[首席记者问两会]四部委联手把脉 为医改开出"良方" [chief reporter asked CPPCC] four ministries jointly pulse for health reform"A recipe for"

　　据中国之声《新闻纵横》报道，"医药卫生体制改革"是昨天(14日)下午两会新闻中心记者会的主题。会议邀请了国家发改委、财政部、人社部、卫生部四个部委的领导参与。这是本次两会记者会中参与部委最多的一场，这也足以见得医改的复杂与艰巨。

According to the voice of China[News vertical and horizontal]reports,"Medical and health system reform"It was yesterday(On the 14th)The theme of the CPPCC press center in the afternoon press conference.The meeting invitation for national development and reform commission (NDRC)/The ministry of finance/People club department/Four ministries involved in the leadership of the ministry of health.This is the two sessions with journalists to participate in a most ministries and commissions,Which measure of reform of complex and difficult.

　　医改启动四年了，目标是解决"看病难，看病贵"，事关每个人切身利益。《首席记者问两会》今天播出《把脉医改》。

Health reform launched four years ago,Goal is to solve"The doctor is difficult,See a doctor expensive",Everyone is a matter of vital interests.[Chief reporter asked two sessions]Today's broadcast[Pulse health].

　　其实，涉及医药卫生体制改革的部委远远不止四个。光国务院深化医药卫生体制改革领导小组办公室就涉及了大大小小20个部委。但在这其中，发改委、财政部、人社部和卫生部，绝对发挥着最重要的作用。

In fact,Involving medical health system reform ministries is far more than four.Light the deepening medical and health system reform leading group office of the state council concerning the greatly small 20 ministries.But in the,The national development and reform commission/The ministry of finance/People club department and the ministry of health,Definitely plays a most important role.

发改委：医改中的总抓手 The national development and reform commission:Reform of the gripper

　　发改委是医改办的牵头部门，医改办公室也设在了发改委的大院里。发改委副主任孙志刚兼任国务院医改办主任，所以，昨天记者把更多的问题抛向了孙志刚。发改委副主任孙志刚表示，我们建立了一个世界上覆盖人口最多的医疗保障网，这几年基本医疗保障的报销水平在不断提高。

Development and reform commission (NDRC) is run led sector reform,Compound health offices are located in the development and reform commission (NDRC).Sun zhigang, deputy director of NDRC, concurrently hold the position of director of health under the state council,so,Yesterday reporter threw more questions the sun zhigang.Sun zhigang, deputy director of NDRC, said,We built a health care coverage in the world's most populous Internet,Basic medical insurance reimbursement level continuously in the recent years.

　　孙志刚：改革前，基本医保政策范围内的报销比例大致在50%左右，现在到了75%以上。在基层医疗卫生机构看病，报销比例还要再高，有的地方已经达到80%。

Sun zhigang:Before the reform,Basic medical insurance policy within the scope of reimbursement ratio is roughly about 50%,Now to more than 75%.At the grassroots medical and health institutions to see the doctor,Again reimbursement ratio is high,In some places has reached 80%.

　　在过去一年中，医患矛盾成为公众较为关注的问题。如何从体制上破解医患矛盾的难题？孙志刚说，除了依法保护医患的权益、加强医德建设，还要推动公立医院的改革。

In the past year,Doctor-patient contradiction become more concern for the public.The problem of how to decode the doctor-patient contradiction from the system?Sun zhigang said,In addition to in accordance with the law to protect the rights and interests of the patient/To strengthen the construction of medical ethics,To promote the reform of public hospitals.

　　孙志刚：加快推进公立医院改革，逐步扭转公立医院的逐利行为，建立体现公益性和高效率的新运行机制。

Sun zhigang:Accelerate the reform of public hospitals,Gradually reverse the profit-seeking behavior of public hospital,The establishment of a new nonprofit and efficient operating mechanism.

财政部：医改中的钱袋子 The ministry of finance:Health care in the purse

　　记者会上还有一个小插曲，主持人在介绍台上嘉宾时，差点儿忘了财政部副部长王保安。财政部为什么要来参与"医药卫生体制改革"呢？道理很简单，因为医改需要"钱"的支持，特别是基本医疗保障，财政更是主力。财政部副部长王保安说，过去4年，财政一共掏出了6800亿支持基本医疗，保障制度建立。

At a news conference and a small episode,The host in the introduction stage guest,Almost forgot Wang Baoan deputy finance minister.Why the Treasury to participate"Medical and health system reform"??The rule is simple,Because health care needs"money"The support of the,Especially in the basic medical and health care,Finance is the main.Deputy finance minister Wang Baoan said,Over the past four years,Finance took out 680 billion basic medical support,Security system set up.

　　王保安：如果是同口径的对比，医疗卫生支出占财政支出的比例为12.5%左右，这个比例不仅高于希腊、瑞士等发达国家，也高于经常被拿来做比较的俄罗斯、巴西、南非等金砖国家。

Wang Baoan:If is the same diameter,Health care spending accounts for the proportion of fiscal expenditure is approximately 12.5%,This ratio is not only higher than Greece/Developed countries such as Switzerland,Is higher than Russia is often used to compare/Brazil/The brics countries such as South Africa.

人社部：医改中的小蓝卡 People club department:Small blue card of health reform

　　当人社部副部长胡晓义拿出蓝色的社会保障卡时，记者会场响起了一阵子相机的咔嚓声。胡晓义平时总揣着这张卡，因为人社部就负责基本医疗保险，也就是这张卡。如今，我国已经构建起世界上规模最大的基础养老医疗保障网，有越来越多的人在使用这张卡看病。但什么时候才能实现全国拿着一张卡就能看病、异地看病不再难呢？胡晓义说，现在正在试点省内统一报销，全国统一还需要时间。

When man club Hu Xiaoyi out of the blue, a deputy minister of social security card,News conference rang for a camera clicks.Hu Xiaoyi always with this card,Because people club department is responsible for the basic medical insurance,Is this card.now,China has build up the world's largest basic endowment health care network,There are more and more people are using this card to see the doctor.But when it's time to realize the national holding a card will be able to see the doctor/Long distance to see a doctor is no longer difficult?Hu Xiaoyi said,Now is pilot province unified reimbursement,National unity will take time.

　　胡晓义：社保卡今年要达到4亿8千万张，有所有人的基本信息都在里面，就可以搭建技术平台，将来有可能实现全国联用。政策标准要逐步地统一，如果政策标准不统一，跨地区报销还是有难度的。

Hu Xiaoyi:Social security card to reach 480 million this year,People have the basic information in it,You can set up technical platform,The combination can be realized in the future.Standard policy is to be gradually unified,If the policies do not have a unified standard,Cross-regional reimbursement or have difficulty.

　　看病难，看病贵，更难的在农村。医疗保险城乡何时才能一体化？胡晓义说，我国已经有六个省级地区实现了城乡居民基本医疗保险一体化，未来还将加大城乡医保整合力度。小蓝卡的普及背后是规模巨大的社保基金。如何才能看好这笔钱呢？胡晓义说，审计署加强审计防止坚守自盗，还引进了第三方监管。

The doctor is difficult,See a doctor expensive,More difficult in the rural areas.When will the medical insurance of urban and rural integration?Hu Xiaoyi said,Our country has had six provincial region to realize the integration of urban and rural residents basic medical insurance,The future will also intensify health care integration between urban and rural areas.The popularity of small blue card is behind the huge social security fund.How do you like the money?Hu Xiaoyi said,The strengthening of audit audit to prevent sticking to the thief,Also introduced the third party oversight.

　　胡晓义：把医保的信息管理网络连到各个定点的服务医院，使得每一次诊疗、每一个处方都能够在网络上运行，得到实时监控。

Hu Xiaoyi:The health information management network connected to the various fixed-point hospital services,Make every diagnosis and treatment/Each prescription can run on the Internet,Get real-time monitoring.

卫生部：医改中的听诊器 The ministry of health:The stethoscope in health care

　　提供医疗卫生服务的是医生和医院，主管部门就是卫生部。过去几年，高昂的药费、检查费为百姓和媒体所诟病，医药卫生体制改革中，减少药费、检查费是重中之重。可是破除了以药养医，也要考虑医生的收入问题，否则没人愿意当医生，又何谈良好的医疗服务呢？因此，提高医疗服务的价格是公立医院改革中的关键一步。谈到这个问题，卫生部副部长马晓伟滔滔不绝。

Provide medical and health services are doctors and hospitals,Departments is the ministry of health.Over the past few years,The high expenses for medicine/Inspection fee for the people and the media,Medical and health system reform,To reduce expenses for medicine/Examination is a top priority.But to break the medicine for the medical,The doctor's income problem must also be considered,Otherwise no one is willing to be a doctor,And what about medical service good?so,Improve the medical service price is the key step in the reform of public hospitals.When it comes to this problem,Deputy health minister ma xiaowei gushing.

　　马晓伟：理顺价格体系很重要，争论也很多，也是两会期间的热议话题。我国医生的技术劳务价格要能够得到承认，药品和仪器设备的价格要能够降低，医务人员多劳多得、优劳优得的政策要得到正向激励。

Mr. Ma:Rationalize the price system is very important,There are many arguments,Is also a hot topic during the two sessions.Our doctor's technical service price to be able to get admitted,Drugs and instruments and equipment to be able to reduce price,The medical staff to work more/Optimal's optimal policy to get a positive incentive.

　　从以上透露的信息不难发现，医药卫生体制改革是一个庞杂的系统改革，牵扯到方方面面的利益。医改之路其修远矣，何时我们不必再为担心得病而攒钱，或许才将是医改胜利之时。(记者季苏平)

From the above information disclosed is not hard to find,Medical and health system reform is a complex system reform,The interests of the involved in every aspect.Road to reform its fix far,When we don't have to worry about diseases and save money,May be will be the reform of victory.(Reporter season Su Ping)