中英文对照版医改意见.docx

中英文对照版医改意见.docx

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中英文对照版医改意见

OpinionsoftheCPCCentralCommitteeandtheStateCouncilonDeepeningtheHealthCareSystemReform

中共中央国务院关于深化医药卫生体制改革的意见

Inthespiritofthe17thCPCNationalCongress,forthepurposeofestablishingahealthcaresystemwithChinesecharacteristics,ofgraduallyrealizingthegoalthateveryoneisentitledtobasichealthcareservices,andofraisingthehealthleveloftheChinesepeople,weherebyputforwardthefollowingopinionsondeepeningthehealthcaresystemreform.

按照党的十七大精神，为建立中国特色医药卫生体制，逐步实现人人享有基本医疗卫生服务的目标，提高全民健康水平，现就深化医药卫生体制改革提出如下意见。

I.Fullyrecognizingtheimportance,urgencyandarduousnessofdeepeningthehealthcaresystemreform

一、充分认识深化医药卫生体制改革的重要性、紧迫性和艰巨性

Thehealthcaresectorisamajorlivelihoodissue,asitiscloselyrelatedtothehealthofbillionsofpeopleandthehappinessofeveryhousehold.Todeepenthehealthcaresystemreform,quickenthedevelopmentofhealthcaresector,meetthepeople’severincreasinghealthcaredemands,andcontinuouslyimprovethepeople’shealthisaninevitablerequirementofimplementingtheScientificOutlookonDevelopmentandacceleratingeconomicandsocialdevelopmentinacoordinatedandsustainablemanner,animportantmeasuretomaintainsocialfairnessandjusticeandimprovethequalityofpeople’slife,andalsoamajortaskofbuildingmoderatelyprosperoussocietyinanall-roundwayandconstructingharmonioussocialistsociety.

医药卫生事业关系亿万人民的健康，关系千家万户的幸福，是重大民生问题。

深化医药卫生体制改革，加快医药卫生事业发展，适应人民群众日益增长的医药卫生需求，不断提高人民群众健康素质，是贯彻落实科学发展观、促进经济社会全面协调可持续发展的必然要求，是维护社会公平正义、提高人民生活质量的重要举措，是全面建设小康社会和构建社会主义和谐社会的一项重大任务。

SincethefoundingofthePeople’sRepublicofChinain1949,andsincethebeginningofthereformandopening-upinparticular,China’shealthcaresectorhasmaderemarkableachievements.Ahealthservicesystemcoveringbothurbanandruralresidentshasbasicallycomeintobeing;thediseasepreventionandtreatmentcapacityhasbeencontinuouslystrengthened;thepopulationcoveredbyhealthcarehasgraduallyexpanded;healthscienceandtechnologylevelhasrapidlyrisen;thepeople’shealthlevelhasbeenmarkedlyimproved;andthemajorresidenthealthindexesnowrankamongthehighestinthedevelopingcountries.SincethemajorvictorywonincombatingSARSinparticular,governmentsatvariouslevelshaveincreasedtheirinvestment,thedevelopmentofpublichealth,ruralhealthcareandurbancommunityhealthcarehasbeenaccelerated,andtheNewRuralCooperativeMedicalSchemeandthebasicmedicalinsurancesystemforurbanresidentshavemadebreakthroughs,allofwhichhavelaidasolidfoundationfordeepeningthehealthcaresystemreform.Atthesametime,however,wemustbeawarethatthereisstillaratherprominentcontradictionbetweenthecurrentdevelopmentlevelofChina’shealthcaresectorandthepeople’shealthdemandsandtherequirementsofbalancedsocio-economicdevelopment.Healthcareundertakingsaredevelopingunevenlybetweenurbanandruralareasandamongdifferentregions;resourceallocationisunreasonable;theworkofpublichealthaswellasruralandcommunityhealthcareiscomparativelyweak;themedicalinsurancesystemisincomplete;pharmaceuticalproductionandcirculationorderisnotwellregulated;thehospitalmanagerialsystemandoperationalmechanismareimperfect;governmentinvestmentinhealthisinsufficient;medicalcostsaresoaring,individualburdenistooheavy,andtherefore,thepeople’sreactionisverystrong.

新中国成立以来，特别是改革开放以来，我国医药卫生事业取得了显著成就，覆盖城乡的医药卫生服务体系基本形成，疾病防治能力不断增强，医疗保障覆盖人口逐步扩大，卫生科技水平迅速提高，人民群众健康水平明显改善，居民主要健康指标处于发展中国家前列。

尤其是抗击非典取得重大胜利以来，各级政府投入加大，公共卫生、农村医疗卫生和城市社区卫生发展加快，新型农村合作医疗和城镇居民基本医疗保险取得突破性进展，为深化医药卫生体制改革打下了良好基础。

同时，也应该看到，当前我国医药卫生事业发展水平与人民群众健康需求及经济社会协调发展要求不适应的矛盾还比较突出。

城乡和区域医疗卫生事业发展不平衡，资源配置不合理，公共卫生和农村、社区医疗卫生工作比较薄弱，医疗保障制度不健全，药品生产流通秩序不规范，医院管理体制和运行机制不完善，政府卫生投入不足，医药费用上涨过快，个人负担过重，对此，人民群众反映强烈。

Featuringarduoushealthcaretasks,theperiodfromnowto2020iscrucialforChinatobuildmoderatelyprosperoussocietyinanall-roundway.Alongwitheconomicdevelopmentandimprovementofpeople’slivingstandards,thepeoplewillmakehigherdemandsonbetteringhealthcareservices.Industrialization,urbanization,populationaging,diseasespectrumchange,eco-environmentalchangeandotherfactorsposeaseriesofnewandseriouschallengestothehealthcarework.Todeepenthehealthcaresystemreformisastrategicchoicetoacceleratethedevelopmentofhealthcareundertakings,animportantchanneltorealizethegoalofenablingpeopletosharetheachievementsofreformanddevelopment,andanurgentaspirationofthebroadmassesofthepeople.

从现在到２０２０年，是我国全面建设小康社会的关键时期，医药卫生工作任务繁重。

随着经济的发展和人民生活水平的提高，群众对改善医药卫生服务将会有更高的要求。

工业化、城镇化、人口老龄化、疾病谱变化和生态环境变化等，都给医药卫生工作带来一系列新的严峻挑战。

深化医药卫生体制改革，是加快医药卫生事业发展的战略选择，是实现人民共享改革发展成果的重要途径，是广大人民群众的迫切愿望。

Deepeningthehealthcaresystemreformisadifficultsocialsystemicprojec