The　reform　of　public　hospitals　is　a　complex　process,　involving　multiple　subsystems　and　the　interaction　of　related　factors.　This　paper　conducts　a　preliminary　evaluation　of　the　joint　reform　of　medication,　medical　care,　and　medical　insurance　in　Sanming　using　quantitative　and　qualitative　methodologies.　The　method　of　system　dynamics　is　applied　to　model　the　three　subsystems　of　medication,　medical　care,　and　medical　insurance　in　Sanming　and　analyze　the　cause-and-effect　relationship　between　different　factors　in　the　subsystem.　Based　on　the　analysis,　the　evaluation　index　is　determined　to　evaluate　the　effect　of　the　medical　reform　in　Sanming.　The　analysis　results　show　that　Sanming＇s　public　hospitals　have　experienced　a　comprehensive　reform　that　includes　changing　the　way　pharmaceuticals　are　procured,　cutting　prescription　prices,　and　raising　hospital　worker　wages.　To　maximize　the　hospital　revenue　structure,　the　medical　insurance　payment　system　was　changed.　The　expense　of　patient　therapy　was　reduced,　and　the　development　of　hierarchical　diagnosis　and　treatment　was　encouraged.