人民网北京11月4日电 （记者乔业琼）据国家卫健委官网消息，为进一步规范健康体检行为，维护 受检者健康权益，国家卫健委近日印发了《成人健康体检项目推荐指引（2025年版）》（以下简称《指 引》）。 《指引》主要包括健康体检自测问卷、基本体检项目、慢性病风险筛查项目。健康体检自测问卷包 括个人基本信息、既往史及家族史、生活方式信息和心理健康状况等，用于了解受检者基本健康状况， 对疾病风险进行初步评估；基本体检项目包括：体格检查、实验室检查、辅助检查等，是建立健康档案 的基础，为开展后续健康管理提供关键支撑；慢性病风险筛查项目是在基本体检项目的基础上，结合健 康体检自测问卷，对存在心脑血管疾病、常见恶性肿瘤、慢性呼吸系统疾病、糖尿病等疾病风险的人 群，根据慢性病筛查与早诊早治方案等，增加的个性化深度检查项目。 《指引》适用于个人或用人单位集体组织的，用于了解18岁以上受检者健康状况、早期发现疾病线 索和健康隐患的健康体检。不包括入职体检、职业健康检查、从业人员健康体检、入学、入伍、婚检等 专项体检、基本公共卫生服务项目提供的健康体检、孕前优生健康检查以及专项疾病的筛查等。 ...

Core Insights - The article highlights the alarming trend of increasing cancer rates among young people in China, particularly those aged 15 to 39, with nearly 200,000 new cases reported annually [1][2] - It emphasizes the importance of early detection and the inadequacies of current health check-ups, as illustrated by the case of a lawyer who was diagnosed with kidney cancer despite years of normal check-ups [2][24] Group 1: Cancer Trends - Thyroid cancer is one of the fastest-growing cancers among young people, with a 187% increase in incidence among those aged 20 to 29 over the past decade [1] - The proportion of young patients with colorectal cancer has surged from 3.8% in 2010 to 12.7% in 2023, marking the highest growth rate among all cancer types [1] - The incidence of stomach cancer in the 19 to 35 age group has increased by 89% over the past 30 years, with 70% diagnosed at advanced stages [1] Group 2: Lifestyle and Health Awareness - The article discusses the impact of lifestyle choices on cancer risk, noting that young people consume only one-third of the recommended daily fiber intake while exceeding the intake of processed meats by 2.8 times [6] - It highlights the correlation between obesity and cancer, with a threefold increase in obesity rates among those under 30 over the past decade, leading to a 3.6% annual increase in obesity-related cancers [6] - The narrative stresses the need for individuals to take proactive steps in managing their health, including dietary changes and regular health check-ups, to mitigate cancer risks [24][25] Group 3: Personal Experiences and Emotional Impact - The experiences of individuals diagnosed with cancer reveal the emotional toll and societal perceptions associated with the disease, as they navigate their identities as patients while trying to maintain normalcy in their lives [10][19] - The article illustrates the psychological challenges faced by cancer patients, including anxiety about their health and the fear of being labeled as "sick" by others [12][20] - It emphasizes the importance of support systems and the need for individuals to redefine their relationships with health and wellness post-diagnosis [14][22]

Industry Overview - The health check industry in China has evolved over 20 years, transitioning from a nascent stage to a capital-driven market, with major players like Aikang Guobin and Meinian Health emerging as leaders [3][4] - The industry has seen significant mergers and acquisitions, shaping the competitive landscape, with Aikang Guobin and Meinian Health currently dominating the market [7][10] Key Players - Aikang Guobin was formed in 2007 through the merger of Aikang and Guobin Medical Center, expanding its reach across major cities [9] - Meinian Health, founded in 2006, has aggressively expanded its number of health check centers, becoming a leading player in the industry [6][9] - Ciming Health, another key player, has faced challenges in its attempts to go public, impacting its competitive position [11][12] Market Dynamics - The competition among the three major players has intensified, with Aikang Guobin being the first to go public in 2014, followed by Meinian Health in 2015 [12][13] - The market has shifted from a three-player competition to a duopoly between Meinian and Aikang, following Ciming's struggles [18] Financial Performance - Aikang Guobin reported revenues of approximately $290 million and a net profit of $36.3 million for the fiscal year 2014, outperforming its competitors [9] - Meinian Health's revenue for 2024 was approximately 10.7 billion yuan, showing a slight decline of 1.76% year-on-year, with a significant drop in net profit by 44.18% [23] - Ciming Health's 2024 revenue was 2.972 billion yuan, down 1.56%, indicating a broader trend of declining performance across the industry [26] Challenges and Trends - The industry faces structural challenges, including a lack of technological advancement and reliance on traditional methods, leading to increased competition and price wars [19][27] - The market is witnessing a slowdown in the expansion of health check centers, with Meinian's count dropping from 703 to 576 centers, and Aikang's growth stagnating [23][26] - The introduction of AI technology in health checks is seen as a potential avenue for innovation, but widespread adoption will take time [27]

Core Viewpoint - The discussion around the affordability and effectiveness of health check-up packages priced at a few hundred yuan has gained attention, with consumers questioning what diseases can be detected through these packages [1][9]. Summary by Sections Health Check-up Packages - Various health check-up packages priced at a few hundred yuan typically include multiple imaging tests, ultrasound checks, laboratory tests, and routine examinations, as well as tumor screenings [2][12]. - Specific tests included in these packages cover heart, prostate, breast, liver, kidney, and gastrointestinal screenings, with tailored packages for different demographics such as middle-aged individuals and office workers [2][4]. Package Details - An example of a popular package is the 849 yuan elite health check-up, which includes 20 basic tests plus additional screenings like thyroid ultrasound and bone density tests [4]. - The TM12 test, which screens for 12 tumor markers, is included in many packages and is used to assist in diagnosing and monitoring various malignancies [5][13]. Effectiveness of Check-ups - Health check-up packages can identify potential health issues, with high-value tests such as chest CT scans and tumor marker tests being highlighted for their diagnostic capabilities [9][11]. - The accuracy of test results is emphasized by health service providers, who stress that abnormal results should lead to further examinations at hospitals [10][11]. Regulatory Standards - The "Health Check-up Quality Control Standards" were released to ensure quality management across health check-up services, focusing on structural, process, and result quality [14]. - The consensus on basic health check-up items includes physical examinations, laboratory tests, and auxiliary checks, which are generally covered by the low-cost packages [12][14]. Cancer Screening - Cancer screening methods in low-cost packages are relatively basic compared to more comprehensive approaches recommended by health authorities, which suggest a combination of diagnostic methods for different cancer types [13]. - The TM12 test is a common method used in these packages for tumor marker screening, but it is noted that not all cancer types will produce detectable markers [11][13].

Core Viewpoint - Aikang Group held a media briefing to address the incident involving Ms. Zhang, who claimed that her kidney cancer was not detected during ten years of health check-ups. The company asserts that there were no diagnostic errors or omissions in her health checks and has filed a lawsuit against her for defamation [2][4][15]. Group 1: Company Response - Aikang Group confirmed that there were no missed diagnoses or misdiagnoses in Ms. Zhang's health checks, and the company has taken legal action against her for spreading false information [2][4][15]. - The founder and CEO of Aikang Group emphasized the importance of health checks in early disease detection, stating that approximately 1.5 million cancer cases are identified through Aikang's services each year [4][5]. - The company highlighted that health checks are not equivalent to clinical diagnoses and are intended to guide patients to seek further medical evaluation if necessary [4][5]. Group 2: Incident Timeline and Findings - The timeline of events was reviewed, indicating that Ms. Zhang underwent a health check on October 9, 2023, where her report indicated potential issues with her kidneys and recommended further examinations [5][8]. - Aikang Group conducted internal and external reviews, confirming that the findings in Ms. Zhang's report were accurate and consistent with her ultrasound results [8][9]. - The company provided evidence of quality control in their testing processes and stated that all medical personnel are certified and comply with national regulations [9][11]. Group 3: Medical Expert Opinions - Medical experts clarified that the cancer marker CEA is not relevant for kidney cancer screening, as early diagnosis primarily relies on imaging techniques rather than blood tests [11][13]. - Experts also noted that there are currently no specific blood markers for early detection of kidney cancer, reinforcing the validity of Aikang's diagnostic approach [11][13]. - Aikang Group's medical professionals expressed concern over the misinformation spread by Ms. Zhang, which could undermine public trust in the healthcare system [14][15].

Core Insights - The report highlights the increasing health issues among the population in Beijing, emphasizing the importance of regular health check-ups [1][2][8] - The data collected from 1.483 million health check-ups reveals alarming trends in various health indicators, particularly among different age groups and genders [1][5] Group 1: Health Issues Identified - Bone density reduction/osteoporosis has become the leading health concern in Beijing, with a detection rate of 53.64% [2] - The detection rate for increased Body Mass Index (BMI) and thyroid nodules also exceeds 50%, marking them as significant health threats [2] - Fatty liver, carotid artery abnormalities, and elevated total cholesterol levels have detection rates above 30% [2] Group 2: Gender-Specific Health Trends - Male participants show a higher prevalence of increased BMI, with detection rates nearing 70%, and a fatty liver detection rate of 55.11% among men aged 40-49 [5] - In contrast, females have a higher detection rate of thyroid nodules at over 57%, with a significant increase in breast nodules from 25.33% in 2021 to 40.53% [5] Group 3: Cancer Detection Rates - Thyroid cancer has the highest detection rate among the cancer cases identified, exceeding 48%, with a total of 1,535 cancer diagnoses among the health check-up participants [8] - The cancer detection rate among individuals under 40 years old is concerning, with nearly one-third of the diagnosed cases falling into this age group [8] - The report suggests that the high detection rate of thyroid cancer is due to the widespread use of ultrasound in health check-ups, with a participation rate of 78.85% for thyroid ultrasounds [8]