【时间】9月29日(周一)15:00 【简介】国家卫生健康委召开新闻发布会，介绍推广三明医改经验、深化以公益性为导向的公立医院改 革有关情况。 ...

青海海南：51亿元财政投入卫生健康事业 远程医疗实现全覆盖 编辑：张嘉怡 广告等商务合作，请点击这里 索朗德吉介绍，海南州先后制定《海南州推广福建省三明市医改经验工作方案》等政策，组建紧密型医 共体6个，实现了资源使用"一张网"、人员使用"一盘棋"、财务管理"一本账"、医疗质量"同质化"的目 标，并构筑"胸痛中心——救治单元——救治点"三级救治网络，急性胸痛患者致死率和抢救成功率呈 现"一降一升"。 为破解基层医疗薄弱难题，海南州成立"青海大学高原医学海南州博士工作站"，建成77个急诊急救、临 床服务等四类"五大中心"，将395个村卫生室转为乡镇卫生院延伸服务点，推出8类家庭医生个性服务 包，基层医疗机构服务能力进一步提升。 "我们投资8477.5万元升级全民健康平台、建设县域医共体信息系统，检查检验互认项目达267项，实现 州、县、乡远程医疗平台全覆盖。"索朗德吉说，特别是兴海县率先建成远程可视化B超、"心电一张 网"，全州实现"基层检查、上级诊断"，让民众在家门口即可享受优质诊疗服务。 此外，海南州已建立覆盖州、县、乡三级的"两病"规范化综合防治体系，11家公立医院传染病智能监测 预警前置软件投入应用，疾 ...

Core Viewpoint - Beijing has upgraded the "Sanming model" of medical reform to the "Beijing plan," focusing on a government-led approach, public investment, price and salary reforms, resource allocation, and information technology support [1][2][10] Group 1: Government-led Coordination - The Beijing government has established a centralized decision-making body for "three medical" coordination, with a unified leadership structure overseeing medical, insurance, and pharmaceutical sectors [2][3] - Monthly meetings are held to monitor key tasks in the "three medical" fields, enhancing policy coordination and regulatory collaboration [1][2] Group 2: Resource Allocation and Infrastructure - Beijing is addressing the uneven distribution of medical resources by promoting the relocation of quality medical services from central urban areas to suburban regions, with over 184 billion yuan invested in major projects [4][6] - The number of hospital beds per thousand people in suburban areas has increased by approximately 14% from 4.6 to 5.3 beds since 2020 [4] Group 3: Financial Support and Pricing Reforms - The government has committed over 60 billion yuan annually to public health services, with 25.6% of this funding directed towards grassroots healthcare institutions [6][7] - A dynamic pricing adjustment mechanism has been established, resulting in a 12.8 percentage point increase in medical service revenue share compared to pre-reform levels [7] Group 4: Strengthening Grassroots Healthcare - Beijing has implemented measures to enhance the capabilities of community health services, including increasing personnel and improving infrastructure, with over 23 billion yuan invested since 2023 [8][9] - The city has developed the "Jing Tong" service platform to streamline medical processes and improve patient access to healthcare services [9]

Group 1 - The core viewpoint emphasizes the importance of deepening healthcare reform to better meet the medical needs of the public, as highlighted by the provincial secretary Zhao Yide during his visit to Xi'an [1][2] - Zhao Yide stressed the significance of establishing a tightly-knit medical alliance as a key component in building a new healthcare service system, aiming to enhance the accessibility and continuity of medical services [1] - The focus is on promoting high-quality development in public hospitals, ensuring a sustainable operational mechanism centered on public health, and enhancing the welfare of healthcare personnel [2] Group 2 - The provincial leadership is advocating for the adoption of the Sanming healthcare reform experience to promote the coordinated development of medical services, insurance, and pharmaceuticals [2] - There is a call to strengthen the grassroots healthcare workforce and improve the capabilities of primary healthcare services [2] - The initiative includes enhancing public health systems, promoting medical technology innovation, and ensuring the continuous improvement of medical ethics and conduct [2]

Core Viewpoint - The article discusses the ongoing promotion of the Sanming healthcare reform experience across cities in China, with a focus on public hospital reforms guided by public welfare principles, particularly in Shandong Province [2] Group 1: Public Hospital Reform Initiatives - Shandong Province is actively exploring innovative approaches to deepen healthcare reform, with cities like Qingdao, Weifang, and Jinan being recognized as demonstration cities for public hospital reform and high-quality development [2] - Qingdao City has implemented several measures to maintain the public welfare nature of public hospitals, including comprehensive financial support for basic construction and social insurance contributions for on-duty personnel [3] - Since 2019, fiscal investment in municipal and county-level public hospitals has increased by an average of 15% annually, while the proportion of medical service revenue has risen by 5.1 percentage points, and the share of drug and consumable costs has decreased by 6.8 percentage points [3] Group 2: Development of Specialized Services - Qingdao City has focused on addressing public healthcare needs by establishing 10 peak disciplines, 100 municipal key specialties, 50 county-level key specialties, and 35 major disease specialty alliances to promote balanced specialty development [3] - The city has increased the annual subsidy standard for public health hospitals with heavy public health responsibilities to 59 million yuan, enhancing internal salary distribution to improve compensation for specialists in high-demand fields such as pediatrics and emergency medicine [3] Group 3: Health-Centric Reforms - The reforms emphasize a people-centered approach, implementing integrated management for key health issues such as hypertension, diabetes, and chronic obstructive pulmonary disease [4] - Qingdao City conducts free screenings and health check-ups for key populations, reaching over 1.8 million screenings annually, and has launched a health literacy improvement project, achieving a health literacy level of 38.5% among residents [4]

Core Insights - The National Health Commission of China is promoting the "Sanming Experience" to deepen public hospital reform with a focus on public welfare [1][2][3] Group 1: Implementation of Reforms - Hubei province has integrated medical reform indicators into high-quality development assessments, linking results to local government performance evaluations [1] - A collaborative mechanism involving multiple health-related agencies has been established to focus on public hospital reform, enhancing coordination on personnel, pricing, and insurance payment reforms [1] - The province has allocated 150 million yuan to support 36 tertiary hospitals in improving the service capabilities of 70 county-level medical institutions [1] Group 2: Health Service Accessibility - Hubei has developed a comprehensive service system for chronic diseases, enhancing health literacy among residents through education [2] - Measures have been introduced to improve access to healthcare for the elderly, including enhanced guidance services and family beds [2] - Urban and rural emergency medical response systems have been established, with urban areas having a 10-minute response time and rural areas a 30-minute response time [2] Group 3: Digital Health Initiatives - Yichang city is leveraging government planning to enhance digital healthcare, integrating health data across various departments with an investment of 1.84 billion yuan [2] - The city aims to create a comprehensive health data center that connects medical institutions at all levels, facilitating better monitoring and resource allocation [2] Group 4: Focus on Talent and Compensation - Shiyan city has implemented measures to address challenges in public hospital reform, including increasing hospital staffing by 315 positions and adjusting service prices for 3,479 items [3] - The city has established a dynamic system for determining medical staff salaries, with fixed income making up 45% of total compensation [3] - The national government plans to promote the Sanming experience across cities to enhance public hospital reform [3]