看病不再只盯“钱”，张文宏呼吁要算“健康账”

Core Viewpoint - The article emphasizes the importance of "value-based healthcare" in China, as highlighted by Professor Zhang Wenhong during the Two Sessions, advocating for a systematic reform through "three medical collaborations" to retain innovative medical achievements within China and benefit Chinese patients [3][4]. Group 1: Concept of Value-Based Healthcare - "Value-based healthcare" was introduced by Professor Michael Porter from Harvard Business School over 20 years ago, focusing on optimizing the relationship between healthcare quality, safety, patient experience, and costs to enhance medical outcomes at equal or lower costs [3]. - The core dimensions of "value-based healthcare" include reduced medical costs, increased patient satisfaction, and improved healthcare quality, emphasizing the ratio of health benefits (effectiveness) to costs [3]. Group 2: Perspectives from Industry Experts - An industry expert noted that true "value-based healthcare" should not be price-driven but should focus on spending wisely to achieve meaningful health outcomes for patients [4]. - The establishment of a "value-based healthcare" system hinges on two main factors: the extent of medical payment guarantees and the level of treatment effectiveness [5]. Group 3: Systemic Changes and Technological Integration - The rapid development of emerging technologies like AI is causing structural changes in both the demand and supply sides of healthcare, necessitating a reevaluation of resource allocation from both payment and service provision perspectives [5][7]. - AI technology is enhancing interdisciplinary integration in medicine, allowing for the development of cost-effective treatment plans based on comprehensive patient data, which may transform clinical pathways [7]. Group 4: Performance Evaluation and Compensation - There is a call for a comprehensive compensation evaluation system that aligns physician income with treatment outcomes, promoting principles such as "high risk, high reward" and "more work, more pay" [6]. - Concerns were raised that linking physician income to revenue could lead to distorted medical practices, such as overtreatment, while inadequate performance assessments for public hospitals might result in under-treatment [6].