继浙江、四川等地实施医改试点后,自7月1日起,北京、深圳等地公立医院的改革试点工作也渐次展开。改革的重点放在了众人瞩目的“医药分开”、取消药品加成等方面,这些问题都是医改中多年难啃的硬骨头。新医改实施3年后,目前可谓已步入深水区,改革正进入攻坚阶段。难怪卫生部部长陈竺欣闻“医改传佳音”后心潮澎湃,作“水调歌头”致贺意“积弊除,制度新,政先行。厚德重塑杏林,仁术赖真情……华夏卫生路,气派独古今。”用以技养术制度取代以药补医机制是此次北京、深圳等地公立医院改革的核心。从已开展改革试点地区反馈的信息看,积极信息不少,令不少人对新医改保持了一份信心。取消药品加成、推行医事服务费,让病人付出的药费有所降低,也体现了对医生劳 Following the implementation of the medical reform pilots in Zhejiang and Sichuan, since July 1st, the pilot reforms of public hospitals in Beijing and Shenzhen have gradually begun. The focus of the reform has been on eye-catching “differentiation of medicines” and elimination of drug additions. These problems are hard bones in medical reform for many years. Three years after the implementation of the new medical reform, it can now be said that it has entered the deep water area and the reform is entering a critical stage. It’s no wonder that the Minister of Health Chen Xinxin has heard about the aftermath of the “medical reforms and good news,” and made the “water melody” “wrote his congratulatory intentions,” which means that the system is new, and the government is the first. Houde remolds Xinglin, Renju Lai The truth...Huasha Sanitary Road, style is unique.” The replacement of the medicine supplementation mechanism with the technical training system is the core of the reform of public hospitals in Beijing and Shenzhen. According to the feedback from the reform pilot areas, there are many positive messages and many people have maintained their confidence in the new healthcare reform. The cancellation of drug additions and the implementation of medical service fees to reduce the drug costs paid by patients also reflected the