Healthcare reform醫(yī)改論文（英漢對(duì)照） .doc

1、本科畢業(yè)論文 醫(yī)改healthcare reformabstract: this article focuses on the role of health care reform, pointing out that the concept of attention is the empirical research based on extensive. this paper aims to: 1) construction and target of the concept of health theory; 2) abroad is mainly usa health status o

2、f 3) pointed out that the urgency of the problem of chinas reform face; 4) the main contents of chinas reform of the influence and the. the conclusions are as follows: 1) through empirical research, proved that the health in building a well-off society in the role of health care; 2) the feasibility;

3、 3) the reform of the form and the content for further study, briefly explore the direction of the medical reform. keywords: health care; content; feasibility; direction摘要：人生在世，生老病死，誰(shuí)也免不了。一個(gè)國(guó)家的醫(yī)療衛(wèi)生事業(yè)，關(guān)系到每一個(gè)人的切身利益，也關(guān)系到國(guó)家的人口素質(zhì)，國(guó)民健康，民族興旺。本文著重研究了醫(yī)改的作用，指出這一概念受到廣泛重視是基于廣泛的實(shí)證研究.本文旨在:1)探討“醫(yī)改”這一概念的理論構(gòu)建及其目標(biāo)；2）

4、國(guó)外主要是美國(guó)醫(yī)改狀況3）指出我國(guó)“醫(yī)改”面臨的緊迫性的問(wèn)題；4）我國(guó)醫(yī)改的主要內(nèi)容及其帶來(lái)的影響。本文得出結(jié)論如下：1)通過(guò)實(shí)證研究，證明了“醫(yī)改”在全面建成小康社會(huì)中的作用；2）醫(yī)改的可行性；3）通過(guò)對(duì)醫(yī)改的形式和內(nèi)容作進(jìn)一步研究，簡(jiǎn)要探究出醫(yī)改的方向。（五號(hào)）關(guān)鍵詞：醫(yī)改；內(nèi)容；可行性；方向（五號(hào)）i 本科畢業(yè)論文 healthcare reform 1. introduction （一級(jí)標(biāo)題，四號(hào)加粗頂格；所有標(biāo)題后均不加逗點(diǎn)或句點(diǎn)）the significance of the role of conscious and unconscious processes and the n

5、otion of interface in second language (l2) development has been the focus of much debate in the general field of cognitive psychology. one proposal is that put forward by burka (1996), who offers a hypothesis related to conscious learning that focuses on what skehan argues is “the crucial concept of

6、 noticing” (deleuze, 1986，p.48) （這是參考文獻(xiàn)出處文中注的格式，p用小寫）. the purpose of this paper is to a) consider the theoretical constructs that underlie the role of noticing, and b) assess the validity of the assumption that noticing enhances language acquisition. life, death, who is also unavoidable. a national

7、 health service, related to the vital interests of each individual, but also related to the countrys population quality,national health, national prosperity. the contradiction is not adapt to the current development of chinas medical and health level of coordinated economic and social development an

8、d peoples health needs are still quite prominent. urban and rural and regional health development is not balanced, irrational allocation of resources, public health and rural, community medical and health work is relatively weak, the medical security system is not perfect, the order of the medicine

9、production and circulation is not standard, the hospital management system and operation mechanism is not perfect, lack of government investment in health care, medical costs rose too fast, the masses are compared strong. with the development of economy and the improvement of peoples living standard

10、, people have higher requirements to improve medical and health services will. industrialization, urbanization, aging population, the change of the disease spectrum and ecological environment changes, brought a series of new challenges to the medical and health work.deepening the reform of the medic

11、al and health system, is the strategic choice to speed up the development of medical and health care, is an important way for the people to share the fruits of reform and development, is the urgent desire of the broad masses of people. gradually realizes everybody to enjoy the lofty goal of basic me

12、dical and health services. 當(dāng)前我國(guó)醫(yī)藥衛(wèi)生事業(yè)發(fā)展水平與經(jīng)濟(jì)社會(huì)協(xié)調(diào)發(fā)展要求和人民群眾健康需求不適應(yīng)的矛盾還比較突出。城鄉(xiāng)和區(qū)域醫(yī)療衛(wèi)生事業(yè)發(fā)展不平衡，資源配置不合理，公共衛(wèi)生和農(nóng)村、社區(qū)醫(yī)療衛(wèi)生工作比較薄弱，醫(yī)療保障制度不健全，藥品生產(chǎn)流通秩序不規(guī)范，醫(yī)院管理體制和運(yùn)行機(jī)制不完善，政府衛(wèi)生投入不足，醫(yī)藥費(fèi)用上漲過(guò)快，人民群眾反映比較強(qiáng)烈。 隨著經(jīng)濟(jì)的發(fā)展和人民生活水平的提高，群眾對(duì)改善醫(yī)藥衛(wèi)生服務(wù)將會(huì)有更高的要求。工業(yè)化、城鎮(zhèn)化、人口老齡化、疾病譜變化和生態(tài)環(huán)境變化等，都給醫(yī)藥衛(wèi)生工作帶來(lái)一系列新的嚴(yán)峻挑戰(zhàn)。深化醫(yī)藥衛(wèi)生體制改革，是加快醫(yī)藥衛(wèi)生事業(yè)發(fā)展的戰(zhàn)略選擇，

13、是實(shí)現(xiàn)人民共享改革發(fā)展成果的重要途徑，是廣大人民群眾的迫切愿望。 逐步實(shí)現(xiàn)人人享有基本醫(yī)療衛(wèi)生服務(wù)遠(yuǎn)大目標(biāo)。 一級(jí)標(biāo)題與一級(jí)標(biāo)題之間空一行，一級(jí)標(biāo)題和二、三級(jí)標(biāo)題之間都不空行。 所有標(biāo)題均頂格、并只有第一個(gè)單詞首字母大寫（除專有名詞外）。2. the theoretical constructs and targets that underlie the role of reform “醫(yī)改”這一概念的理論構(gòu)建及其目標(biāo)（一級(jí)標(biāo)題）2.1 consciousness raising and noticing （二級(jí)標(biāo)題，小四加粗） the theoretical constructs that

14、underlie the role of reform醫(yī)改”這一概念的理論構(gòu)建 the medical and health system reform must be based on national conditions,proceed from reality in everything, adhere to reform and the correct principle. adhere to the national conditions, the establishment of medical and health system chinese characteristics.

15、 insist on starting from the basic national conditions, adhere to suit ones measures to local conditions, classification guidance, give full play to local enthusiasm, explore the establishment of basic medical and health system according with the situation of our country. adhere to the unity of fair

16、ness and efficiency, combine the government leadership and the role of market mechanism. strengthen the government inbasic medical and health system of responsibility, strengthen the government responsibility in the system, planning, financing, service, supervision and so on,maintaining the public h

17、ealth, promoting fair. at the same time, pay attention toplay the role of market mechanism, mobilize social forces to participate in,contribute to the formation of orderly competition mechanism, improve the level of medical and health efficiency, service and quality, meet peoples multi-level,diversi

18、fied health needs. adhere to and improve the system, combining the current outstanding problems.from the overall situation, urban and rural, regional development, taking into account the interests of all parties to the supply side and demand side, with theemphasis on prevention, treatment, rehabilit

19、ation of the three, correctly handle the relationship between the government, health agencies, pharmaceutical enterprises, medical personnel and the masses of the people. 醫(yī)藥衛(wèi)生體制改革必須立足國(guó)情，一切從實(shí)際出發(fā)，堅(jiān)持正確的改革原則。 堅(jiān)持立足國(guó)情，建立中國(guó)特色醫(yī)藥衛(wèi)生體制。堅(jiān)持從基本國(guó)情出發(fā)，堅(jiān)持因地制宜、分類指導(dǎo)，發(fā)揮地方積極性，探索建立符合國(guó)情的基本醫(yī)療衛(wèi)生制度。堅(jiān)持公平與效率統(tǒng)一，政府主導(dǎo)與發(fā)揮市場(chǎng)機(jī)制作用相結(jié)合。

20、強(qiáng)化政府在基本醫(yī)療衛(wèi)生制度中的責(zé)任，加強(qiáng)政府在制度、規(guī)劃、籌資、服務(wù)、監(jiān)管等方面的職責(zé)，維護(hù)公共醫(yī)療衛(wèi)生的公益性，促進(jìn)公平公正。同時(shí)，注重發(fā)揮市場(chǎng)機(jī)制作用，動(dòng)員社會(huì)力量參與，促進(jìn)有序競(jìng)爭(zhēng)機(jī)制的形成，提高醫(yī)療衛(wèi)生運(yùn)行效率、服務(wù)水平和質(zhì)量，滿足人民群眾多層次、多樣化的醫(yī)療衛(wèi)生需求。堅(jiān)持統(tǒng)籌兼顧，把解決當(dāng)前突出問(wèn)題與完善制度體系結(jié)合起來(lái)。從全局出發(fā)，統(tǒng)籌城鄉(xiāng)、區(qū)域發(fā)展，兼顧供給方和需求方等各方利益，注重預(yù)防、治療、康復(fù)三者的結(jié)合，正確處理政府、衛(wèi)生機(jī)構(gòu)、醫(yī)藥企業(yè)、醫(yī)務(wù)人員和人民群眾之間的關(guān)系。the term “consciousness raising” refers to the drawing

21、 of learners attention to the formal properties of language (fee and fox., 1988). however, a key difference between noticing and consciousness raising is that noticing has supposed implications for language processing and the actual acquisition of linguistic features.（每段第一行退進(jìn)4個(gè)空格）2.2 noticing and la

22、nguage acquisition 醫(yī)改的目標(biāo) establish a basic medical and health system covering urban and rural residents,in order to provide a safe, effective, convenient, affordable medical and health services. to 2011, the basic medical insurance system covering urban and rural residents, preliminary establishment

23、 of the essential drug system, urban and rural medical and health service system to further improve the basic publichealth service, obtains the popularization, the pilot reform of public hospitals to achieve a breakthrough, improve the basic medical health service accessibility,effectively reduce th

24、e burden of medical expenses of residents, to alleviate theproblem of difficult to see a doctor, expensive. to 2020, the basic medical and health system covering urban and rural residents basic establishment. generally a comparatively perfect public healthservice system and the medical service syste

25、m, perfect the medical security system, drug supply security system more standardized, scientific and medical and health institutions management system and operational mechanism, the formation of multiple medical office pattern, universal access to basic medical and health services, basically meet p

26、eoples multi-level health needs the health of the masses, to further improve the level of.建立健全覆蓋城鄉(xiāng)居民的基本醫(yī)療衛(wèi)生制度，為群眾提供安全、有效、方便、價(jià)廉的醫(yī)療衛(wèi)生服務(wù)。到2011年，基本醫(yī)療保障制度全面覆蓋城鄉(xiāng)居民，基本藥物制度初步建立，城鄉(xiāng)基層醫(yī)療衛(wèi)生服務(wù)體系進(jìn)一步健全，基本公共衛(wèi)生服務(wù)得到普及，公立醫(yī)院改革試點(diǎn)取得突破，明顯提高基本醫(yī)療衛(wèi)生服務(wù)可及性，有效減輕居民就醫(yī)費(fèi)用負(fù)擔(dān)，切實(shí)緩解“看病難、看病貴”問(wèn)題。到2020年，覆蓋城鄉(xiāng)居民的基本醫(yī)療衛(wèi)生制度基本建立。普遍建立比較完善的公共衛(wèi)生服務(wù)

27、體系和醫(yī)療服務(wù)體系，比較健全的醫(yī)療保障體系，比較規(guī)范的藥品供應(yīng)保障體系，比較科學(xué)的醫(yī)療衛(wèi)生機(jī)構(gòu)管理體制和運(yùn)行機(jī)制，形成多元辦醫(yī)格局，人人享有基本醫(yī)療衛(wèi)生服務(wù)，基本適應(yīng)人民群眾多層次的醫(yī)療衛(wèi)生需求，人民群眾健康水平進(jìn)一步提高。geertz (1973) identifies three aspects of consciousness involved in language learning: awareness, intention and knowledge. johnstone (1993) states that a) whether a learner deliberately at

28、tends to a linguistic form in the input or it is noticed purely unintentionally, if it is noticed it becomes intake. to help clarify schmidts hypothesis and the place of noticing in l2 acquisition the following model, proposed by ellis, is useful.(一級(jí)標(biāo)題與一級(jí)標(biāo)題之間空一行，一級(jí)標(biāo)題和二、三級(jí)標(biāo)題之間都不空行)3. influences on no

29、ticing abroad is mainly usa health status 國(guó)外主要是美國(guó)醫(yī)改狀況3.1 vigorous and resolute use of public pressure on june 9 , obama announced the senate democratic health care reform proposal, the next day in national grassroots mobilization of the nations two million supporters in 50 states to have a publicity

30、, which set off a big national discussion. this is actually using the power of public opinion forced the bow of vested interests.3.2 withstand the pressure of its convictions obama has the full support of high-profile medical reform program,and then he faced the problems from the interference of con

31、gress and interest groups, and even many voters began to waver on his support. but obama has not manipulated by them, instead of taking a more active engagement situation to face it , even if such contact is not happy.3.3 the easier one by one to break obama have a active lobby with the american med

32、ical association ,which is referred to as restricted medical reform . then reach a consensus with the nations hospital system and has been supported by the national nurses association.3.4 lessons provided only program clinton has pressed for medical reform with hundreds of pages of reports but it fa

33、iled to get any votes from the congress. with this lesson, obama did not release hundreds of pages of the program which will make the members lose patience before understand, but to introduce programs and policies which is drafted by congress. to avoide the reforms will be limited by political deman

34、d obama made a concession that the relevant idea of setting up public insurance institutions was die out in the final medical reform. this not only put down a huge controversy, but also will greatly reduce government expenditure.(一級(jí)標(biāo)題與一級(jí)標(biāo)題之間空一行，一級(jí)標(biāo)題和二、三級(jí)標(biāo)題之間都不空行)4. the urgency of the problem facing

35、chinas reform 我國(guó)“醫(yī)改”面臨的緊迫性的問(wèn)題 4.1 doctors accept drug rebate is the most important, the most pressing problems facing the current health care reform醫(yī)生收受藥品回扣是當(dāng)前醫(yī)改面臨的最重要、最緊迫的問(wèn)題 needless to say, the most important, the most pressing problems facing the current health care reform is: in the drug rebate

36、temptation, stimulation and kidnapping, the doctor is more and more biased towards the use of expensive drugs, prescription is more and more big, the irrational drug use is also more and more serious. the prescription drug rebates, under the stimulation of excessive drug use not only money, but also

37、 to, the doctor-patient contradiction sharpened, and the patients to kill innocent doctor, that 60% of the netizens applaud.毋庸諱言，當(dāng)前醫(yī)改所面臨的最重要、最緊迫的問(wèn)題是：在藥品回扣的誘惑、刺激乃至綁架下，醫(yī)生越來(lái)越偏向于使用高價(jià)藥，處方金額越來(lái)越大，不合理用藥也越來(lái)越嚴(yán)重。藥品回扣刺激下的大處方、過(guò)度用藥不但“謀財(cái)”，而且“害命”，使得醫(yī)患矛盾日益激化，以至于患者殺死無(wú)辜的醫(yī)生后，竟有60%的網(wǎng)友拍手叫好。4.2 anti market drug income rat

38、e regulation is the root cause of a series of medical reform serious problems“反市場(chǎng)”的藥品收益率管制是導(dǎo)致一系列醫(yī)改嚴(yán)重問(wèn)題的根源the drug income rate regulation of this reform policy anti market performance for public price competition mechanism failure, commercial bribery forcing pharmaceutical production business enterpr

39、ise can only be recessive competition. in the drug production and circulation has the market of today,pharmaceutical production and management behavior will be around the medical needs of the organization and operation. while the rate control the medical reform policy in the drug income, medical ins

40、titutions drug procurement orientation and results of drug purchase price is higher, the more profit, both in ming dynasty, and the dark, dark more. the public medical institutions in this distorted demand led directly to the enterprise competition behavior and drug production and operation twist, e

41、nterprises were forced to abandon the public legitimate price competition, the choice of illegal implicit transaction competition,competition is not the one who drug prices lower but who drug rebate more,otherwise you will exit the public medical institutions drug market. in addition,government offi

42、cials, such as a large number of medical representatives had nodirect relationship with the medicine purchase and sale of the various people for drug income rate regulation and tender pricing, sales of drugs involved, and secretly participating, which is an important factor of hospital drug price is

43、 much higher than that of pharmacy. 藥品收益率管制這一醫(yī)改政策的“反市場(chǎng)”性表現(xiàn)為讓公開的價(jià)格競(jìng)爭(zhēng)機(jī)制失靈，迫使藥品生產(chǎn)經(jīng)營(yíng)企業(yè)只能進(jìn)行隱性的商業(yè)賄賂的競(jìng)爭(zhēng)。在藥品的生產(chǎn)流通已經(jīng)市場(chǎng)化的今天，藥品的生產(chǎn)和經(jīng)營(yíng)行為必然會(huì)圍繞著醫(yī)療機(jī)構(gòu)的需求而運(yùn)轉(zhuǎn)。而在藥品收益率管制這一醫(yī)改政策下，醫(yī)療機(jī)構(gòu)的藥品采購(gòu)導(dǎo)向與結(jié)果是藥品的采購(gòu)價(jià)格越高，獲利越多，既有明的，又有暗的，暗的更多。公立醫(yī)療機(jī)構(gòu)這一扭曲的需求直接導(dǎo)致了藥品生產(chǎn)經(jīng)營(yíng)企業(yè)競(jìng)爭(zhēng)行為的扭曲，企業(yè)被迫放棄公開合法的價(jià)格競(jìng)爭(zhēng)，選擇非法隱性交易的競(jìng)爭(zhēng)，彼此比拼的不是“誰(shuí)的藥品價(jià)格的更低”而是“誰(shuí)的藥品回扣更多”，否則就要

44、退出公立醫(yī)療機(jī)構(gòu)的藥品市場(chǎng)。另外，政府官員、醫(yī)藥代表等一大批原本與藥品購(gòu)銷沒有直接關(guān)系的各路人馬也因藥品收益率管制而與藥品的招標(biāo)定價(jià)、銷售扯上了關(guān)系，并暗中參與分利，這也是醫(yī)院藥品的價(jià)格遠(yuǎn)遠(yuǎn)高于藥店的重要原因之一。 4.3 a pressing matter of the moment is to cancel the reform of drug income rate regulation, but the maximum retail price of medical reform policy implementation醫(yī)改的當(dāng)務(wù)之急是取消藥品收益率管制，實(shí)施只管最高零售價(jià)醫(yī)改政策i

45、n the government despite the highest retail price of health care policy, reduce drug purchase price, against individual doctors receiving drugs rebate are beneficial to increasing the income of public medical institutions, the public medical institutions will be like a private hospital, drugstore, p

46、rivate clinics as the price for purchasing drugs, there is no need to also do not allow drug rebates,price buy it no doctors drug rebate, no drug rebate doctors can not excessive use, legal to fill medicine hospital naturally curb illegal to fill medicine doctor.in despite of the maximum retail pric

47、e policy of medical, pharmaceutical production enterprises will choose to disclose price competition, there is no need to hire a lot of pharmaceutical representatives to the doctor a drug rebate, there is no need to amateur performance of money laundering, drug production and operation order will na

48、turally specification, concentration degree will naturally improve.在政府只管最高零售價(jià)的醫(yī)改政策下，降低藥品采購(gòu)價(jià)、打擊醫(yī)生個(gè)人收受藥品回扣都有利于增加公立醫(yī)療機(jī)構(gòu)的收益，這樣公立醫(yī)療機(jī)構(gòu)就會(huì)像民營(yíng)醫(yī)院、零售藥店、私人診所一樣以底價(jià)購(gòu)進(jìn)藥品，沒有必要也不允許有藥品回扣，底價(jià)購(gòu)進(jìn)就不會(huì)有醫(yī)生的藥品回扣，沒有藥品回扣醫(yī)生就不會(huì)過(guò)度用藥，合法的“以藥補(bǔ)醫(yī)院”自然就遏制了非法的“以藥補(bǔ)醫(yī)生”。在只管最高零售價(jià)的醫(yī)改政策下，藥品生產(chǎn)經(jīng)營(yíng)企業(yè)自然就會(huì)選擇公開的價(jià)格競(jìng)爭(zhēng)，沒有必要高薪雇用大量的醫(yī)藥代表給醫(yī)生送藥品回扣，沒有必要“走票洗錢”，

49、藥品生產(chǎn)經(jīng)營(yíng)秩序自然就會(huì)規(guī)范，集中度就會(huì)自然提高。5.the main content of chinas reform and the effect 我國(guó)醫(yī)改的主要內(nèi)容及其帶來(lái)的影響 5.1 the main content of chinas reform 我國(guó)醫(yī)改的主要內(nèi)容 5.1.1 accelerate the construction of the basic medical security system 加快推進(jìn)基本醫(yī)療保障制度建設(shè) 3 years of basic medical insurance for urban workers and residents and a

50、newrural cooperative medical insurance rate to more than 90%. in 2010, the urban residents and the new rural cooperative medical insurance subsidy standard increased to 120 yuan per person per year, and appropriately increase individual pay cost, raise the proportion of costs reimbursed and payment

51、limit.3年內(nèi)使城鎮(zhèn)職工和居民基本醫(yī)療保險(xiǎn)及新型農(nóng)村合作醫(yī)療參保率提高到90%以上。2010年，對(duì)城鎮(zhèn)居民醫(yī)保和新農(nóng)合的補(bǔ)助標(biāo)準(zhǔn)提高到每人每年120元，并適當(dāng)提高個(gè)人繳費(fèi)標(biāo)準(zhǔn)，提高報(bào)銷比例和支付限額。5.1.2 the initial establishment of a national system for basic drugs 初步建立國(guó)家基本藥物制度 establishment of essential drug list of scientific and rational selection of adjusting the management mechanism and

52、supply security system. basic drugs into the medicare reimbursement drug list.建立科學(xué)合理的基本藥物目錄遴選調(diào)整管理機(jī)制和供應(yīng)保障體系。將基本藥物全部納入醫(yī)保藥品報(bào)銷目錄。5.1.3 improve the basic medical and health service system 健全基層醫(yī)療衛(wèi)生服務(wù)體系 to strengthen the focus of county-level hospitals (including hospital of traditional chinese medicine),

53、remote township hospitals, village health room and difficult area in city community health service center construction.重點(diǎn)加強(qiáng)縣級(jí)醫(yī)院（含中醫(yī)院）、鄉(xiāng)鎮(zhèn)衛(wèi)生院、邊遠(yuǎn)地區(qū)村衛(wèi)生室和困難地區(qū)城市社區(qū)衛(wèi)生服務(wù)中心建設(shè)。5.1.4 promoting the gradual equalization of basic public health services 促進(jìn)基本公共衛(wèi)生服務(wù)逐步均等化 the formulation and implementation of the nat

54、ional basic public health services,from the beginning of 2009, gradually in the national establishment unified resident health files. increase public health services, improve the funding criteria.give full play to the role of traditional chinese medicine.制定并實(shí)施國(guó)家基本公共衛(wèi)生服務(wù)項(xiàng)目，從2009年開始，逐步在全國(guó)建立統(tǒng)一的居民健康檔案。增

55、加公共衛(wèi)生服務(wù)項(xiàng)目，提高經(jīng)費(fèi)標(biāo)準(zhǔn)。充分發(fā)揮中醫(yī)藥作用。5.1.5 public hospitals in promoting 推進(jìn)公立醫(yī)院改革。 gradually push reform of system and operation,management of public hospital supervision mechanism, improve the level of services in public medical institutions. promote the reform of public hospital compensation mechanism. spee

56、d up the formation of diversified medical pattern.preliminary estimates, in order to ensure the reform in five areas, 3 years at all levels of government is expected to invest 850000000000 yuan. 逐步推開改革公立醫(yī)院管理體制和運(yùn)行、監(jiān)管機(jī)制，提高公立醫(yī)療機(jī)構(gòu)服務(wù)水平。推進(jìn)公立醫(yī)院補(bǔ)償機(jī)制改革。加快形成多元化辦醫(yī)格局。初步測(cè)算，為保障上述五項(xiàng)改革，3年內(nèi)各級(jí)政府預(yù)計(jì)投入8500億元。5.2 suggest

57、ions 1.to improve the comprehensive quality of township hospitals, village health room2.to further increase investment and compensation of township hospitals3.to improve the environment, improve the service ability4.to improve the township ncms reimbursement5.improve the distribution mechanism and e

58、valuation mechanism.1提高鄉(xiāng)鎮(zhèn)衛(wèi)生院、村衛(wèi)生室人員綜合素質(zhì).2進(jìn)一步加大對(duì)鄉(xiāng)鎮(zhèn)衛(wèi)生院的投入和補(bǔ)償力度 3.改善環(huán)境，提高服務(wù)能力 4. 提高鄉(xiāng)鎮(zhèn)衛(wèi)生院新農(nóng)合報(bào)銷比例5. 完善分配機(jī)制和考核評(píng)價(jià)機(jī)制 6. conclusion summarizing medical problem related to peoples livelihood, to strengthen attention, now is the golden stage of development, the reform of the medical system should pay attention to the coordination and feasibility analysis of various aspects of the reform is difficult, a one-t