国家卫健委主任：全面推广三明医改经验！亲历者详解医改做法

Core Viewpoint - The Chinese government emphasizes the promotion of the Fujian Sanming medical reform experience as a model for healthcare service development during the 14th Five-Year Plan period [1][2]. Summary by Sections Medical Reform Experience - The Sanming medical reform has achieved significant results in health security and reform through four key principles: adherence to party leadership, a public welfare focus, a proactive reform approach, and local adaptation of reforms [2][3]. Reform Logic - The Sanming medical reform prioritizes the people's perspective, aiming to enhance public satisfaction and ensure equitable access to healthcare services [3][4]. - The reform is characterized as a revolution in the healthcare sector, addressing issues like high medical costs and inefficient healthcare practices [3][4]. Reform Methods and Pathways - The reform adopts a systematic approach, integrating medical, insurance, and pharmaceutical reforms to enhance overall effectiveness [4][5]. - Key strategies include establishing efficient management systems, improving insurance fund utilization, and eliminating corrupt practices in drug pricing [5][6]. Reform Phases - The reform is divided into three phases: 1. Addressing profit-driven practices in healthcare [5][6] 2. Reorienting healthcare towards patient treatment [5][6] 3. Focusing on health promotion and prevention [5][6]. Reform Achievements - Significant reductions in patient costs have been observed, with hospitalization costs for urban employees increasing from 6,553 yuan in 2011 to 8,560 yuan in 2023, while personal burdens have only slightly increased [8]. - The total salary expenditure for hospitals rose from 382 million yuan in 2011 to 2.044 billion yuan in 2022, indicating improved compensation for healthcare workers [8][9]. - The structure of hospital revenue has shifted, with medical service income rising from 18.37% to 46.07% of total revenue from 2012 to 2023 [9]. Future Goals - The reform aims to establish a comprehensive health security system, emphasizing the government's role in providing public health services and ensuring effective management of healthcare institutions [11][12]. - The focus will be on enhancing the efficiency of insurance funds and promoting health management organizations to improve overall health outcomes [12][13].