“最关键的是确立合理诊疗路径，严格控制报销目录外药品、耗材的使用。只有这样，才能真正解决看病贵问题。

"The key is to establish reasonable diagnosis and treatment,Strictly control the list drugs/The use of the material.Only in this way,To solve the problem of high cost.

　　今年实际报销比例要力争比去年提高5个百分点。”

Actual reimbursement ratio should strive to this year over last year increased by 5%."

　　时间：1月7日上午

time:Jan. 7 in the morning

　　场合：全国卫生工作会议

occasion:National work conference on health

　　“看病难和看病贵有所缓解，但没有根本解决。”“尽管采取了多种措施，卫生总费用和人均医疗费上升较快势头仍没有得到扭转。”

"To see the doctor and the doctor your ease,But there is no solution at all.""Although a variety of measures have been taken,Per capita total health expenses and medical treatment cost rise rapidly momentum is still didn't get around."

　　1月7日上午，在全国卫生工作会议上，卫生部部长陈竺坦言医改存在的问题。

Jan. 7 in the morning,At a national conference on health work,The health minister Outlines said the problems existing in the medical reform.

　　近年来，很多百姓反映：医保报销比例的统计数字“虚高”，和群众感受不太吻合，实际报销比例偏低。

In recent years,A lot of people to reflect:Medical insurance reimbursement ratio statistics"Virtual high",And the feeling not too,The actual reimbursement ratio is low.

　　在会上，陈竺解开了“谜团”。他说，虽然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，实际报销比例只有50%左右，居民医药费用负担仍然较重。

At the meeting,Outlines untied"The mystery".He said,Although the medical insurance policy within the scope of reimbursement ratio has reached 75%,Due to list the drug has not been effective control,Actual reimbursement ratio is only 50%,Residents medical expenses burden heavier.

　　“今年实际报销比例要力争比去年提高5个百分点。我这里所说的数字，不是政策范围内报销比例，而是实际报销比例。”陈竺说。

"Actual reimbursement ratio should strive to this year over last year increased by 5%.I have said here,Policy is not within the scope of reimbursement ratio,But the actual reimbursement ratio."Outlines said.

　　卫生部统计显示，2011年我国居民个人卫生支出占卫生总费用的比例降至34.77%，为近20年来的最低水平。根据国务院要求，到2015年，个人卫生支出占卫生总费用的比例要降低到30%以下。

The ministry of health statistics show,In 2011 residents personal health spending accounted for 34.77% of the total health expenses,For the lowest level in nearly 20 years.According to the requirements of the state council,By the year 2015,Personal health spending accounts for the proportion of total health cost will be reduced to below 30%.

　　“要达到这一目标，最关键的是确立合理诊疗路径，严格控制报销目录外药品、耗材的使用。只有这样，才能真正解决看病贵问题。当然，随着医保报销水平的提高，一些报销目录外的药品会逐步纳入报销目录内。但是，绝不能过度用药、过度治疗。”陈竺神情严肃地说。

"To achieve this goal,The key is to establish reasonable diagnosis and treatment,Strictly control the list drugs/The use of the material.Only in this way,To solve the problem of high cost.Of course,,With the improvement of medical insurance reimbursement level,List some outside the drugs will gradually into the list.but,Shall by no means over/Excessive treatment."Outlines look seriously said.

　　陈竺还透露，新版国家基本药物目录已经通过专家审定，还需要几个月的准备期。目录公布后，各地要规定各级各类医疗卫生机构基本药物使用比例。例如，基层医疗卫生机构全部配备使用基本药物；二级医院基本药物使用量和销售额都应达到40%—50%；三级医院基本药物销售额要达到25%—30%。

Outlines also revealed,The new catalogue of basic national has been approved by experts,Also need several months of preparation.After the publication of the directory,Around to provisions of the basic medical and health institutions at various levels drug use.Such as,Basic medical and health institutions all equipped with the use of basic drugs;2 class hospital basic drug usage and sales should reach 40% - 40%;Tertiary hospital basic drug sales to achieve 25% - 30%.

　　“新版国家基本药物目录有500多种药物，既包括基层医疗卫生机构的常用药，也包括二、三级医院的常用药。我知道，大医院院长感到有压力，但是，经过科学测算，大医院是能够做到的。卫生部规定，三级医院的抗生素不超过50个品种，新版目录就有40多个，没有理由做不到。有的医院不合理使用目录外用药较多，今后即便患者有能力使用目录外药品，也要知情同意。”陈竺说。

"The new catalogue of basic state has more than 500 kinds of drugs,Both common of the basic medical and health institutions,Also includes two/Tertiary hospital commonly.I know that,Large hospital dean felt under pressure,but,After scientific measurement,Large hospital is able to do it.The ministry of public health regulations,Tertiary hospital antibiotics not more than 50 varieties,The new catalogue has more than 40,There is no reason to do it.Some hospital unreasonable drug use catalog,In the future even if the patient has the ability to use the directory of drugs,Will be informed consent."Outlines said.

延伸报道 Extension reports

　　今年新农合人均筹资将达340元 This year the new farmers raise 340 yuan per capita

　　推动大病保险试点 Promote a serious illness insurance pilot

　　本报北京1月7日电 （记者白剑峰）记者从今天召开的全国卫生工作会议上获悉：今年新农合全国人均筹资将达到340元左右，其中各级政府补助增加到人均280元。

Our newspaper Beijing on January 7, (The reporter BaiJianFeng)Reporter from today at the national conference on health work to learn:This year new farming and financing for the national per capita will reach 340 yuan,At all levels of government subsidies to 280 yuan per capita.

　　今年还将以省为单位全面推开终末期肾病、肺癌等20种重大疾病保障工作。推动大病保险试点，做好农村居民重大疾病医疗保障与大病保险的有效衔接。在已开展大病保险试点的地区，要优先将20种重大疾病纳入大病保险范围，先由新农合按照不低于70%的比例进行补偿，对补偿后个人负担费用超过大病保险补偿标准的部分，再由大病保险按照不低于50%的比例给予补偿。

This year will also be implemented for the unit with the province end-stage renal disease/Lung cancer and 20 kinds of major disease security work.Promote a serious illness insurance pilot,Do rural residents major disease medical security and effective cohesion of a serious illness insurance.Has been developing in a serious illness insurance pilot areas,Preference will be 20 kinds of major diseases included in the scope of a serious illness insurance,First by the new farming and compensate according to the proportion of not less than 70%,For compensation after personal expenses over a serious illness insurance compensation standard parts,From a serious illness insurance compensation according to the proportion of not less than 50%.

　　另据介绍，国家基本公共卫生服务项目人均经费标准今年将从27.2元提高到30元，力争将地广人稀边远地区人均经费标准提高到40元，分配比例原则上村卫生室不低于40%。

According to introduction,National basic public health services per capita expenditure standard will be increased from $27.2 to $30 this year,Strive to the sparsely populated remote areas for up to 40 yuan per capita,Distribution proportion principle village clinic not less than 40%.