Core Viewpoint - Beijing has upgraded the "Sanming model" of medical reform to the "Beijing plan," focusing on a government-led approach, public investment, price and salary reforms, resource allocation, and information technology support [1][2][10] Group 1: Government-led Coordination - The Beijing government has established a centralized decision-making body for "three medical" coordination, with a unified leadership structure overseeing medical, insurance, and pharmaceutical sectors [2][3] - Monthly meetings are held to monitor key tasks in the "three medical" fields, enhancing policy coordination and regulatory collaboration [1][2] Group 2: Resource Allocation and Infrastructure - Beijing is addressing the uneven distribution of medical resources by promoting the relocation of quality medical services from central urban areas to suburban regions, with over 184 billion yuan invested in major projects [4][6] - The number of hospital beds per thousand people in suburban areas has increased by approximately 14% from 4.6 to 5.3 beds since 2020 [4] Group 3: Financial Support and Pricing Reforms - The government has committed over 60 billion yuan annually to public health services, with 25.6% of this funding directed towards grassroots healthcare institutions [6][7] - A dynamic pricing adjustment mechanism has been established, resulting in a 12.8 percentage point increase in medical service revenue share compared to pre-reform levels [7] Group 4: Strengthening Grassroots Healthcare - Beijing has implemented measures to enhance the capabilities of community health services, including increasing personnel and improving infrastructure, with over 23 billion yuan invested since 2023 [8][9] - The city has developed the "Jing Tong" service platform to streamline medical processes and improve patient access to healthcare services [9]

Group 1 - The core viewpoint emphasizes the importance of deepening healthcare reform to better meet the medical needs of the public, as highlighted by the provincial secretary Zhao Yide during his visit to Xi'an [1][2] - Zhao Yide stressed the significance of establishing a tightly-knit medical alliance as a key component in building a new healthcare service system, aiming to enhance the accessibility and continuity of medical services [1] - The focus is on promoting high-quality development in public hospitals, ensuring a sustainable operational mechanism centered on public health, and enhancing the welfare of healthcare personnel [2] Group 2 - The provincial leadership is advocating for the adoption of the Sanming healthcare reform experience to promote the coordinated development of medical services, insurance, and pharmaceuticals [2] - There is a call to strengthen the grassroots healthcare workforce and improve the capabilities of primary healthcare services [2] - The initiative includes enhancing public health systems, promoting medical technology innovation, and ensuring the continuous improvement of medical ethics and conduct [2]

Core Viewpoint - The article discusses the ongoing promotion of the Sanming healthcare reform experience across cities in China, with a focus on public hospital reforms guided by public welfare principles, particularly in Shandong Province [2] Group 1: Public Hospital Reform Initiatives - Shandong Province is actively exploring innovative approaches to deepen healthcare reform, with cities like Qingdao, Weifang, and Jinan being recognized as demonstration cities for public hospital reform and high-quality development [2] - Qingdao City has implemented several measures to maintain the public welfare nature of public hospitals, including comprehensive financial support for basic construction and social insurance contributions for on-duty personnel [3] - Since 2019, fiscal investment in municipal and county-level public hospitals has increased by an average of 15% annually, while the proportion of medical service revenue has risen by 5.1 percentage points, and the share of drug and consumable costs has decreased by 6.8 percentage points [3] Group 2: Development of Specialized Services - Qingdao City has focused on addressing public healthcare needs by establishing 10 peak disciplines, 100 municipal key specialties, 50 county-level key specialties, and 35 major disease specialty alliances to promote balanced specialty development [3] - The city has increased the annual subsidy standard for public health hospitals with heavy public health responsibilities to 59 million yuan, enhancing internal salary distribution to improve compensation for specialists in high-demand fields such as pediatrics and emergency medicine [3] Group 3: Health-Centric Reforms - The reforms emphasize a people-centered approach, implementing integrated management for key health issues such as hypertension, diabetes, and chronic obstructive pulmonary disease [4] - Qingdao City conducts free screenings and health check-ups for key populations, reaching over 1.8 million screenings annually, and has launched a health literacy improvement project, achieving a health literacy level of 38.5% among residents [4]