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海南用“活”医疗健康数据 增进人民福祉带动产业发展
Zhong Guo Xin Wen Wang· 2025-12-23 17:18
海南还坚持高标准、严要求,强化三医数据安全、健康隐私方面保障;通过完善数据授权运营制度,实 现"数据可用不可见";在安全合规基础上,让沉淀的沉默的数据"活"起来、"跑"起来,带动行业治理能 力与产业发展创新双提升。 李娟表示,下一步,海南将聚焦高价值应用场景,加快健康数据产品登记、健康数据产品交易等探索, 落实《海南省促进公共数据资源开发利用办法》规定,探索特定领域授权开发运营的安全合规路径,在 推动"向数图强"、壮大数字经济方面贡献三医力量。(完) (文章来源:中国新闻网) 在产业发展上,海南以三医数据支持博鳌乐城真实世界研究、创新药械研发、医学人工智能训练、商业 健康保险服务等,实现健康事业产业双轮驱动。 数据全面互联互通成为海南领先优势。据李娟介绍,"三医联动一张网"已全面汇聚各级各类医疗卫生机 构246亿条数据,2025年12月10日全国首个"三医大数据中心"正式挂牌。 在数据要素布局上,海南提前发力,2025年获批"三医可信数据空间""三医高质量数据集"两个国家数据 局重磅试点,并连续两年在第一届、第二届全国"数据要素×"大赛中斩获二等奖、三等奖。 中新网海口12月23日电 (黄方舟)医疗健康数据开 ...
宿迁实施医保基金清算改革,将减轻医疗机构资金周转压力
Yang Zi Wan Bao Wang· 2025-12-23 09:09
扬子晚报网12月23日讯(记者高峰)宿迁市医疗保障局局长王冬梅近日在新闻发布会上对即将实施的《关于深化医保基金清算改革实施方案》进行了解读, 持续完善医保基金季度清算创新模式,逐步缩短异地就医费用清算周期,并将大病保险和医疗救助基金等纳入清算提速范围。 据介绍,本次宿迁市的基金清算改革是将以往传统的年度清算周期调整为按季度进行清算,其本质是将医保基金管理的"年终大考"转化为"单元测验",通 过周期优化、流程规范与技术赋能,实现医保基金管理从"粗放式"向精细化"转型,从而减轻医疗机构运行压力,提升医疗服务质量,最终让普通患者享 受到"负担更轻、体验更好、服务更优"的医疗保障,为全民健康筑牢"安全网"。到2027年底,基本建成制度更加健全、机制更加顺畅、管理更加规范、服 务更加高效的医保基金清算结算体系。 王冬梅表示,《实施方案》紧扣"提质增效、精准监管、协同共治"目标,凸显三大特点。 医保基金清算指的是医保经办机构与定点医疗机构之间,对医保报销费用进行最终核对、确认和拨付的过程。它发生在患者结算之后,是医疗机构收回垫 付医保资金的关键环节。 强调"智",精准监管。依托国家医保信息平台,推进"AI全病历"智能监管 ...
三医联动下好“一盘棋” “问题导向”精准促创新
Jie Fang Ri Bao· 2025-12-20 00:59
昨天,由上海市卫生健康委、上海市医保局、上海市药监局指导,由解放日报联合上海市卫生和健 康发展研究中心组织开展,上海市健康促进中心、上海市卫生经济学会协办的第八届"上海医改十大创 新举措"评选正式揭晓。 聚焦群众看病就医的急难愁盼,"问题导向"促成创新。不少获奖单位通过精细化制度设计与流程再 造,实现了提升服务质量和效率的目标,最终找到医改的更佳路径。 在宝山区,群众"配药难"一度是顽疾,如何解决这一老问题?区卫健委以难题为切入口,创新打 造"宝药通药事服务平台",居民在社区开处方,能去社会药房取药。这一举措通过数字化手段重构医药 服务链条,结合"15分钟社区生活圈"建设要求,真正实现在平台上通过电子化处方串联起"医疗机构处 方开具、院外医保结算、院外药事服务"。截至上个月,"宝药通"注册居民已达万人,完成院外配药服 务也逾万次,医保处方流转超8000次。 特殊疾病患儿的延续治疗,曾是令家长最揪心的难题。两年前,上海三家儿童专科医院(复旦大学 附属儿科医院、儿童医学中心、儿童医院)为超过18岁的特殊疾病(儿童白血病与实体肿瘤疾病、先天 性结构畸形、先天性遗传代谢病、罕见病等)患者提供延续医疗,形成了儿童—成人 ...
北京儿童医院白班出诊单元将增加六成
Bei Jing Qing Nian Bao· 2025-12-02 01:28
开设互联网夜班门诊避免入院交叉感染风险 根据监测,目前本市流感已进入高峰期,流行株为甲型H3N2,与既往相同流行株的流行季相比, 今年仍低于历史高峰。统筹调度药物供应、指导医疗机构制定应急预案、完善就诊流程……北京青年报 记者昨日从市卫健委获悉,北京正发挥"三医联动"机制作用,多措并举保障患儿就医需求。在北京儿童 医院,为服务好就诊患儿,目前该院内科不限号,内科和发热咳嗽门诊开设白班、小夜班、大夜班,确 保每天24小时均有医生接诊。患儿亦可通过互联网门诊挂号,避免交叉感染风险。 儿童医院内科不限号确保24小时均有医生接诊 "进入11月以来,儿童呼吸道疾病就诊量的确在上升,不过跟去年同期比,就诊量并没有更高。"北 京儿童医院门诊部主任李豫川介绍,整体来看,患儿就诊数量在秋冬季容易增多,为此医院投入了更多 医疗资源,提前做好了充分准备。 目前,北京儿童医院内科不限号,内科和发热咳嗽门诊开设白班、小夜班、大夜班,确保每天24小 时均有医生接诊。为缩短患儿等候时长,北京儿童医院增加了医生出诊单元,启动门诊动态支援机制。 李豫川表示,与去年相比,今年12月白班门诊出诊单元计划增加60%。 从监测数据来看,每天下午3点后 ...
应对流感高峰期,北京多措并举保障患儿就医需求
Bei Jing Shang Bao· 2025-12-01 09:08
持续加强儿科专科与医联体建设。将儿科纳入国家和本市临床重点专科支持领域,累计支持23个儿科项 目,推动二级以上综合医院全部开设儿科门诊。以北京儿童医院等5家机构为龙头,深化紧密型儿科医 联体建设,覆盖50余家二三级医疗机构。在369家社区卫生服务中心实现儿科服务全覆盖基础上,通过 持续加强社区医务人员儿科培训、推动医联体人员下沉等方式提升基层儿科服务能力,在就诊高峰期减 少二三级医疗机构儿科就诊压力,保障患儿看病就医需求。 积极推进儿童医疗服务模式创新。以北京儿童医院为试点,开展儿童医疗服务标杆建设,通过打通地图 导航实时查询车位、取消门诊取号环节、提供智慧导诊、线上办理出入院等举措,缩短患儿候诊时间。 支持儿童医院院内制剂在医联体医疗机构间调剂使用。积极推进互联网诊疗服务,减少患儿线下奔波。 下一步,北京市卫生健康委将继续密切监测疾病流行情况,全力做好儿童呼吸道疾病医疗服务保障。 北京商报讯(记者 王寅浩 宋雨盈)12月1日,北京商报记者从北京市卫生健康委获悉,根据监测,目前 本市流感已进入高峰期,流行株为甲型H3N2,与既往相同流行株的流行季相比,今年仍低于历史高 峰。北京市高度重视儿童秋冬季呼吸道疾病诊 ...
北京已进入流感高峰期
Xin Jing Bao· 2025-12-01 02:17
新京报讯(记者戴轩)12月1日,记者从北京市卫生健康委获悉,据监测,目前北京市流感已进入高峰 期。流行株为甲型H3N2,与既往相同流行株的流行季相比,今年流感流行水平低于历史高峰。 持续加强儿科专科与医联体建设。将儿科纳入国家和北京市临床重点专科支持领域,累计支持23个儿科 项目,推动二级以上综合医院全部开设儿科门诊。以北京儿童医院等5家机构为龙头,深化紧密型儿科 医联体建设,覆盖50余家二三级医疗机构。在369家社区卫生服务中心实现儿科服务全覆盖基础上,通 过持续加强社区医务人员儿科培训、推动医联体人员下沉等方式提升基层儿科服务能力,在就诊高峰期 缓解二三级医疗机构儿科就诊压力,保障患儿看病就医需求。 积极推进儿童医疗服务模式创新。以北京儿童医院为试点,开展儿童医疗服务标杆建设,通过打通地图 导航实时查询车位、取消门诊取号环节、提供智慧导诊、线上办理出入院等举措,缩短患儿候诊时间。 支持儿童医院院内制剂在医联体医疗机构间调剂使用。积极推进互联网诊疗服务,减少患儿线下奔波。 下一步,北京市卫生健康委将继续密切监测疾病流行情况,做好儿童呼吸道疾病医疗服务保障。 市卫生健康委、市医保局、市药监局建立"三医联动"监 ...
“让医生希望病人越来越少,才是对的”——专访三明医改操盘手詹积富
经济观察报· 2025-11-08 07:18
Core Viewpoint - The article emphasizes the importance of promoting the Sanming healthcare reform model across China, highlighting its unique features and the challenges faced in its implementation in other regions [1][4][10]. Group 1: Overview of Sanming Healthcare Reform - The Sanming healthcare reform, initiated in 2012, has significantly influenced China's healthcare reform trajectory, focusing on the establishment of a medical insurance bureau, centralized procurement of drugs and medical supplies, and a salary system for doctors [2][3][25]. - The reform was launched in response to the risk of the medical insurance fund running dry and prominent doctor-patient conflicts, aiming to enhance the public hospital system's efficiency and accountability [2][3][25]. Group 2: Key Experiences and Challenges - Four key experiences from the Sanming reform include adherence to party leadership, a focus on public welfare, a proactive reform attitude, and a tailored approach to local conditions [8]. - Challenges in replicating the Sanming model include the need for local leaders to recognize the importance of reform, breaking existing interest groups, and ensuring effective policy execution [10][14][15]. Group 3: Government's Role and Responsibilities - The Sanming model emphasizes the government's responsibility in healthcare provision, including hospital construction, management, and supervision, which contrasts with previous profit-driven models [27][28]. - The reform has shifted the focus from profit maximization to improving public health outcomes, with doctors incentivized to prioritize patient health over financial gain [28][30]. Group 4: Financial Structure and Incentives - The financial structure of hospitals in Sanming has been optimized, with a target of increasing medical service revenue while reducing reliance on drug sales, thus enhancing patient care quality [43]. - The implementation of a performance-based salary system for healthcare workers has led to a high satisfaction rate among medical staff, with over 80% expressing contentment with their income [31][29]. Group 5: Broader Implications and Future Directions - The Sanming healthcare reform serves as a benchmark for national healthcare reform, with ongoing efforts to promote its principles across various regions [3][25]. - The focus on health-centered policies aims to reduce disease incidence and improve overall public health, aligning with national strategic goals for healthcare development [27][38].
万亿元健康险加快转型,从“事后报销”转向“源头管理”
Xin Hua Cai Jing· 2025-10-22 13:52
Core Viewpoint - The health insurance sector in China is approaching a premium scale of nearly one trillion yuan, with regulatory guidance emphasizing its critical role in the national health security system by 2030 [1] Group 1: Transformation of Health Insurance - The health insurance industry is shifting from a model of "passive risk compensation" to "active health management," focusing on proactive engagement in users' health throughout their lifecycle [3] - There is a call for a fundamental transformation in health insurance products, moving from one-time compensation to integrated solutions that combine insurance with services [1][3] - The integration of health management, medical services, and rehabilitation care into health insurance offerings is essential to meet evolving consumer demands [1][3] Group 2: Product Innovation and Market Development - Insurance companies are encouraged to innovate products, moving beyond traditional offerings to include long-term medical insurance, long-term care insurance, and tailored solutions for specific demographics such as the elderly and those with chronic conditions [2] - The development of differentiated products targeting specific groups, such as patients with pre-existing conditions and rare diseases, is crucial for creating specialized market brands [2] - The health insurance sector is expected to play a significant role in supporting the innovation of the biopharmaceutical industry, ensuring that patients can afford not only standard treatments but also innovative medications [2] Group 3: Integration with Basic Medical Insurance - Commercial health insurance must actively align with basic medical insurance to fill gaps in self-purchased medications and enhanced medical coverage [1] - The insurance industry is urged to participate in the management services of basic medical insurance, leveraging its expertise to improve the efficiency and quality of medical insurance services [1]
吴桂英调研“三医”联动、医药卫生体制改革及公立医院高质量发展工作
Chang Sha Wan Bao· 2025-08-20 06:00
Core Insights - The article emphasizes the importance of healthcare reform and the integration of medical services, insurance, and pharmaceuticals to enhance public health in Changsha [1][3][14] Group 1: Healthcare Reform and Development - The local government is focusing on deepening healthcare system reforms to promote high-quality development of public hospitals [1][3] - There is a strong emphasis on the "Three Medicines" linkage (medical services, medical insurance, and pharmaceuticals) to improve healthcare accessibility and quality [1][3] Group 2: Support for Grassroots Healthcare - The government is committed to supporting grassroots healthcare institutions by addressing shortcomings and enhancing management [3][14] - Efforts are being made to improve rural medical insurance settlement processes and accelerate information technology development in healthcare [3][14] Group 3: Maternal and Child Health - The government recognizes the significance of reproductive health and encourages hospitals to provide quality services for families, particularly for pregnant women and infants [6] - There is a focus on building a fertility-friendly society to promote population quality development [6] Group 4: Public Health Infrastructure - The article highlights the importance of public health centers and their role in disease control, blood safety, and emergency medical services [14] - The government aims to ensure equal access to basic public health services as a major livelihood project [14] Group 5: Traditional Chinese Medicine - The government is advocating for the integration and innovative development of Traditional Chinese Medicine within the healthcare system [11]
微医以“三项创新”三度入榜福布斯,数字化药械交易平台促行业升级
Xin Hua Wang· 2025-08-12 06:19
Core Insights - Forbes China released the "2022 Top 50 Innovative Companies in China" list, with five companies in the health sector, and WeDoctor being the only digital healthcare company included, marking its third appearance since 2018 [1] - WeDoctor's innovative business model has garnered industry attention, focusing on three key areas: internet hospitals, a drug and medical device trading platform, and a digital health community, which serve as accelerators for industry upgrades [1] Group 1: Three Medical Linkages - The three medical linkages address significant challenges: uneven distribution of medical resources leading to difficulty in accessing care, information asymmetry in the pharmaceutical market resulting in high costs, and ineffective payment methods in health insurance causing over-treatment [2] - The solutions include the integration of internet services through internet hospitals, drug procurement through a drug trading platform, and performance-based payment models via a digital health community [2] Group 2: Innovations Driving Digital Upgrade - WeDoctor established China's first internet hospital in 2015, pioneering online prescriptions, follow-ups, and remote consultations, and has since expanded its model to include pharmaceuticals and health insurance [4] - The company's three innovations are seen as foundational pillars supporting the digital transformation of China's healthcare industry, significantly impacting its development [4] Group 3: Rapid Growth of Drug Trading Platform - WeDoctor's drug and medical device trading platform has rapidly grown, contributing to the reduction of inflated drug and medical supply prices through collective procurement efforts [5] - The Haixi Medical Trading Center, part of WeDoctor, was one of the first to implement the three medical linkages model, managing over 300 billion yuan in drug and medical supply transactions [5] Group 4: Regional Procurement Initiatives - WeDoctor has established the Northern Drug and Medical Device Joint Procurement Center in Tianjin, which supports the exploration of disease-specific drug procurement and performance-based payment measures [6] - This center aims to form a close procurement alliance with nine northern provinces, promoting regular and institutionalized procurement activities [6]