The medical reform in Sanming, Fujian has accumulated a wealth of experience, and in recent years, various regions have learned and borrowed from it according to local conditions. What have been the effects of promoting the Sanming medical reform experience? What are the remaining bottlenecks and difficulties? On the 23rd, the National Health Commission held a press conference in Yancheng City, Jiangsu Province, responding to social concerns. The experience of Sanming's medical reform has been further enriched. In each province, the main responsible persons of the Party committee and government are responsible for carrying out the medical reform and ensuring its thorough implementation; The comprehensive promotion of the construction of close county-level medical communities and the pilot promotion of the construction of close city medical groups; The centralized and quantity based procurement of pharmaceutical consumables has accelerated and expanded its scope... Xue Haining, Deputy Director of the System Reform Department of the National Health Commission, introduced at a press conference that in recent years, various regions have further expanded and enriched the connotation of the Three Ming Medical Reform in practice, and made positive progress in promoting the experience of the Three Ming Medical Reform according to local conditions. "The experience of Sanming's healthcare reform emphasized today is a summary and summary of a group of typical cities' experiences in deepening healthcare reform, represented by Sanming." Xue Haining said. Consolidate the responsibility of county-level medical communities, improve the health service guarantee mechanism, and enhance the level of medical and health services... While consolidating and improving the original reform results, Sanming has started again and explored new paths towards "big health" in recent years. Yang Minhong, Director of the Fujian Provincial Health Commission, introduced that in response to the difficulty of inpatient care, the local government has improved the system of medical caregivers based on the principle of finance, medical insurance, and patients each bearing a little burden. As a result, the cost of patient care in pilot areas has significantly decreased. In addition, in view of the problem that people are tired of seeing doctors, innovative services such as home beds, Internet plus Chinese medicine distribution and other convenience services were carried out. "Reform is both a 'relay race' and a 'team race'." Yang Minhong said that while promoting the experience of Sanming medical reform, Fujian is also exploring more innovative measures based on reality. The demonstration effect of reform continues to emerge in Dongtai City, Yancheng, Jiangsu Province. In recent years, a county-level medical community operation organization has been established to create ten centers, including regional inspection, network electrocardiogram, imaging cloud diagnosis, intelligent first aid, remote consultation, centralized prescription review, health follow-up, medical dispatch, drug supply, and disinfection supply, so that people can enjoy the homogeneous services of county hospitals in towns and villages. "Building a county-level medical 'chain', weaving a dense health management 'network', and promoting evaluation and assessment 'a game of chess'." Introduction by Zhang Mingkang, Mayor of Yancheng City. Realize the interoperability and sharing of data on health resources, medical services, and other aspects throughout the city; Establishing 120 life green cards for 120000 elderly people aged 80 and above. When the elderly call 120, the system will automatically recognize the information and intelligently dispatch vehicles... Yichang, Hubei Province, has implemented digital empowerment reform to make it more convenient for the public to seek medical treatment. "Let the data run more and the masses run less." Xu Weiying, Deputy Mayor of Yichang City, said. Located in the southwest, Zunyi, Guizhou Province accounted for 13.4% of the city's general public budget expenditure on health and hygiene in 2023, with a relatively high proportion. The city also enhances the ability of municipal hospitals to solve difficult and complicated diseases by introducing high-quality medical resources from both inside and outside the province. Vice Mayor of Zunyi City, Ming Yan, said that in recent years, the local government has learned and promoted the experience of the Sanming medical reform according to local conditions, promoted the expansion and balanced layout of high-quality medical resources, and made efforts to solve common diseases in cities and counties, and small diseases such as headache and fever in rural areas. "A group of typical cities have emerged to promote the experience of Sanming's medical reform, and the demonstration effect of the reform is constantly emerging." Xue Haining said. Aiming at the problem of "slow progress in reform", it is reported that the next step in deepening medical reform will consolidate and strengthen measures that have been proven effective in practice, and increase efforts in key areas and key links. The "task list" has been clearly defined, which includes coordinating the construction of a closely knit medical alliance, promoting the reform of the salary system in public hospitals, continuously deepening the reform of medical service prices, and accelerating the centralized and volume based procurement of drugs and consumables. Xue Haining stated that in the process of learning and promoting the Sanming medical reform experience according to local conditions, some places have not yet understood and promoted the reform from a global and overall perspective, and there is a tendency not to want to learn or do. For key reform tasks such as medical service prices, medical insurance payments, and medical staff salaries, there is a sense of fear in some areas, and the progress of the reform is slow with no breakthrough. "These are the main issues we need to focus on solving in the next step." Xue Haining said. (Lai Xin She)