医改成功取决于医疗保险机构付费和管理能力建设,也取决于公立医院的改革。公立医院改革是难题真正要试点的是公立医院改革。现在碰到的问题是,医改配套文件很多还没有出台,尤其一些关键的配套文件还没有出台。公立医院改革是分三年来走的。三年以后,公立医院要逐步取消15%的药品加价提成。但是,目前医院里的药品加价提成远不止15%,约 Successful medical reform depends on the payment of medical insurance agencies and management capacity building, but also on the reform of public hospitals. Public hospital reform is a problem The real pilot is public hospital reform. The problem now is that many medical supporting documents have not yet been released, especially some of the key supporting documents have not yet been introduced. Public hospital reform is to go in three years. Three years later, public hospitals should gradually cancel 15% of the drug fare increase commission. However, at present, the fare increase of medicines in hospitals is far more than 15%