设等配套改革。

Public hospital reform involve wide/complex/Reform is difficult,Involved in a variety of complex the interest relationship adjustment,Need a long-term process.To ensure that the public hospital reform is progressing smoothly,Must be synchronized advancement to mobilize medical staff enthusiasm/Strengthening health talent team and health information construction and so coordinated reforms.

　　(一)调动医务人员积极性。建立符合医疗行业特点的薪酬制度，提高医院人员经费支出占业务支出的比例，逐步提高医务人员待遇。加强医务人员的职业道德教育，大力宣传医务人员中的先进人物和典型事迹，营造尊医重卫的良好氛围。通过建立医疗责任保险、第三方调解机制等途径合理调处医疗纠纷，构建和谐医患关系。

(a)Mobilize medical staff enthusiasm.Establishment conforms to the medical industry characteristics of the salary system,Improving hospital personnel expenditure spending accounts for the proportion of business expenses,Gradually improve the treatment of medical personnel.To strengthen the medical personnel professional ethics education,The publicity of the medical staff of the advanced character and typical deeds,Build and medical heavy guard good atmosphere.Through the establishment of medical liability insurance/The third party mediation mechanism approach reasonable medical dispute mediation,Constructing the harmonious doctor-patient relationship.

　　(二)加强以全科医生为重点的人才培养。加快建立健全全科医生规范化培养制度，落实相关培训经费和在培医师的待遇保障，继续开展全科医生转岗培训和定向培养，实施全科医生特岗计划。完善政策措施，加快推进住院医师规范化培训步伐。加大急需紧缺专门人才和高层次人才的培养，推进医师多地点执业。

(two)To strengthen the general practitioners for key personnel training.To speed up the establishment of a sound general practitioners standardization training system,Carry out relevant training funds and in the culture of doctors treatment security,Continue to carry out general practitioners job-transfer training and orientation training,Implementation of general practitioners, sloping plan.Improve policies and measures,Accelerate the pace of resident standardization training.Increasing need in short supply special talents and the cultivation of high-level talents,Promote more than doctors site practice.

　　(三)加快推进卫生信息化。进一步扩大卫生信息化建设试点项目范围，加快推进居民电子健康档案和电子病历建设，并以此为基础构建国家、省、市或县三级卫生信息平台，逐步实现统一高效、互联互通的信息化网络。同时，加快居民健康卡的推广应用，方便居民看病就医和开展健康管理。

(three)Accelerate health information.Further expand health information construction pilot project scope,Accelerate residents electronic health records and electronic medical records construction,And, on this basis, construct state/province/City or county level 3 health information platform,Gradually realize unified efficient/The inter-communication information network.At the same time,To speed up the popularization and application of the residents health card,The convenience of residents in hospital and health management.

　　深化医改、增进健康已经成为社会各界的广泛共识，并得到了广大人民群众的理解和支持。当前和今后一段时期，公立医院改革的方向、目标和任务已经十分明确，任务更加繁重、工作更加复杂、责任更加重大。我们将进一步把思想和认识统一到中央决策部署上来，振奋精神、锐意进取、扎实工作，全面深化公立医院改革，以优异的成绩迎接党的十八胜利召开！

Deepening reform,/Improve health has become the social from all walks of life broad consensus,And get the majority of people's understanding and support.The current and future a period,The direction of the reform of public hospitals/Objectives and tasks has been very clear,More onerous task/Work more complex/Responsibility more important.We will further thinking and understanding unity to the central deployment decision came up,revivify/Forge ahead/Solid work,Comprehensively deepen reform of public hospitals,With excellent performance to meet the party's 18 a victory!