Pay attention to breakthrough and pursue the maximization of public interests. Breaking the mechanism of supplementing doctors with drugs is a "hard bone" in medical reform, which will affect the whole body. Beijing medical reform adheres to the direction of public welfare, dares to face difficulties and dare to solve problems, which embodies the wisdom and courage to overcome difficulties. For example, cancel the registration fee and medical treatment fee, set up medical service fee, and enhance the technical labor value of medical staff; Cancel the medical bonus, implement zero-difference sales, and cut off the interest chain of doctors and drugs; Carry out sunshine procurement of drugs, and squeeze the empty space of drug prices. Through a series of reform measures, the profit-seeking mechanism of medical institutions in pursuing drug income has been broken, and the problem that some medical services are obviously lower than the cost has been solved, so that some short-board specialties such as Chinese medicine, pediatrics, obstetrics and gynecology, nursing and infectious diseases have been developed, and public hospitals have gradually returned to the public welfare track.

Steady and steady, use price lever to incite graded diagnosis and treatment. "Big hospitals are overcrowded and small communities are overcrowded", which is a medical reform issue. Beijing has set a reasonable medical service fee, and the medical insurance reimbursement policy has tilted to the grassroots level, which has released a clear price signal to guide the first diagnosis at the grassroots level and promoted the construction of a graded diagnosis and treatment system. After the reform, the number of outpatient and emergency services in tertiary hospitals and secondary hospitals decreased, while the number of diagnosis and treatment in primary hospitals and primary medical and health institutions increased. Some common and frequently-occurring diseases are gradually diverted to grass-roots institutions, and the "wartime state" of large hospitals has been effectively alleviated. Limited expert resources can better serve critically ill patients, and the allocation of medical resources tends to be reasonable.

Hold the bottom line and let the people have more sense of gain. Beijing has strengthened medical insurance and medical assistance, and included medical service fees in the scope of basic medical insurance, so that the interests of the vast majority of patients will not be harmed. Implement preferential policies for special groups. The elderly over 60 years old in this city go to first-class hospitals and communities for medical treatment, and are free of all medical service fees. Patients with chronic diseases such as hypertension and diabetes can get 105 kinds of commonly used drugs in the community. For mental patients who have been hospitalized for a long time, the reimbursement policy is adjusted and the bed-based payment is implemented, which reduces the family burden of patients. Increase the reimbursement rate of social assistance recipients by 10 percentage point, and increase the maximum limit line by 50% to safeguard the interests of people in need. Since the reform, the personal burden of urban and rural medical insurance patients has generally declined, and the medical insurance system has played an important role in ensuring the basics, making up the shortcomings and taking the bottom line.

National medical reform is a chess game, and Beijing medical reform is related to the overall situation. At present, deepening medical reform has entered a deep-water area and a critical period, with more complicated interest adjustment and prominent institutional and institutional contradictions. In the critical period of reform, summing up and popularizing mature reform experience and giving full play to the role of typical experience in demonstrating, breaking through and driving the overall reform are conducive to further strengthening beliefs, tackling difficulties, innovating institutional mechanisms, breaking through interest barriers, accelerating the establishment of a basic medical and health system with China characteristics, and laying a solid foundation for promoting the construction of a healthy China. A single spark can start a prairie fire. The "Beijing sample" should not be the "orphan" of medical reform, but should be a "model" of medical reform worth learning and popularizing.