医疗改革最关键最核心的是公立医院的改革,这是大家非常关注的问题。三明市从2012年2月份以来,对全市县级以上22家公立医院在分配机制、补偿机制、考评机制、药品采购、医院管理、医保基金管理等方面进行了“医疗、医保、医药”三医联动的整体综合改革,经过两年的改革,初步实现了公立医院公益性的回归,取得了“百姓可接受、财政要承担、基金可运行、医院可持续”多方共羸的成效。一、三明市医改背景(一)群众看病贵问题比较突出 The key to medical reform is the reform of public hospitals. This is a matter of great concern to everyone. Sanming City has conducted medical insurance, medical insurance, and medicine for 22 public hospitals at or above the county level in the city since February 2012 in terms of distribution mechanisms, compensation mechanisms, evaluation mechanisms, drug procurement, hospital management, and medical insurance fund management. After two years of reforms, the overall integrated reform of the three doctors has initially achieved the return of the public welfare of public hospitals and achieved “the acceptance of the people, financial commitment, fund operation, and hospital sustainability.” . I. Background of Medical Reform in Sanming City