钟南山 Zhong nanshan

公立医院改革关键就是国家投入 Public hospital reform is the key national investment

“第二届穗台医疗论坛”在广州举行，两地专家探讨医疗改革 "The second ear table medical BBS"Held in guangzhou,The two experts discuss medical reform

　　12月3日至4日，由广州市台办、广州市卫生局、台北世界贸易中心主办的“第二届穗台医疗论坛”在广州东方宾馆举行，主题为“穗台医疗与健康服务合作的新契机”。中国工程院院士钟南山、台中荣民总医院院长李三刚以及穗台两地医疗机构负责人、有关专家学者及广州市副市长贡儿珍等嘉宾共350多人出席了论坛。

December 3 to 4 days,TaiBan by guangzhou/Guangzhou bureau of health/Taipei world trade center of the host"The second ear table medical BBS"Oriental hotel in guangzhou held,Theme for"Ear table medical and health service cooperation of a new opportunity".Zhong nanshan academician of Chinese academy of engineering/Taichung veterans general hospital director li three just and ear table both in medical institutions/Experts and scholars, vice mayor of guangzhou gong son Jane and guests by more than 350 people attended the BBS.

　　4日，钟南山在论坛上做了题为“转化医学与临床实践”的主题演讲。他在会后接受采访时表示，公立医院改革的关键是要解决国家投入问题，应该让基层医院具有更多的公益性，同时建议基层医生的待遇也能效仿乡村教师，由政府来发工资。

4,Zhong nanshan in BBS on the topic"Transformation medical and clinical practice"Theme speech.He said in an interview after the meeting,Public hospital reform is the key to resolve the country in question,Should let the basic-level hospitals have more public welfare,At the same time suggest grassroots doctors treatment can also follow the lead of rural teachers,By the government to pay.

　　1 中国应走循证医学道路

China should take the road of evidence-based medicine

　　对于创新的定义，钟南山认为，曾经在大学和医学院都存在理解的片面性。他认为，一个大学，学生毕业后有比较大的社会产出，这才是真正的创新。

For the definition of innovation,Zhong nanshan think,Once in the college and medical school in understanding one-sidedness.He thinks,A university,Students after graduation larger social output,This is the real innovation.

　　钟南山举例称，华工学生的论文登上nature系列杂志，构建人类泛基因组的序列图谱，此举确实有贡献，但是有多大意义，现在不知道。因此，从严格意义上说，这只能算一个创意，而不是创新。另外，中国大陆引进很多先进技术，创造了很多经济效益，比如最近搞了传祺汽车，很适合中国人使用，但也只能算创建。

For example says zhong nanshan,Chinese students' papers on nature series magazine,Construct the human genome sequence map pan,It really have the contribution,But there is much meaning,Now do not know.so,In the strict sense,It can calculate a creative,Instead of innovation.In addition,China introduced a lot of advanced technology,Create a lot of economic benefits,Such as the recent made the car kei,Very suitable for Chinese use,But also can calculate create.

　　“什么叫创新？发明发现之后，产生很好的社会效益和经济效益的，才叫做创新。”钟南山又举例说，美国科学家在多年前提取出水母的荧光蛋白，这只是一个发现，甚至连论文都写不了。然而，经过若干年，绿色荧光被扩展至多种颜色荧光，演变成可以观察药物在体内怎么走、怎么代谢，成为了很多诊断、治疗的示踪器。这就是创新。

"What is innovation?Invention after found,Produce good social benefits and economic benefits,Is called innovation."Zhong nanshan, for example,Scientists in the United States for many years in the premise of the fluorescent protein take jellyfish,This is just a find,Even the paper they are written.however,After several years,Green fluorescence was extended to a variety of color fluorescent,Evolved into can observe drug in the body how to go/How to metabolic,Be a lot of diagnosis/Treatment of tracer.This is the innovation.

　　钟南山说，中国大陆医学最突出的特点就是大多数还是经验医学，他认为非常有必要开展循证医学，就是经过研究证实有效之后，再做基础研究，反过来再应用于临床。

Said zhong nanshan,Mainland China medicine the most outstanding characteristic is that most or experience medicine,He thinks that it is quite necessary to developing the evidence-based medicine,The study is confirmed after effective,To do basic research,In turn to clinical applications.

　　2 今年流感疫情值得警惕

2 this year should be on guard against influenza outbreak

　　针对近期在迪拜、沙特发生的流感，钟南山认为这些案例具有偶然性。他说，虽然已经确定是冠状病，但目前没有任何证据证明有人传人的迹象。病毒的来源是什么，现在也还是一个谜。研究表明，冠状病毒可能在少量人群中有抗体，也就是说冠状病毒在人群中有弱传播的可能性。

According to recent in dubai/Saudi happen flu,Zhong nanshan think these cases have contingency.He said,Although have identified is coronary disease,But there is no any evidence of some signs of legend.The source of the virus is??????,Now also is still a mystery.Research shows that,Coronary virus may be in a small amount of the crowd has antibody,That is coronavirus among the people, there are weak the possibility of communication.

　　钟南山特别提到，2003年非典大规模传播的原因，目前仍未能完全确定。“我们在1990年底和2000年以后，在人体血液中都发现了微弱的抗体。但是它就像普通的感冒一样，并不会产生感染。2003年的感染是什么原因，现在还不是太清楚。当时果子狸是其中一个重要媒介，但不是唯一一个。”

Zhong nanshan special mention,In 2003, the cause of SARS spread mass,There is still not completely sure."We in the end of 1990 and 2000 years later,In human blood are found in weak antibody.But it is just like the common cold as,Will not produce infection.2003 years of infection is what reason,It is not too clear.When masked civet is one of the important media,But not the only one."

　　钟南山透露，到目前为止，广州还没有发现很特别的流感异常情况，一般是3年到5年会有一个小的流感移动周期，若干年后再有一个大的转移，因此今年还是值得警惕的。不过，钟南山也肯定地指出，目前新甲流已经没有了。

Said zhong nanshan,So far,Guangzhou haven't found very special flu abnormal situation,The general is 3 years to 5 year a small flu mobile cycle,After a few years have a big transfer,So this is alarmed.but,Zhong nanshan is sure to point out,The present new armour flow has no.

　　3 广州酝酿成立新医管局

3 guangzhou was brewing new hospital authority

　　在当天的论坛上，广州市卫生局副局长唐小平提出，广州将像北京、深圳、上海一样，在酝酿成立新的医管局，负责公立医院的改革。对此，钟南山说，新成立的机构从更客观的角度来管理，可以发挥一些作用，但他认为就算有医管局和各方面的措施，只要不解决国家的投入，要实现医药分家还是很困难。

On the day of the BBS on,Guangzhou city health bureau deputy director TangXiaoPing put forward,Guangzhou will like Beijing/shenzhen/Shanghai,In brewing the formation of a new hospital authority,Responsible for the reform of public hospital.this,Said zhong nanshan,The newly established institution from the perspective of more objective management,Can play some role,But he thought that even if there are formed and the measures,As long as it does not resolve the country's investment,To realize the medical centre is still very difficult.

　　“有些地方特别是县级医院的试点，是非常好的。”钟南山说，现在县级医院是医改的重点，专家们一直在呼吁，应该让这些基层医院能够具有公益性，或者基层医生也能像乡村教师一样，工资由政府来给。(记者郑旭森、通讯员骆燕容)

"Some areas, especially in the hospital at or above the county level of the pilot,Is very good."Said zhong nanshan,Now is the focus of the reform, the hospital at or above the county level,Experts have been called for,Should let the basic-level hospitals can have public benefits,Or grassroots doctors can also like as village teacher,By the government to pay.(Reporter ZhengXuSen/Correspondent LuoYanRong)