初冬的宝鸡市老城区，街巷里透着几分萧瑟。走进宋治乾家的老房子，年过八旬的他正坐在客厅的 沙发上休息，手边放着布地格福吸入气雾剂，这是他对抗慢性阻塞性肺疾病的"日常武器"。自2022年确 诊并享受门诊慢特病待遇起，这瓶药就成了他生活中不可或缺的存在。 值得欣慰的是，从门诊慢特病报销额度的提高到报销流程的简化，从基层诊所药品配备的完善到健 康管理服务的提质，一系列惠民举措正切实为慢特病患者解忧。但我们也需清醒地认识到，慢特病保障 不仅需要政策的精准落地，更离不开政策的持续性发展。 健康中国战略强调"预防为主，防治结合"，这正与慢病管理的核心理念相契合。慢特病保障体系既 要筑牢后端的经济补偿防线，更要向前端的预防筛查延伸。比如，加大对年轻人的健康科普力度，让健 康生活理念深入人心；完善基层医疗机构的慢病筛查设备与能力，实现慢特病的早发现、早干预、早治 疗；推动医疗、医保、医药"三医"联动改革持续深化，降低药品价格、优化诊疗资源配置，让保障效能 最大化。 在这一过程中，商业保险可发挥重要补充与赋能作用，成为多层次医疗保障体系的关键力量。通 过"保险+健康管理"模式，商业保险公司可面向不同人群提供个性化健康科普、定期筛 ...

湖南人均预期寿命提升至79岁 个人卫生支出占比降至27.38% 中新网长沙12月2日电 (付敬懿)全省医疗卫生机构57639个，床位数523215张，卫生人员总数685492人； 三级公立医院门诊次均费用、住院人均费用连续4年下降；重大慢性病过早死亡率降至12.60%；截至 2024年底，全省人均预期寿命提升至79岁……"十四五"时期，湖南居民健康水平迈上新台阶。 "湖南'十四五'答卷"系列主题新闻发布会全省卫生健康事业发展成就专场。 付敬懿 摄 同时，湖南全面推进紧密型县域医共体建设，99个县市区建设医共体142个。实施医疗卫生强基工程， 分级分类推进基层医疗卫生机构标准化建设，全省1965家建制乡镇卫生院、社区卫生服务中心和23028 家行政村卫生室达到服务能力标准。基层医疗卫生机构诊疗量占比从2020年的56.2%上升至2024年的 62.54%。 湖南坚持预防为主，加快推进疾控体系改革，公共卫生能力持续增强，连续32年维持无脊髓灰质炎状 态，连续21年无白喉病例报告，麻疹风疹、乙脑等发病率均降至历史较低水平。40个血吸虫病流行县市 区将全部达到消除标准，如期实现消除血吸虫病目标。均等化提供28项基本公 ...

Core Viewpoint - The press conference highlighted the challenges and strategies in promoting the Sanming healthcare reform experience across the country, emphasizing the need for leadership commitment and systemic changes in healthcare policies [2][3][7]. Group 1: Challenges in Promoting Sanming Healthcare Reform - There are four main bottlenecks in promoting the Sanming healthcare reform experience: insufficient attention from local governments, low healthcare service pricing mechanisms, inadequate personnel salary system reforms, and inefficient management of public hospitals [3][5][7]. - Local governments exhibit a lack of initiative and innovation in deepening healthcare reforms, particularly in complex areas such as medical service pricing and personnel salary systems [3][5]. - The pricing mechanism for medical services is generally low, with a focus on material consumption rather than technical labor, and there is a lack of effective participation from hospitals and medical staff in pricing decisions [5][7]. Group 2: Strategies to Address Challenges - To address these challenges, it is essential to enhance awareness and establish an effective leadership structure for healthcare reform, ensuring alignment with national policies and prioritizing public health [7][8]. - The government should implement a systematic adjustment of healthcare economic policies, including regular evaluations of medical service pricing and timely adjustments to ensure that increased hospital income is used for staff compensation [7][8]. - There is a need to fulfill government funding responsibilities for public hospitals and ensure that the salary system for medical staff reflects their responsibilities and knowledge value [8][10]. Group 3: Progress in Medical Staff Compensation - The income of medical staff in Sanming has become attractive within the region, although it still lags behind more developed areas [2][10]. - Data indicates that from 2012 to 2020, the turnover of medical staff in Sanming was minimal, with a recruitment rate significantly higher than the number of staff leaving, suggesting stability in the workforce [10]. - Ongoing reforms in salary distribution for medical staff are planned, aiming for a fair and efficient compensation system that rewards performance and effort [10].

Core Viewpoint - The Chinese government emphasizes the promotion of the Fujian Sanming medical reform experience as a model for healthcare service development during the 14th Five-Year Plan period [1][2]. Summary by Sections Medical Reform Experience - The Sanming medical reform has achieved significant results in health security and reform through four key principles: adherence to party leadership, a public welfare focus, a proactive reform approach, and local adaptation of reforms [2][3]. Reform Logic - The Sanming medical reform prioritizes the people's perspective, aiming to enhance public satisfaction and ensure equitable access to healthcare services [3][4]. - The reform is characterized as a revolution in the healthcare sector, addressing issues like high medical costs and inefficient healthcare practices [3][4]. Reform Methods and Pathways - The reform adopts a systematic approach, integrating medical, insurance, and pharmaceutical reforms to enhance overall effectiveness [4][5]. - Key strategies include establishing efficient management systems, improving insurance fund utilization, and eliminating corrupt practices in drug pricing [5][6]. Reform Phases - The reform is divided into three phases: 1. Addressing profit-driven practices in healthcare [5][6] 2. Reorienting healthcare towards patient treatment [5][6] 3. Focusing on health promotion and prevention [5][6]. Reform Achievements - Significant reductions in patient costs have been observed, with hospitalization costs for urban employees increasing from 6,553 yuan in 2011 to 8,560 yuan in 2023, while personal burdens have only slightly increased [8]. - The total salary expenditure for hospitals rose from 382 million yuan in 2011 to 2.044 billion yuan in 2022, indicating improved compensation for healthcare workers [8][9]. - The structure of hospital revenue has shifted, with medical service income rising from 18.37% to 46.07% of total revenue from 2012 to 2023 [9]. Future Goals - The reform aims to establish a comprehensive health security system, emphasizing the government's role in providing public health services and ensuring effective management of healthcare institutions [11][12]. - The focus will be on enhancing the efficiency of insurance funds and promoting health management organizations to improve overall health outcomes [12][13].