【社评】医改“精耕细作”，为“健康中国”保驾护航

Core Viewpoint - The reform of the medical prepayment system reflects a shift in healthcare service logic from "management convenience" to "patient convenience," emphasizing a transition from a disease-centered approach to a health-centered approach [1][4]. Group 1: Policy Changes - Starting from March 31, 2025, all public hospitals in China will eliminate outpatient prepayment, with approximately 9 billion yuan refunded to around 140 million personal accounts by the end of November 2025 [1]. - From June 30, 2025, the inpatient prepayment amount for insured patients will be reduced to the average personal payment level, significantly lowering prepayment for most common diseases [1]. Group 2: Historical Context - The prepayment system dates back to the 1980s when medical information was less advanced and the payment methods were limited, necessitating upfront cash payments to alleviate financial pressure on hospitals [2]. - Over time, the drawbacks of the prepayment system have become more apparent, particularly for patients with minor ailments or those facing financial difficulties [2]. Group 3: Broader Implications - The cancellation and regulation of prepayment is part of a larger healthcare reform initiative aimed at improving patient experience and enhancing trust between patients and healthcare providers [2][3]. - Recent reforms in healthcare, insurance, and pharmaceuticals are progressing simultaneously, improving the overall medical experience for the public [3]. Group 4: Future Expectations - The ongoing transformation in healthcare services aims to reduce patient burdens and enhance health security, with a call for continued efforts from relevant departments to address obstacles in patient access to care [4].