摸准“过河的石头”（思想纵横）

Core Insights - The concept of "crossing the river by feeling the stones" remains relevant and emphasizes the importance of practical exploration in reform and governance [1][2][4] Group 1: Reform Methodology - "Crossing the river by feeling the stones" should be integrated with top-level design, where systematic thinking guides practical exploration [2] - Top-level design provides direction for grassroots exploration, while experiences from practical exploration can refine top-level strategies [2] Group 2: Practical Examples - Historical reforms, such as the household contract responsibility system, were based on understanding the needs and sentiments of the people [3] - Recent healthcare reforms addressing cross-province medical billing have improved access and satisfaction for citizens, demonstrating effective policy implementation [3] Group 3: Challenges in Implementation - Some officials struggle with accurately "feeling the stones," leading to ineffective policies that do not fit local conditions [4] - Issues arise from superficial understanding and a lack of genuine engagement with grassroots realities, resulting in policies that fail to address actual needs [4] Group 4: Importance of Grounded Research - Successful strategies, like the targeted poverty alleviation initiative, stem from thorough field research and direct engagement with affected communities [5] - Officials are encouraged to prioritize on-the-ground investigations over office-based decision-making to better understand and address community needs [5] Group 5: Adaptability in Reform - The environment for reform and public needs are constantly evolving, necessitating ongoing adjustments to strategies and policies [6] - Continuous learning and adaptation are essential to ensure that reforms remain relevant and effective in meeting the changing demands of the populace [6]