中文：

医改是近年来社会关注的热点问题之一，其目的是解决当前医疗体制存在的问题，提高医疗卫生服务的质量和效率，满足人民群众的健康需求。医改主要包括以下几个方面：

一是医疗保障制度改革。主要是完善城镇职工基本医疗保险制度，健全城乡居民基本医疗保险制度，建立城乡居民大病保险制度，完善城乡医疗救助制度，稳步推进公立医院改革试点。

二是基层医疗卫生机构改革。主要是加强基层医疗卫生机构建设，完善基层医疗卫生机构运行机制，推进乡村医生队伍建设，提高基层医疗卫生服务能力。

三是药品供应保障制度改革。主要是推进药品招标采购制度改革，建立国家基本药物制度，推进药品价格改革，完善药品质量监管体系。

四是医疗卫生机构管理体制改革。主要是推进公立医院管理制度改革，加强医疗卫生机构绩效考核，推进医疗卫生机构协同发展。

五是医药卫生科技创新和人才培养制度改革。主要是加强医药卫生科技创新体系建设，推进科技成果转化和应用，加强医药卫生人才培养。

英文：

The medical reform is one of the hot topics in society in recent years. Its purpose is to solve the problems existing in the current medical system, improve the quality and efficiency of medical and health services, and meet the health needs of the people. The medical reform mainly includes the following aspects:

First, the reform of medical security system. It mainly includes improving the城镇职工basic medical insurance system, perfecting the rural and urban resident basic medical insurance system, establishing the rural and urban resident major illness insurance system, improving the rural and urban medical assistance system, and steadily promoting the pilot reform of public hospitals.

Second, the reform of primary medical and health institutions. It mainly includes strengthening the construction of primary medical and health institutions, improving the operational mechanism of primary medical and health institutions, promoting the construction of village doctors, and improving the service capacity of primary medical and health institutions.

Third, the reform of drug supply and guarantee system. It mainly includes promoting the reform of drug bidding procurement system, establishing the national essential drug system, promoting the reform of drug prices, and improving the drug quality supervision system.

Fourth, the reform of medical and health institution management system. It mainly includes promoting the reform of public hospital management system, strengthening the performance evaluation of medical and health institutions, promoting the coordinated development of medical and health institutions.

Fifth, the reform of medical and health science and technology innovation and talent training system. It mainly includes strengthening the construction of medical and health science and technology innovation system, promoting the transformation and application of scientific and technological achievements, and strengthening the training of medical and health talents.