With the continuous increases in residents' health needs and the urgent need to solve the problems of medical treatment, medical reform in China has become a key measure to promote the construction of Health China and improve national governance capabilities. It is of academic and practical significance to systematically sort out the logical framework and practical results of healthcare reform in China. In this study, a logical pipeline of "Tao, Principle and Tactics" was centered on to comprehensively and systematically analyze the strategic choices, system design and implementation mechanism of healthcare reform in China. Briefly, the "Tao" anchored the core concept of health-centered guidance by the Healthy China strategy and the health priority development strategy. The "Principle" promoted the construction of an integrated health system, graded diagnosis and treatment, and public health system by implementing strategies for the coordinated development and governance of the three medical institutions, social governance, medical prevention collaboration, and medical prevention integration. The "Tactics" implemented specific measures like reforming the operation mechanism of public hospitals, strengthening grassroots, cultivating and utilizing talents, and empowering information technology. Healthcare reform in China has made positive progress in financing and payment mechanisms, governance systems and capabilities, service models and efficiency, equity and accessibility. A Chinese plan has been formulated to be a reference for global health governance.

在居民健康需求持续增长与居民看病就医难题亟待破解的背景下，中国医改成为推进健康中国建设、提升国家治理能力的关键举措，系统梳理其逻辑框架与实践成效具有重要的学术意义与现实意义。本文以"道-法-术"为逻辑主线，全面且系统地剖析中国医改的战略选择、制度设计及实施机制："道"层面锚定"以健康为中心"的核心理念，以健康中国战略和健康优先发展战略为引领；"法"层面构建三医协同发展与治理、社会共治、医防协同和医防融合等实施策略，推进整合型卫生健康体系与分级诊疗、公共卫生体系建设；"术"层面通过公立医院运行机制改革、"强基层"、人才培养与使用、信息化赋能等具体举措落地实施。中国医改已在筹资与支付机制、治理体系与能力、服务模式与效率、公平性与可及性等方面取得积极进展，并形成了可供全球卫生治理借鉴的"中国方案"。