公立医院改革进展的大体判断自2012年开始公立医院改革试点至今,已经3个多年头。以我调研和接触的信息来看,可把改革进展分为3类:第一类是改革主动积极、行动迅速,进展领先、成效显著。如浙江、北京、上海、安徽、福建三明等地。这类地区有以下共性:一是当地政府决心大、真重视、有责任心、有担当。改革是难,但领导真的重视了就不难,真抓实干就不难。二是看得准、有信心。认为改革一定能带来红利,对一些问题也看得准,出招既稳又准。三是有改革操盘 Public hospital reform in general judgments Since 2012, the reform of public hospitals since the pilot has been more than three years. According to the information I have researched and contacted, the progress of reforms can be divided into three categories: the first type is the positive and active reform, the quick action, the advanced progress and the remarkable results. Such as Zhejiang, Beijing, Shanghai, Anhui, Fujian Sanming and other places. This kind of area has the following common features: First, the local government is determined, takes seriously, has responsibility and takes responsibility. Reform is difficult, but it is not hard for the leadership to really pay attention to it. Second, look accurate, confident. We think that the reform will certainly bring about bonuses and some issues will also be recognized. The moves are both steady and accurate. Third, there are reforms and trades