中国新医改形势下三明医改可持续发展路径探讨:基于SWOT分析OA

Objective To systematically explore the sustainable development path of the Sanming healthcare reform model within the context of China's new healthcare reform,providing theoretical reference and practical guidance for its nationwide implementation.Methods A SWOT analysis was employed,combined with a review of policy documents and case studies,to assess the internal strengths and weaknesses,as well as the external opportunities and threats,of the Sanming healthcare reform.Results The Sanming healthcare reform has progressed through three stages:"rectifying disorder and curbing waste","establishing rules and institutions",and"preventive care and comprehensive health".It has developed into a systematic reform pathway centered on the"tripartite coordination of healthcare,insurance,and pharmaceuticals",with compensation system reform as a key driver.The SWOT analysis reveals that its strengths include an integrated governance structure,a transformative incentive mechanism,and notable reform outcomes.Weaknesses include heavy reliance on government promotion,controversies over the replicability of its compensation system,and insufficient incentives for technological innovation.External opportunities arise from national policy support,digital technology empowerment,and the advancement of the Healthy China strategy.Threats include the risk of reform distortion during scaling,diminished reform momentum,and resistance from vested interests.Conclusions The key to the sustainable development of the Sanming healthcare reform is"learning from its underlying principles rather than copying numerical targets."A framework of"general principles plus context-specific pathways"is recommended for implementation in cities of different scales.