2015年,在全国所有县(市)的县级公立医院破除以药补医,以管理体制、运行机制、服务价格调整、人事薪酬、医保支付等为重点,全面推开县级公立医院综合改革。2017年,现代医院管理制度基本建立,县域医疗卫生服务体系进一步完善,县级公立医院看大病、解难症水平明显提升,基本实现大病不出县,努力让群众就地就医。 In 2015, the county-level public hospitals in all counties (cities) across the country solved the problem of using drugs to make up for their medicine, and focused on the management system, operation mechanism, service price adjustment, personnel remuneration and medical insurance payment, and comprehensively pushed forward the comprehensive reform of county-level public hospitals . In 2017, the modern hospital management system was basically established. The county health care service system was further improved. County-level public hospitals saw serious illness and their disease-free disease levels significantly improved.