制图：张芳曼

drawing:ZhangFangMan

　　国务院日前发布《卫生事业发展“十二五”规划》。规划指出：到2015年，初步建立覆盖城乡居民的基本医疗卫生制度，使全体居民人人享有基本医疗保障，人人享有基本公共卫生服务，医疗卫生服务可及性、服务质量、服务效率和群众满意度显著提高，个人就医费用负担明显减轻，地区间卫生资源配置和人群间健康状况差异不断缩小，基本实现全体人民病有所医，人均预期寿命在2010年基础上提高1岁（2010年人均预期寿命为74.83岁）。

The state council has issued[Health development"1025"planning].Planning pointed out that:By 2015,Preliminary covering both urban and rural residents to establish the basic medical and health system,To make the residents everyone will have access to basic medical security,Everyone will have access to basic public health services,Medical and health services accessibility/Service quality/Service efficiency and improve the degree of satisfaction,Personal medical expense burden improved obviously,Regional health resources allocation and the crowd health differences between shrinking,Basic realize all the people's BingYouSuoYi,Life expectancy in 2010 to improve on the basis of 1 year old(Life expectancy in 2010 was 74.83 years).

　　

遏制公立医院盲目扩张 Contain public hospital blind expansion

　　规划指出，优化配置医疗资源。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，以群众实际需求为导向编制区域卫生规划和医疗机构设置规划，按人口分布和流动趋势调整医疗资源布局与结构，合理确定公立医院功能、数量、规模、结构和布局。

Planning pointed out that,Optimization allocation of medical resources.Adhere to the 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 common development,With the actual demand as the guide to work out the regional health planning and program of the establishment of medical institutions,According to the population distribution and flow trend adjustment of medical resources layout and structure,To reasonably determine the function of public hospital/quantity/scale/Structure and layout.

　　遏制公立医院盲目扩张，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。切实保障边远地区、新区、郊区、卫星城区等区域的医疗资源需求，重点加强儿科、妇产、精神卫生、肿瘤、传染病、老年护理、康复医疗、中医等领域的医疗服务能力建设，新增医疗卫生资源重点投向农村和城市社区等薄弱环节，保证基本医疗服务的可及性。

Contain public hospital blind expansion,Per thousand permanent population medical and health institutions bedspace up to four zhang's,In principle, no longer expanding scale of public hospital.Ensure the remote areas/new/suburbs/Satellite city of regional medical resource requirements,Strengthening pediatric/maternity/Mental health/tumor/Infectious diseases/Elderly care/Rehabilitation medical/The doctor of traditional Chinese medicine and other areas of the medical service ability construction,New medical and health resources to focus on rural and urban communities weak link,Ensure the basic medical service accessibility.

　　

大力发展非公立医疗机构 Vigorously develop the public medical institutions

　　规划指出，在区域卫生规划和医疗机构设置规划中，为非公立医疗机构留出足够空间。需要调整和新增医疗卫生资源时，在符合准入标准的条件下，优先考虑社会资本。

Planning pointed out that,In the regional health planning and the establishment of medical institutions in planning,For the public medical institutions set aside enough space.Need to adjust and new medical and health resources,In accordance with the access standard conditions,Giving priority to social capital.

　　公立医院资源丰富的城市，可引导社会资本以多种方式参与包括国有企业所办医院在内的部分公立医院改制重组，积极稳妥地把部分公立医院转制为非公立医疗机构，适度降低公立医院的比重，促进公立医院合理布局，形成多元化办医格局。到2015年，非公立医疗机构床位数和服务量均达到医疗机构总数的20%左右。

Public hospital resources rich city,May guide the social capital in many ways including state-owned enterprises to participate in hospital, put part of the public hospital restructuring,Actively and steadily make some public hospitals for the conversion of the non public medical institutions,Moderate to reduce the proportion of public hospital,Promote the public hospital reasonable layout,Form diversified do medical pattern.By 2015,The public medical institutions bedspace and services in all medical institutions to around 20% of the total.

　　

优先建设发展县级医院 Priority development hospital at or above the county level

　　规划指出，优先建设发展县级医院，提高服务能力和水平，使90%的常见病、多发病、危急重症和部分疑难复杂疾病的诊治、康复能够在县域内基本解决。

Planning pointed out that,Priority development hospital at or above the county level,Improve the service ability and the level,Make 90% of the common diseases/Frequently encountered disease/For emergency and severe cases and some difficult complex diseases, clinical diagnosis and treatment/Rehabilitation can be solved in the county.

　　继续加强乡镇卫生院和村卫生室建设。积极推进乡镇卫生院和村卫生室一体化管理。到2015年，基本实现每个乡镇有1所政府举办的卫生院，每个行政村有村卫生室，提高乡、村卫生机构设备配备水平。

Continue to strengthen the construction of township health center and village clinic.Actively promote township health center and village clinic integration management.By 2015,Basic realization each township have 1 a health center government,Each administrative villages have village clinic,Improve township/Village health institutions equipment equipped with level.

　　到2015年，努力建成机构设置合理、服务功能健全、人员素质较高、运行机制科学、监督管理规范的社区卫生服务体系，原则上每个街道办事处或3万至10万居民设置1所社区卫生服务中心；建立起社区卫生服务机构与大医院、专业公共卫生服务机构上下联动、分工明确、协作密切的城市医疗卫生服务体系。

By 2015,Strive to build a reasonable institutional setup/Service function perfect/Personnel quality higher/Operation mechanism science/Supervision and management standard of community health service system,In principle, every street offices or 30000 to 100000 residents set to 1 community health service center;Set up community health service institutions and hospitals/Professional public health service agencies and linkage/A clear division of labor in/Collaboration closely urban medical and health service system.

　　

提高医保报销比例 To improve medical insurance reimbursement ratio

　　规划指出，加快建立和完善覆盖城乡居民的多层次医疗保障体系。逐步提高政府对新农合和城镇居民医保的补助标准，到2015年，达到每人每年360元以上，个人缴费水平相应提高。逐步提高基本医疗保险最高支付限额和费用支付比例。做好职工医保、城镇居民医保和新农合待遇水平的衔接，三项基本医保政策范围内住院费用支付比例均达到75%左右，明显缩小与实际支付比例的差距。

Planning pointed out that,Speed up the construction and perfection of covering both urban and rural residents of multi-level medical security system.Gradually improve the new agriculture to close and medical insurance for urban residents subsidies standards,By 2015,To achieve 360 yuan per person per year,Individual capture to expend levels corresponding to improve.Gradually improve the basic medical insurance highest pay limitation and cost payment proportion.Do worker health care/Medical insurance for urban residents and the new agriculture joint treatment level of cohesion,Three basic medical insurance policy range hospitalization expense payment ratio reached 75%,The decrease and the actual payment proportional difference.

　　继续巩固发展新农合制度，参合率保持在95%以上，建立长期稳定的筹资增长机制，不断提高新农合筹资水平，逐步缩小城乡医保筹资水平和保障水平的差距，为实现城乡统一的医疗保障制度奠定基础。逐步扩大保障范围，到2015年，实现普通门诊统筹全覆盖。扩大大额门诊慢性病、特殊病种补偿的病种范围。继续开展重大疾病保障工作，在全国全面推开提高儿童白血病和先天性心脏病、尿毒症等大病医疗保障水平工作，将肺癌等大病纳入保障和救助试点范围，并适当扩大病种，提高补偿水平。

Continue to consolidate the development of new agriculture system together,Ginseng adds up to rate to stay above 95%,To establish long-term stable financing growth mechanism,Continuously improve the new agriculture joint funding level,Gradually reduce urban and rural health care financing level and the security level of gap,To realize the unity of urban and rural medical security system lay the foundation.Gradually expand the scope of protection,By 2015,Realization of average outpatient service as a whole all cover.Expand the large amount of chronic disease outpatient service/Special diseases compensation range of diseases.Continue to carry out major disease security work,In the national comprehensive push to improve children leukemia and congenital heart disease/Uremia, a serious illness such as medical security level work,Will, a serious illness such as lung cancer in security and salvage the scope,Appropriate to expand and diseases,Improve the compensation level.

　　

建立重特大疾病保障机制 Establish guarantee mechanism and great disease

　　规划指出，探索建立重特大疾病保障机制，切实解决重特大疾病患者的因病致贫问题。积极开展城乡居民大病保险工作，利用基本医保基金向商业保险机构购买大病保险，减轻参保（合）人的高额医疗费用负担。发挥基本医保、大病保险、医疗救助、多种形式补充保险和公益慈善的协同互补作用，统筹协调基本医保、大病保险和商业健康保险政策，有效提高保障水平。

Planning pointed out that,Exploration and great disease to establish guarantee mechanism,Solve the great disease because of sickness poor problem.Actively carry out urban and rural residents a serious illness insurance work,Use of basic medical insurance fund to commercial insurance institutions to purchase a serious illness insurance,Reduce ginseng(close)The high medical expense burden.Play a basic medical insurance/Serious illness insurance/Medical assistance/Various forms of supplementary insurance and public welfare charity collaborative complementary action,Overall coordination of the basic medical insurance/A serious illness insurance and commercial health insurance policy,Effectively improve the security level.

　　加强基本医保基金监管，健全管理经办机构。全面推进支付方式改革，结合基金收支预算管理和疾病临床路径管理，在全国范围内积极推行按病种付费、按人头付费、总额预付等多种支付方式。鼓励优先使用基本医保药品目录内药品，建立医保对医疗费用增长的制约机制，控制医药费用不合理增长。

To strengthen the basic medical insurance fund supervision,Improve the management agency orgnaization.Promote the overall reform of payment,Combined with the fund budget management and disease clinical pathway management,In the nationwide actively push press disease to pay/According to the head pay/The total advance payment, etc.Encourage priority use basic medical insurance in the catalog of medicines and drugs,Establish medical insurance of medical treatment charge growth restriction mechanism,Control medical cost is not reasonable growth.

　　

实施慢性病防控策略 Implementation of chronic disease prevention and control strategy

　　规划指出，全面实施慢性病综合防控策略，加强慢性病高危人群发现和预防性干预工作，开展高血压、糖尿病等基层综合防控，在各级医疗机构推行35岁以上首诊患者测量血压制度，在80%以上的社区、乡镇医疗卫生机构开展血糖测定服务。支持贫困地区高血压患者和糖尿病患者免费药物治疗。

Planning pointed out that,The full implementation of the comprehensive prevention and control strategy of chronic diseases,Strengthen the chronic disease high-risk groups found and preventive intervention work,hypertension/Diabetes comprehensive prevention and control at the grass-roots level,Medical institutions at all levels implement of 35 years old of above first the patient blood pressure measurement system,In 80% of the community/Villages and towns medical and health institutions and blood glucose measurement service.Support poverty-stricken areas hypertension and diabetes patients free drug therapy.

　　大力开展“全民健康生活方式”行动，创建慢性病综合防控示范区，实施高危人群健康管理、生活方式指导和干预，老年居民健康管理率达到60%。加强脑卒中、冠心病等心脑血管疾病的筛查和防治工作。在癌症高发区开展重点癌症筛查和早诊早治工作。

To develop"The national health way of life"action,Create chronic comprehensive prevention and control demonstration area,Implementation of the high risk population health management/Life style intervention and guidance,Elderly residents health GuanLiLv reached 60%.Strengthen the stroke/Coronary heart disease and heart cerebrovascular disease screening and the preventing and controlling work.In the high cancer in key cancer screening and early treated early work.

　　建立重性精神疾病病例报告制度，加强管理治疗，使贫困重性精神疾病患者得到抗精神病药物治疗和紧急救助。到2015年，发现的重性精神疾病患者管理率达到70%，治疗率达到60%。逐步完善社会心理支持和心理卫生服务体系，加强制度化和规范化管理。

Establish heavy sexual mental illness case report system,To strengthen management treatment,Impoverished heavy sexual mental illness patients get antipsychotic drug therapy and emergency rescue.By 2015,Found that heavy sexual mental illness patients GuanLiLv reached 70%,Treatment rates up to 60%.Gradually perfect social psychological support and mental health service system,Strengthen the institutionalization and standardization management.

　　

推进医药卫生信息化建设 Promote medical and health information construction

　　规划指出，提高城乡居民规范化电子健康档案建档率，2015年建档率达到75%以上。向群众提供连续的预防、保健、医疗、康复等系列服务，方便居民参与个人健康管理。

Planning pointed out that,Urban and rural residents to improve standardized electronic health records filing rate,2015 filing rate above 75%.The masses to provide continuous prevention/Health care/medical/Rehabilitation, etc. Series of services,The convenience of residents to participate in personal health management.

　　加快基层医疗卫生机构信息化建设，以省为单位建立涵盖基本药物供应使用、居民健康管理、基本医疗服务、绩效考核等功能的基层医疗卫生信息系统。加强医院信息化建设，建立医院诊疗行为管理和医务人员绩效考核信息系统，规范医疗服务行为，提高资源使用效率。

To speed up the basic medical and health institutions informatization construction,To save for the unit to establish covers basic drug supply use/Residents health management/Basic medical service/Performance evaluation of the function such as basic medical and health information systems.To strengthen the construction of hospital informatization,To establish hospital diagnosis behavior management and medical staff performance evaluation information system,Standard the medical service behavior,To improve efficiency of resource use.

　　发展面向农村及边远地区的远程诊疗系统，提高基层尤其是边远地区的医疗卫生服务水平和公平性。加快建立全国统一的医药卫生信息化标准体系。积极推进区域统一预约挂号平台建设，普遍实行预约诊疗，实现电子病历跨区域医疗机构的共享。(白剑峰)

For the development of rural and remote areas of the remote diagnosis system,Improve the especially in remote areas of the medical and health service level and fairness.To speed up the establishment of a unified national medical health informatization standard system.Actively promote regional make an appointment platform construction,Applies the appointment diagnosis and treatment,To realize electronic medical records cross area to the sharing of the medical institution.(BaiJianFeng)