贵州省剑河县紧紧围绕解决人民群众看病就医、健康产业发展战略,实施了一系列改革发展举措,医改工作取得长足发展。一是医药卫生体制改革深入推进。县级公立医院改革取得阶段性成效,县级公立医院全部取消药品加成,所有乡镇卫生院、村卫生计生室实施国家基本药物制度,实行零差率销售,破除“以药养医”惯性。仅2016年县级公立医院和乡镇卫生院、村卫生室执行零差率后实现让利1055.94万元,县级公立医院改革实现了医药占比下降、门诊次均费 Jianhe County, Guizhou Province, focused on solving the people’s medical treatment and health industry development strategy, implemented a series of reform and development initiatives, and made substantial progress in medical reform. First, deepen the reform of the medical and health system. The reform of county-level public hospitals achieved phased results. All county-level public hospitals canceled drug additions. All township hospitals and village health planters implemented the national basic drug system and implemented zero-deficit rate sales to eliminate " inertia. Only in 2016, county-level public hospitals, township hospitals and village clinics achieved a profit margin of 10,559,400 yuan after implementing the zero-deficit rate. The reform of county-level public hospitals reduced the proportion of medicine and the out-patient average cost