卫生部部长陈竺 Minister of health Chen zhu

医改下一步重点是建立“医联体” Health reform will focus on the next build"D of couplet"

　　●医联体，是让基层医院真正强起来，和大医院上下联动、沟通、一体化的构架

Second-ranking couplet of medical,Is to make the basic-level hospitals really strong,Upper and lower linkage and big hospital/communication/The integration of the frame

　　●第二版基本药物目录即将出台，药品品种、覆盖面扩大，抗癌药、心脑血管重症、血浆制品等列入

When the second version of the list of essential medicines be forthcoming,Drug varieties/A broader,Cancer drugs/Severe cases of heart head blood-vessel/Plasma products included

　　●从“卫生经济学”角度选出医保覆盖的20个大病病种

Low from"Health economics"20 selected health coverage from the Angle of major diseases

　　●这一次可能涉及卫生部门的机构改革，而且“面比较大，也比较深”

Low this time may be involved in the health sector reform,and"Surface is larger,Also more deep"

　　“我很荣幸，今天总理政府工作报告在附注中把儿童白血病等20种重大疾病列出来了，那就是我们建议的。”5日，全国人大代表、卫生部部长陈竺在陕西代表团驻地接受记者采访时表示，第二版基本药物目录正在等待国务院批准，即将出台，药品品种、覆盖面扩大。他还说，医改下一步最重要的是建立“医疗改革联合体”，不仅是社区平台，也以三级医院为核心，带着几个二级医院，辐射一片社区和乡镇，实现城乡医疗统筹。

"It is my honor to,Today's prime minister, the government work report in the notes to the list of 20 kinds of major diseases such as leukemia in children,That's what we recommend."5,,The National People's Congress/Health minister Chen zhu said when accepting a reporter to interview the staying in shaanxi province,The second version of the list of essential medicines are waiting for the approval of the state council,The upcoming,Drug varieties/A broader.He also said that,Health is the most important is to establish next"Health care reform",Is not only a community platform,Also with tertiary hospitals as the core,With a few secondary hospital,Radiation towns and a community,Implementation of urban and rural medical plan as a whole.

大病医保也想全覆盖，但必须考虑“卫生经济学” Complete coverage of serious illness insurance also want to,But must be considered"Health economics"

　　陈竺在解释为什么选中这20种重大疾病进行保障试点时说，也想全覆盖，但必须考虑到成本效益，就是“卫生经济学”，不可能把钱用到那些实际上治不太好的病上，比如有的癌症到了中末期，即使做移植，对健康的效益还是很低的。所以挑选的病种大都是儿童病、妇女病，加上会使一些特困群体因病致贫、因病返贫的病种，都是费用可控、疗效确切的病种。

Chen explains why to select 20 kinds of major diseases to protect the pilot said,Also want to cover all,But must consider the cost and benefit,Is the"Health economics",Can't use the money is actually not very good cure disease,Such as some cancer during,Even with a transplant,The health benefits still very low.So choose diseases are mostly children's disease/Gynecological diseases,And will make some of the things the poverty because of illness/Chinese diseases because of illness,Are costs under control/Curative effect of the disease.

建设“医联体”需人事制度和医保改革 Construction of the"D of couplet"The personnel system and health-care reform

　　陈竺说，医疗改革下一步最重要的是让基层医院真正强起来，和大医院上下联动、沟通、最好是一体化的构架，就是“医联体”。基层的诊疗量在上升，但大医院上升得更快。去年全国诊疗人数已接近69亿人次，前年是62亿人次，平均每个中国人每年看病5次以上。如果这种情况不能扭转，提高国民健康水平，特别是应对慢性病这个健康的主要威胁，是不可能的。为此，要大力提倡和扶助全科，大医院要建立全科医学科，动员大医院医生能够沉下去。

Chen zhu said,Health care reform, the next step is the most important is to make the basic-level hospitals really strong,Upper and lower linkage and big hospital/communication/It is best to integration architecture,Is the"D of couplet".Grassroots ZhenLiaoLiang is on the rise,But the big hospital rise faster.Last year the national medical number is close to 6.9 billion people,Is 6.2 billion the year before last,The average Chinese doctor more than 5 times a year.If the situation cannot be reversed,To improve national health level,Especially in response to chronic diseases that the main threat to the health,It is not possible.To do this,To vigorously promote and support the general practice,Large hospitals to establish jinpenling district,Mobilization of big hospital doctors to sink.

　　陈竺指出，建设“医联体”涉及两个问题。一是人事制度，如果大家还认为只有专科医生是一流的，三流的人才去做全科，那就无法调动积极性。另一个问题是医保。如果医保能按基层、二级、三级医院这样一个总包体系去报销，自然会促进医疗资源的下沉。

Chen zhu pointed out that,Construction of the"D of couplet"Involves two problems.A is the personnel system,If you also think that only specialists is first-class,Third-rate talent to do general practice,It won't be able to mobilize enthusiasm.Another problem is health care.If the health insurance will be effected according to the basic level/The secondary/Tertiary hospital in such a system of the contractor to submit an expense account,Will promote the medical resources in the sink.

卫生行政部门改革，希望“医保、医药、医疗”三医联动 Administrative department of health reform,hope"Health care/medicine/medical"3 d linkage

　　陈竺透露，在管理构架、理顺政府职能方面，这一次可能涉及卫生部门的机构改革，而且“面比较大，也比较深”，主要围绕构建一个有特色的低成本高产出的卫生体系。他希望下一步“医保、医药、医疗”三医向着统筹的方向联动，不要割裂开来。

Chen zhu said,In the management structure/Straighten out the functions of the government,This time may be involved in the health sector reform,and"Surface is larger,Also more deep",Mainly how to construct a characteristic of low cost and high yield of the health system.He hopes that the next step"Health care/medicine/medical"3 d linkage in the direction of the plan as a whole,Don't separate.

　　如何用有限的资源，来获得群众的最大健康效益？陈竺认为，要克服信息不对称的问题，哪些服务是合理的、恰当的？这些问题，谁最清楚？说穿了，有良知的医生最清楚。以专家和技术支撑为基础的卫生行政部门，要责无旁贷地把这个职能担起来。

How to use limited resources,To obtain the biggest health benefits of the masses?Chen thinks,To overcome the problem of asymmetric information,What service is reasonable/The appropriate?These problems,Who is the most clear?After all,Conscientious doctor knows best.On the basis of the experts and technical support of the health administrative department,To take up responsibility to this function.

　　陈竺说，改革到了深水区，好做的事情前一段都已经做了，全民医保框架有了，服务体系也在逐步完善，并且经济从高速发展转入平稳发展阶段，财政也不可能像医改头三年，每年以百分之三十几的增长力度来支持卫生了。那就只有靠改革来出红利，靠创新来出红利。

Chen zhu said,Reforms to the deep waters,Good things has been done in the former period,With the universal health care framework,Service system is also gradually improve,And from the high-speed economic development into the steady stage of development,Than fiscal reform in the first three years,Every year by 30 percentage increase efforts to support the health.That only by reforming the dividend,Rely on innovation to the dividend.

抗癌药、心脑血管重症、血浆制品等列入第二版基本药物目录 Cancer drugs/Severe cases of heart head blood-vessel/Plasma products, etc. On the second edition of essential medicines list

　　“药品从第一版307种扩大为500多种。第一版只是基层版，像抗癌药、心血管重症药、神经系统和精神类用药、血浆制品等都没有，这次基本都有了。”陈竺透露，第二版基本药物目录马上要出来，药品的品种、覆盖面也扩大了。“现在有关部门已经意见一致了，国务院批了就可以实施了。”

"More than 307 kinds of drugs from 307 kinds of expanded for the first edition.The first edition is only basic version,Like a cancer drug/Critical cardiovascular medicine/Neurological and psychiatric drugs/Plasma products, etc,Basic all have this time."Chen zhu said,The second version of the list of essential medicines will soon come out,Of drug varieties/Coverage has expanded."Authorities have now agree,The batch can be carried out under the state council."

　　陈竺认为，基本药物范围的适当扩大，有利于确保人民群众的基本医疗，也能确保医疗质量更安全。(记者田丰)

Chen thinks,Appropriate to expand scope of essential medicines,To ensure people's basic medical care,Can ensure medical quality more secure.(Reporters ford)