The aim of hospital reforms is to maintain the social welfare nature of public hospitals and encourage them to perform public service functions, thereby providing accessible and affordable healthcare services for the people.[15] Reforms started as pilot in 2010 in 16 cities.[16] In 2015, a new version of guidelines came out and extra attention is given to county-level hospitals.[17] In 2017, public hospital reforms expanded with focus on eliminating drug price difference between hospital pharmacies and wholesales.[18]