专访：中国新医改已取得阶段性成果 interview:China's new medical reform already has obtained achievements

——访哈佛大学公共卫生学院中国项目部主任刘远立 - visit the harvard school of public health project department director of China LiuYuanLi

　　“无论是做横向的国际比较，还是做纵向的历史比较，中国新医改已经取得了十分重要的阶段性成果，举世瞩目，”美国哈佛大学公共卫生学院中国项目部主任刘远立教授日前接受新华社记者专访时表示。

"No matter be the transverse international comparison,Or do longitudinal historical comparison,China's new medical reform has made important achievements,Has drawn the attention of the world,"The Harvard University school of public health project department director of China LiuYuanLi professor has to accept xinhua news agency reporter when the interview said.

　　作为哈佛公共卫生学院中国项目部的主任，刘远立平均每年出差到中国5到6次。他说，每次都能看到新的变化，很让人振奋。

As the harvard school of public health, the director of Chinese department,LiuYuanLi average annual business trips to China five to six times.He said,Every time you can see new changes,Very pleasing.

　　最近一次，刘远立前往湖北、广西、四川等地调研。他说，所到之处，中国政府加大投入所带来的基层医疗机构新建或翻修工程上马非常普遍，医保覆盖面扩大使老百姓原先受压抑的医疗需求得到极大释放。

A recent,LiuYuanLi to hubei/guangxi/Sichuan province, research.He said,wherever,The Chinese government increased the investment brought about by the grassroots medical institutions newly built or renovated engineering get on very common,Medical insurance coverage expanded make people originally repressive medical demand gets great release.

　　刘远立这样评价中国医改的进展：随着覆盖全民的基本医疗保障制度的建立，老百姓医疗服务的利用率明显提高，“看病贵”的问题得到一定程度的缓解；政府对农村和基层卫生投入的增加使农村和基层卫生服务的“硬实力”得到加强，“看病难”在大部分农村基层和城市社区已不是主要问题；另外，随着公共卫生服务项目的增加、覆盖人群的扩大，脆弱人群的健康状况得到改善，标志着中国卫生体系公平性得到改善。

LiuYuanLi such evaluation China the progress of the reform:As the cover of the basic medical security system establishment,Common people medical service utilization rate obviously improved,"The doctor your"Questions get a degree of ease;The government of rural grassroots health investment and the increase in rural areas and basic health service"Hard power"strengthened,"See a doctor difficult"In most rural grassroots and urban community is not the main problem;In addition,With the increase of the public health services/The expansion of coverage,Weak crowd health improved,Marks China's health system fairness improved.

　　他说，10多年前，他曾经在中国农村贫困地区做过长达8年的有关农村医疗保障问题的研究和试点工作，在工作期间经常听到农民念一句顺口溜：“小病养、大病扛、重病等着见阎王！”今天，每当他看到农村乡卫生院新农合报销窗口前的热闹景象，他都会为在中国农村所发生的翻天覆地的变化兴奋不已。

He said,Ten years ago,He has been in China's rural poor areas for eight years doing about the rural medical security problem research and experimental work,In the course of work often hear farmers read a ShunKouLiu:"Ailment to raise/Carried a serious illness/Serious illness waiting to see hades!"today,Whenever he saw rural township health center new farming close to submit an expense account before the window of the lively scene,He will be in China for the great changes happened the countryside excited.

　　不过，刘远立认为有两个焦点和难点问题需要引起决策者和社会有识之士的高度重视：一个是供需失衡，一个是医患矛盾。未来需要在加大对医疗卫生体系的投入、建立科学有效的预约和转诊制度、建立公平有效的冲突解决机制、充分调动医务人员的积极性和创造性等方面下工夫。

but,LiuYuanLi think there are two focus and difficult problem caused by decision makers and social need to the attention of the people of insight:One is the unbalance of supply and demand,One is the doctor-patient contradiction.Future needs in strengthen the medical and health system input/To establish scientific and effective appointment and referral system/Establish fair and effective conflict resolution mechanism/Give full play to the medical staff enthusiasm and creativity, etc to concentrate one's efforts.

　　就中国医疗改革未来的方向，刘远立认为，在“名义覆盖率”已基本实现全民覆盖的基础上，接下来应当着力提高“有效覆盖率”，在普遍提高保障力度的同时，还要关注特殊人群和特殊的服务需求。

Chinese medical reform in the direction of the future,LiuYuanLi think,in"Nominal coverage"Has already realized basically universal coverage of basis,The next should strive to improve"Effective coverage",In the common efforts to improve security at the same time,Also pay attention to special groups and special service needs.

　　他表示，如果说新医改实施3年后在以需方为中心、解决“看病难、看病贵”问题上已取得值得肯定的成绩的话，那么未来3年的改革就要以供方为中心，在充分调动医务人员的积极性和创造性的同时，加强医疗卫生领域的职业道德教育和职业行为的有效约束。(记者任海军)

He said,If the implementation of the new medical reform in three years with the buyer as the center/solve"See a doctor difficult/The doctor your"The problem has achieved positive results of words,So the next three years of reform is to the supplier for the center,In fully mobilize the enthusiasm of the medical staff and creative at the same time,To strengthen the medical and health fields professional ethics education and professional behavior of the effective constraint.(As reporters)