从AI诊疗到“家门口透析”，深化医改中的“江苏经验”

Core Viewpoint - The Jiangsu Province is actively promoting public hospital reforms by implementing the "Three Medical" collaborative mechanism, enhancing policy support, and innovating service models to improve healthcare accessibility and quality for the public [1][3]. Group 1: Financial Support and Policy Implementation - Jiangsu has invested a total of 230 billion yuan in public hospital development since the beginning of the 14th Five-Year Plan, with an average annual increase of 9.6% in operational subsidy funds, and a net increase of 12.5 billion yuan in provincial funding for 2023 [3]. - The province has added 269 new medical service items and adjusted 1,411 pricing items, optimizing the income structure by lowering prices for certain tests while increasing those for diagnosis and nursing services, resulting in a nearly 5% increase in the proportion of public hospital medical service income [3]. Group 2: Human Resource and Compensation Reform - Jiangsu has adjusted public hospital staffing by increasing the number of positions by 49,000 and implementing a dynamic adjustment mechanism to meet the needs for high-level clinical talent [4]. - The province has reformed the compensation system for public hospitals, allowing for diverse salary structures, including annual salaries and project-based pay for high-level talents [4]. Group 3: Healthcare Resource Distribution and Infrastructure Development - The government has invested 4.1 billion yuan in 2023 to support the construction of 16 high-level hospitals and has established 136 county-level medical communities, achieving a 95% rate of local treatment [4]. - The province has built 256 internet hospitals, with a 52% increase in service volume this year, enhancing healthcare accessibility through digital services [4]. Group 4: Localized Implementation of Reform Experiences - Suzhou has developed a governance management platform for public hospitals that monitors over 200 operational indicators, reducing management costs to 7.6% [6]. - In Yangzhou, 20 township health centers have been built to improve medical services in rural areas, with a focus on training and deploying over 2,300 medical talents to enhance local healthcare capabilities [6]. Group 5: Innovations in Service Delivery - Nanjing Drum Tower Hospital has introduced various service innovations, including a one-stop appointment center and online medical insurance settlement, aiming for 40.5% of surgeries to be at the fourth level by 2025 [7]. - Binhai County has invested nearly 3 billion yuan in upgrading public hospital facilities and has implemented convenient measures such as bedside billing and emergency triage to reduce the burden on patients [7].