中新网2月20日电 据国家发展和改革委员会网站消息，国家发展和改革委员会副主任、国务院医改领导小组办公室主任孙志刚强调，基层仍然是中国卫生事业发展的薄弱环节，历史欠账多，与人民群众看病就医需求还有不小的差距，强基层仍然是“十二五”期间改革的重点，要继续从软硬件两个方面加强基层服务体系建设。

February and, according to the national development and reform commission website news,The national development and reform commission deputy director/Cure of the state council leading group office director SunZhiGang stressed,Base is still Chinese health career development weak link,History more greatly,And people's hospital demand and large gap,Strong base is still"1025"The focus of the reform period,Want to continue from two aspects of hardware and software to strengthen grass-roots service system construction.

　　国务院办公厅日前印发了《关于巩固完善基本药物制度和基层运行新机制的意见》。孙志刚就此答记者问时指出，医改三年多来，财力重点投向了基层，构建了崭新的基层医疗卫生服务平台，基层医疗环境有了翻天覆地的变化，为筑牢网底从设施建设上奠定了基础。

Issued by the general office of the state council before the[About consolidating perfect system for basic drugs and the opinions of the basic operation mechanism].This SunZhiGang reporters pointed out,More than three years to cure,Financial focus to the grassroots,Constructing a new basic medical and health services platform,Primary care environment has changed a lot,To build up WangDe from facilities construction laid a foundation.

　　但孙志刚也指出，基层仍然是中国卫生事业发展的薄弱环节，历史欠账多，与人民群众看病就医需求还有不小的差距，强基层仍然是“十二五”期间改革的重点，要继续从软硬件两个方面加强基层服务体系建设。

But SunZhiGang also pointed out,Base is still Chinese health career development weak link,History more greatly,And people's hospital demand and large gap,Strong base is still"1025"The focus of the reform period,Want to continue from two aspects of hardware and software to strengthen grass-roots service system construction.

　　一是明确基层医疗卫生机构基本功能。基层医疗卫生机构主要以维护辖区内居民健康为中心，使用适宜技术、适宜设备和基本药物，大力推广包括民族医药在内的中医药服务，综合提供公共卫生和基本医疗服务。鼓励有条件的地方探索推进乡村卫生服务一体化管理。

A basic medical and health institutions is to make clear the basic function.Basic medical and health institutions mainly in order to maintain within the jurisdiction of residents health as the center,Use appropriate technology/Appropriate equipment and essential drugs,Vigorously promote national medicine, including traditional Chinese medicine service,Comprehensive provision of public health and basic medical service.Encourage conditional place to explore promote rural health service integration management.

　　二是支持基层医疗卫生机构标准化建设。政府在每个乡镇办好一所卫生院。坚持政府主导，原则上每个街道或3-10万居民设置1所社区卫生服务中心。“十二五”期间，按照填平补齐的原则，重点支持边远山区、地广人稀的农村地区、少数民族地区乡镇卫生院建设，到2015年使基层机构达标率达到95%以上。实施基层中医药服务能力提升工程，加强基层机构中医科、中药房建设。

The second is to support basic medical and health institutions standardization construction.The government in every township do a health center.Adhere to the guidance of the government,In principle, every street or 3-100000 residents set to 1 community health service center."1025"period,According to the principle of TianPingBuJi,Key support remote mountainous areas/Sparsely populated rural areas/Ethnic minority areas township health center construction,By 2015 grassroots agencies success rate is above 95%.Implementation of basic services to enhance the ability of traditional Chinese medicine engineering,Strengthening primary mechanism traditional Chinese medicine department/Currently construction.

　　三是加强基层医疗卫生机构人才培养。加快推行全科医生制度，加强师资和培养培训基地建设，实施全科医生规范化培养和欠发达农村地区助理全科医生培训。继续做好全科医生转岗培训、农村订单定向医学生免费培养，实施全科医生特岗项目，确保如期实现基层机构全科医生配备目标。对志愿到中西部地区乡镇卫生院工作3年的高校医学毕业生，由国家补助(代偿)学费(助学贷款)。加大农村医务人员继续教育，对乡镇卫生院人员每5年进行一次全员岗位培训。深化对口协作，加强上级医院与基层医疗卫生机构之间的人才合作交流，建立定期巡诊和轮训机制。

The third is to strengthen the basic medical and health institutions and personnel training.To speed up the implementation of the system of general practitioners,Strengthening teachers training and training base construction,Implement the standardization training of general practitioners and underdeveloped rural areas assistant general practitioners training.We will continue to do a general practitioners job-transfer training/Rural order directional medical students free training,Implementation of general practitioners, sloping project,To ensure that meet deadlines grassroots agencies general practitioners with target.To volunteer to work in the Midwest township health center three years of university medical graduates,By the state subsidies(compensatory)tuition(Student loans).Rural medical staff continue to education,Township health center staff for every 5 years for a full on-the-job training.Deepen cooperation with,To strengthen the superior hospital and basic medical and health institutions of cooperation and communication between people,Establish a regular patrol and training in rotation mechanism.

　　四是转变基层医疗卫生服务模式。积极推进全科医生执业方式和服务模式改革试点，各地可结合实际合理确定到2015年全科医生签约人数与服务人口比例，逐步推行全科医生(团队)与城乡居民建立稳定的契约服务关系，提供连续服务。文件还提出，卫生等部门要加快制定分级诊疗规范，推进基层首诊负责制，建立健全分级诊疗、双向转诊制度，明显提高基层机构门急诊量占门急诊总量的比例。

Four is to change the basic medical and health service mode.Actively promote general practitioners practice mode and service mode reform pilot,All can be combined with the actual reasonable to 2015 general practitioners contract number and service population,Gradually carried out general practitioners(team)Urban and rural residents and establish a stable relationship between contract services,Provide continuous service.File also puts forward,Health and other departments to speed up the classification standard for diagnosis and treatment,Promote the first diagnosis responsibility system,Establish and improve diagnosis and classification/Two-way referral system,Obviously improve the mechanism of this door curves of the total ratio.

　　五是推进信息化建设。以省(区、市)为单位统一组织规划，使信息系统逐步覆盖乡镇卫生院、社区卫生机构和有条件的村卫生室，统一技术规范和标准。强化信息系统在绩效考核和服务监管中的运用。

Five is promoting informatization construction.To save(area/city)As the unit under the unified organization of the planning,Make information system will gradually cover township health center/Community health institutions and conditional village clinic,Unified technical specifications and standards.Strengthen the information system in the performance evaluation and the application of service regulation.

　　六是积极做好化解债务工作。地方政府是化债的主体。省级、市(地)级人民政府要加大对财政困难县(市、区)化解债务工作的资金支持力度。

6 it is positive to solve debt work.The local government is the main body of the chemical bonds.provincial/city(to)Level people's governments should strengthen the financial difficulties county(city/area)Resolve the debt capital support work.