新华社记者戴威、李恒 财政精准投入、学科攻坚提升能力、优质资源下沉基层……29日，记者在国家卫健委于安徽芜湖召开 的"推广三明医改经验、深化以公益性为导向的公立医院改革"主题新闻发布会上了解到，近年来，安徽 省因地制宜学习推广三明医改经验，从政策保障到管理优化，从学科建设到服务下沉，让群众在家门口 享受到更优质、便捷、实惠的医疗服务。 高位统筹强保障，锚定公益"定盘星" "近年来，安徽始终坚持以人民健康为中心，因地制宜学习推广三明医改经验，持续深化以公益性为导 向的公立医院改革。"安徽省卫生健康委主任邢程说。 新华社合肥9月29日电题：看病负担做"减法"，健康服务做"加法"——安徽这样拓展"三明医改" "县人民医院、县中医院分别牵头建设紧密型县域医共体，通过加强医共体内部资源整合，实行药品耗 材统一采购，让群众在家门口就能享受到优质便捷的医疗服务。"孙奇志说。 "我院与阜阳、安庆、池州、淮北等市级医院合作共建省级区域专科医疗中心，派出普外科、血液科、 骨科、感染病科等专家团队，帮助市级医院打造临床重点专科，每年通过传帮带形式推广约50项医疗新 技术。"安徽省立医院党委书记刘连新说。 此外，安徽省立医院已与省内 ...

Core Insights - The article discusses the declining interest in studying clinical medicine in China, highlighting the low salaries and high pressures faced by doctors, which has led to a hesitance among students and parents regarding the medical profession [1][2][3] Group 1: Doctor's Salary and Work Conditions - The average annual salary for doctors in China varies significantly, with junior, intermediate, senior, and chief doctors earning average salaries of 143,000, 174,000, 218,000, and 265,000 yuan respectively [3] - In first-tier cities, senior doctors earn nearly double compared to their counterparts in county-level hospitals, with average clinical income for senior doctors in top-tier hospitals reaching 246,000 yuan [3][4] - The income disparity among different medical specialties is notable, with some specialties like orthopedics and plastic surgery offering significantly higher salaries compared to others like gastroenterology [5][6] Group 2: Medical Reform and Salary Structure - The "Sanming Medical Reform" initiative aims to stabilize doctors' incomes by increasing the proportion of fixed salaries, which has reportedly exceeded 50% of total compensation in some hospitals [1][10] - The implementation of a salary system for hospital directors is being promoted, with plans to extend this to doctors, aiming to improve overall compensation structures [10][13] - The average salary for hospital directors varies widely, with many earning less than 150,000 yuan annually, indicating a need for reform to ensure fair compensation [11][13] Group 3: Challenges Faced by Medical Professionals - Doctors face increasing pressures to publish research and achieve academic milestones to advance their careers, leading to a highly competitive environment [8][9] - The medical profession is experiencing a crisis of morale, with many young doctors feeling disillusioned due to low pay and high workloads, prompting some to leave the profession [5][7] - The ongoing crackdown on corruption in the medical field has created additional stress for senior doctors, who are often caught between ethical dilemmas and financial pressures [7][9]

Group 1 - The article highlights the advancement of medical services in China, particularly the implementation of a cloud-based system for sharing medical imaging data, which enhances convenience for patients and healthcare providers [1] - The "14th Five-Year Plan" emphasizes the construction of a robust healthcare system, aiming to improve public health and ensure that patients can access quality medical services close to home [2][3] - The establishment of a comprehensive medical insurance system is noted, with significant improvements in coverage and reimbursement rates, benefiting millions of patients across the country [3] Group 2 - The article discusses the integration of public health and medical services, with initiatives such as the appointment of dedicated disease control supervisors in hospitals to enhance disease prevention efforts [4] - Financial support for public health services has increased, with per capita fiscal subsidies reaching 99 yuan, contributing to improved health literacy among the population [4] - The promotion of a health-conscious society is evident, with a notable increase in health literacy from 17.06% in 2018 to 31.87% in 2024 [4]

Core Viewpoint - The National Healthcare Security Administration (NHSA) has emphasized the importance of deepening healthcare reform during the "14th Five-Year Plan" period, focusing on the integration of healthcare services with economic and social development [1][2]. Group 1: Healthcare Fund Management - The NHSA has managed a total healthcare fund expenditure of 12.13 trillion yuan, with an average annual growth rate of 9.1% since the beginning of the "14th Five-Year Plan" [2]. - The healthcare fund has significantly supported the pharmaceutical industry, with expenditures on innovative drugs projected to reach 3.9 times the 2020 level by 2024, reflecting an annual growth rate of 40% [2]. Group 2: Reforms and Innovations - The NHSA has implemented a prepayment system for healthcare funds and promoted real-time settlement reforms, covering 357 regions nationwide, with a total of 594.8 billion yuan disbursed since 2025 [1][2]. - The introduction of the "dual directory" reform, including a new commercial health insurance innovative drug directory, aims to support pharmaceutical innovation, with over 100 drugs currently under application [2][3]. Group 3: Integration with Commercial Insurance - The NHSA has facilitated the integration of healthcare insurance with commercial insurance, resulting in over 27 million claims in Shandong province alone benefiting from a "one-stop settlement" service in 2024, enhancing the competitiveness of related insurance products [1][2]. Group 4: Future Directions - The NHSA plans to continue managing healthcare funds effectively while injecting strong momentum into the pharmaceutical industry, aiming to provide more efficient, safe, and accessible medical products and services [3]. - The basic medical insurance coverage rate has remained stable at around 95%, with 1.327 billion people insured in 2024, and annual medical assistance benefiting approximately 8 million people [3].

Core Insights - The article discusses the implementation of the "Sanming Medical Reform" experience in Jinan, focusing on improving chronic disease management and enhancing trust in community healthcare [1][2][3] Group 1: Medical Reform Implementation - The Sanming Medical Reform experience is being promoted nationwide, with a focus on adapting it to local conditions, aiming for comprehensive implementation by 2025 [3] - The reform emphasizes the importance of integrating community healthcare with higher-level hospitals to build a reliable healthcare network for chronic disease management [1][2] Group 2: Patient Experience and Trust - A case study of an 86-year-old patient illustrates the effectiveness of the new healthcare model, where community doctors can directly manage patient care and facilitate timely referrals to specialized hospitals [1][2] - Patients are more willing to trust community hospitals due to the involvement of top-tier hospitals in creating treatment plans, which also improves the convenience and reimbursement rates for patients [2] Group 3: Goals and Future Directions - The overarching goal of the reform is to ensure that every chronic disease patient receives proper management and care, thereby shifting the focus from treatment to prevention [4] - The initiative aims to create a robust health protection network for residents, enhancing overall public health outcomes [4]