2018年，中国医改在艰辛中探索出了集采制度，将对抗药价的巨石推到了山顶。执行七年后，2025年， 在医保集采进入深水区后，行业开始反对"唯低价论"，要求给予企业稳定利润，以保证创新动力。医保 政策必须在保住已有成果的基础上，继续平衡药品在市场、政府、民众之间的关联。 1942年，加缪写下一个神话，西西弗被判处将一块巨石不断推上山顶，但这块巨石永远会因自身重量滚 落下来，他只能不断将巨石推上山顶。这个神话意在探讨人类在面对一个徒劳且没有意义的世界时，要 如何存活下去。而医疗改革，就是国家政治中的"巨石"——永远推举，永远失败，同时永不放弃。 ...

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]

Core Insights - The National Health Commission of China is promoting the "Sanming Experience" to deepen public hospital reform with a focus on public welfare [1][2][3] Group 1: Implementation of Reforms - Hubei province has integrated medical reform indicators into high-quality development assessments, linking results to local government performance evaluations [1] - A collaborative mechanism involving multiple health-related agencies has been established to focus on public hospital reform, enhancing coordination on personnel, pricing, and insurance payment reforms [1] - The province has allocated 150 million yuan to support 36 tertiary hospitals in improving the service capabilities of 70 county-level medical institutions [1] Group 2: Health Service Accessibility - Hubei has developed a comprehensive service system for chronic diseases, enhancing health literacy among residents through education [2] - Measures have been introduced to improve access to healthcare for the elderly, including enhanced guidance services and family beds [2] - Urban and rural emergency medical response systems have been established, with urban areas having a 10-minute response time and rural areas a 30-minute response time [2] Group 3: Digital Health Initiatives - Yichang city is leveraging government planning to enhance digital healthcare, integrating health data across various departments with an investment of 1.84 billion yuan [2] - The city aims to create a comprehensive health data center that connects medical institutions at all levels, facilitating better monitoring and resource allocation [2] Group 4: Focus on Talent and Compensation - Shiyan city has implemented measures to address challenges in public hospital reform, including increasing hospital staffing by 315 positions and adjusting service prices for 3,479 items [3] - The city has established a dynamic system for determining medical staff salaries, with fixed income making up 45% of total compensation [3] - The national government plans to promote the Sanming experience across cities to enhance public hospital reform [3]