Based on the current status of allocation, demands and utilization of medical care resources and the needs for future development in Shanghai, the overall objectives, principles, key plans of allocation of medical care resources in the 12th Five-years Plan in Shanghai and the leading role of health bureaus at all levels were discussed.

2010年2月,上海被列入公立医院改革国家联系的16个试点城市之一,也是惟一一个纳入试点的直辖市.考虑到公立医院改革的长期性、复杂性、艰巨性,考虑到上海作为直辖市和全国的医疗中心城市之一,与其他15个试点城市有显著差异,在新一轮医改中,如何贯彻国家医改精神并紧密结合上海实际,对全市公立医院改革进行清晰的思考,是上海市新医改中亟需回答的关键命题.

The relevant policies of national essential medicine system were reviewed, major concerns and actions in the implementation of essential medicine system in Shanghai were introduced, and the suggestions to improve the implementation of essential medicine system of Shanghai were made. These provided the information for policy making and provided a useful experience for facilitating the establishment of essential medicine system and the improvement of its implementation in Shanghai as well as China.

The article summarized relevant theories and successful practical experience about medical resource integration, analyzed the background of regional medical-trust in Shanghai, and discussed three different model of regional medical-trust building, and their own advantages and disadvantages. Furthermore it discussed the main framework of regional medical-trust pilot reform,including administrative and operational model, insurance-payment model and visiting-doctor model. Then, it introduced the reform strategies of regional medical-trust pilot and present progress.