中新社北京1月7日电 (记者 欧阳开宇)“居民医药费用负担仍然较重。”中国卫生部部长陈竺7日在北京说。

Arriving in Beijing on January 7 (The reporter OuYangKaiYu)"Residents medical expenses burden heavier."China's health minister Outlines 7, said in Beijing.

　　陈竺当天在2013年全国卫生工作会议上指出，造成上述情况的原因是，医药卫生改革的整体性、系统性、协调性不够。

Outlines the national conference on health work points out that in 2013,The cause of the above situation is,The integrity of the medicine and health care reform/The systematic/Coordination is not enough.

　　他以医保报销举例说，虽然基本医保政策范围内报销比例已达75%，但由于报销目录外用药未得到有效控制，实际报销比只有50%左右。

With his medical insurance reimbursement, for example,Although the basic medical insurance policy within the scope of reimbursement ratio has reached 75%,Due to list the drug has not been effective control,Actual reimbursement is only 50%.

　　中国在新一轮医改中提高了肾透析等20种大病的保障水平。不过，陈竺认为，此项工作已“遇到一个重要瓶颈”。

China in a new round of reform to improve the security level of the renal dialysis of 20 kinds of serious illness.but,Outlines that,This work has been"To meet an important bottleneck".

　　“医疗机构尤其是中西部县级医院服务能力不足，影响了政策落实。”陈竺说。

"Medical institutions, especially the Midwest county hospital service ability,Affect the policy implementation."Outlines said.

　　他还指出，儿童用药、血液制品等部分药品生产供应不足以及基本药物招标采购政策不完善，造成“降价死”和配送不及时，影响了临床用药需要。

He also pointed out that,Children's drug use/Insufficient supply of blood products such as part of the pharmaceutical production and basic drug bidding procurement policy is not perfect,Caused by"Reduction of death"And distribution is not timely,Influence the clinical drug use.

　　在陈竺所作的报告中，药品生产流通领域秩序混乱、药品价格虚高和流通成本巨大，不仅造成药品和耗材等医疗资源浪费，也成为导致患者对医务人员不信任的重要因素。

The Outlines of the report,Medicine production and circulation field disorder/GSK drug prices and circulation costs,Not only caused by drugs and consumables, such as medical resources waste,Has become an important factor of the distrust of medical personnel in.

　　鉴于此，陈竺提出，要巩固和完善国家基本药物制度和基层运行新机制，提高基层医疗卫生服务水平和效率。

In view of this,Outlines are put forward,To consolidate and improve the national system for basic drugs and basic operation mechanism,Improve the level of basic-level medical and health services and efficiency.

　　陈竺说，健全稳定长效的多渠道补偿机制，确保基本公共卫生服务经费足额及时到位，尽快化解债务，继续推进中西部地区基层医疗卫生服务体系建设，巩固完善和扩大国家基本药物制度，加强对医疗卫生机构和医务人员用药行为的监管，严厉打击商业贿赂等不法行为。(完)

Outlines said,And improve the stability of multi-channel compensation mechanism,To ensure funds for basic public health services in full amount in time,Resolve the debt as soon as possible,We will continue to promote the construction of basic medical and health service system of the central and western regions,Consolidate and expand the national system for basic drugs,To strengthen the supervision of the medical and health institutions and medical personnel administration behavior,Crack down on commercial bribery and other illegal behavior.(after)