No.1 初入道者：居不易 这是德国慕尼黑少有的一个阳光充足的午后，董木和一群人喝啤酒、聊天，当知道他是一名医生时，大 家给他一个眼神，"你这么年轻，这么棒！" 31岁的董木，一张娃娃脸带着中国式谦逊，"别，在德国我还没有行医资质"，他语中有淡淡遗憾，在中 国他是有行医资质的，离开是因为工作"活累钱少"，医院对医生的索求过多，"让你献爱心加班时理直 气壮，并不关心你"。 2025年高考临床医学普遍降温，在是否要学医的讨论中，医生的待遇也是绕不开的话题。 同样是有编制的工作，相对而言医生压力大，活更多，薪酬却似乎形成了一个怪圈，大家公认医生的收 入应该高，可社交平台上遍布医生吐槽待遇低，而患者间都在交流该给医生多少红包。 近两年，不时出现医院降薪、医疗反腐的消息，让一些家长和考生对学医这个"越老越吃香"的专业犹豫 了。 让医生拿到更多的阳光收入，无后顾之忧，是中国医改的重头戏之一。北京是第十个向全国介绍学 习"三明医改"经验的省份，7月28日，北京天坛医院院长王拥军在国家卫健委新闻发布会上介绍，"医院 固定薪酬占比已经超过总薪酬的50%，医务人员收入保障更加稳定。" 经过高考的拼搏，带着治病救人的愿景走入医学院 ...

"CT结果也能'全国漫游'了！"近日，家住湖北省宜昌市的陈先生因膝关节不适，转诊至宜昌市第三人民 医院复查。医生在"宜健通"上看到了他在西陵社区卫生服务中心做的CT结果，这让陈先生直呼"真方 便"。 "十四五"时期，我国深入推广三明医改经验，着力构建维护公益性、调动积极性、保障可持续的公立医 院运行新机制，加快建设分级诊疗体系。目前，已设置13个专业类别国家医学中心和儿童类别国家区域 医疗中心，支持125个国家区域医疗中心建设项目，加快实现"大病不出省，一般病在市县解决，日常疾 病在基层解决"。截至2024年底，已有2188个县（市、区）推进紧密型县域医共体建设，"基层检查、上 级诊断、结果互认"加快推进。 健全全民医保制度，努力减轻群众看病就医负担—— 今年以来，在广东省广州市，经过生育保险报销后，7000多名"宝妈"生娃自己花费不到100元。2024 年，31个省份和新疆生产建设兵团已将辅助生殖纳入医保，享受各项生育保险待遇的人次同比增长 30.2%。 "十四五"时期，我国促进医疗、医保、医药协同发展和治理，实现了医保覆盖面从小到大、保障水平从 低到高、管理服务从有到优的转变。 长期以来，患者看病需要提着 ...

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]