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2003年来,尽管国家县域医改重心不断调整,但禄丰医改始终以新农合支付方式改革为主线,由此成就了路径清晰的县域医改禄丰模式。从最初的医疗市场化热潮,到国家对县域医疗卫生基建的大力投入;从新农合制度建立,到以取消“以药补医”为突破口的县级公立医院综合改革,2000年至今,中国县域医改的重心几经调整,滇中县城禄丰也承担过名目繁多的改革试点任务。然而,自2003年全面启动新农合试点以来,禄丰却一直对支付方式进行着孜孜不倦地探
Since 2003, despite the continuous adjustment of the focus of medical reform in the county counties, the reform of Lufeng’s medical reform has always been based on the reform of the payment system of the new rural cooperative medical system. This has resulted in the Lufeng pattern of county-level medical reform with a clear path. From the initial upsurge of the medical marketization to the state’s vigorous investment in the county health infrastructure; from the establishment of the new rural cooperative medical system to the comprehensive reform of county-level public hospitals that took the breakthrough of “supplement medicine with medicine”, since 2000, The focus of county medical reform in China has been adjusted, and Luofeng in central Yunnan has also undertaken a large number of pilot projects on reform. However, since the full launch of the NRCMS pilot in 2003, Lufeng has been tirelessly exploring ways of payment