Core Insights - The National Health Commission of China is promoting the experience of the Sanming medical reform, with a focus on improving the efficiency of healthcare reforms through coordinated leadership and collaboration among relevant government departments [1][2] Policy Support - Over the past five years, Shandong province has seen an average annual increase of 25% in fiscal subsidies to public hospitals [1] - Local governments are implementing dynamic adjustments to medical service prices, with over 2,300 items set for adjustment in 2024, leading to an optimized revenue structure for public hospitals [1] - Jinan city reported an average annual increase of 13.4% in fiscal subsidies to public medical institutions [2] - Qingdao city has seen an average annual increase of 15% in fiscal input for public hospitals since 2019, with a 5.1 percentage point increase in medical service revenue share and a 6.8 percentage point decrease in drug and consumable costs [2] Resource Allocation and Accessibility - A key focus of the current medical reform is to enhance the accessibility of quality medical resources, aiming for a hospitalization rate of 84.4% within county areas by 2024 [2] - The provincial government is promoting grassroots capacity-building actions, having renovated over 10,000 village clinics and encouraging rural doctors to obtain medical licenses [2] - The establishment of 2,420 medical expert stations and a 15-minute health service circle has been achieved, with grassroots medical treatment accounting for 63.3% of total diagnoses [2] Specific City-Level Initiatives - Jinan city has created six tightly-knit urban medical groups and ten county-level medical communities, enhancing the integration of healthcare services [3] - Qingdao city has innovated in the construction of tightly-knit medical alliances, optimizing the distribution of medical resources based on population and service capabilities [3]