转自：贵州日报 国家卫生健康委员会发布的《成人健康体检项目推荐指引（2025年版）》（以下简称《指引》），引 入"健康体检自测问卷"作为体检前导，并将心理健康量表筛查纳入评估体系，推动体检从"标准化套 餐"向"风险导向型"模式转变，为18岁及以上人群提供更科学、更精准的健康体检指导。 《指引》的推出，有助于进一步规范健康体检行为，维护受检者健康权益，推动健康体检行业高质量发 展。 从被动的受检者转变为主动的健康参与者 "《指引》具有较强的权威性、指导性和实操性。"中华医学会健康管理学分会第五届主任委员郭清教授 说。2009年原卫生部出台《健康体检管理暂行规定》，是相关领域早期指导性文件；中华医学会健康管 理学分会2014年发布《健康体检基本项目专家共识》，并于2022年进一步修订。 《指引》在此前基础上，结合疾病谱变化与医学证据更新，进行系统性修改、完善，推动健康体检向健 康管理模式转变。 成人健康体检的关键任务在于促进加强常见疾病管理与重大疾病早诊早治。《指引》中明确的恶性肿瘤 风险涵盖肺癌、肝癌、胃癌等类型，"通过规范体检，这些肿瘤早期发现的可能性较高。"中华医学会肿 瘤学分会主任委员、四川省肿瘤医院院长 ...

国家卫生健康委员会发布的《成人健康体检项目推荐指引（2025年版）》（以下简称《指引》），引 入"健康体检自测问卷"作为体检前导，并将心理健康量表筛查纳入评估体系，推动体检从"标准化套 餐"向"风险导向型"模式转变，为18岁及以上人群提供更科学、更精准的健康体检指导。 《指引》的推出，有助于进一步规范健康体检行为，维护受检者健康权益，推动健康体检行业高质量发 展。 从被动的受检者转变为主动的健康参与者 健康体检自测问卷是《指引》的一大亮点，自测问卷包括个人生活方式、既往病史、家族疾病史等内 容，可引导受检者主动审视自身健康状况，并为后续体检项目推荐和评估提供关键依据。 自测问卷还纳入了焦虑、抑郁等心理量表。在郭清看来，这一举措与聚焦身体疾病的传统认知不同，有 助于推动行业和社会对心理健康同等重视，为全面健康管理建立基础。 此外，《指引》针对心脑血管疾病、常见恶性肿瘤、慢性阻塞性肺疾病、2型糖尿病、骨质疏松、慢性 肾病及认知功能障碍等疾病风险人群，将疾病风险筛查项目划分为优选推荐与可选项目两个层级，当基 本体检提示风险信号时，可依据《指引》建议开展针对性深度风险筛查，弥补基本体检的局限性。 "《指引》具有较强的 ...

《指引》的推出，有助于进一步规范健康体检行为，维护受检者健康权益，推动健康体检行业高质量发 展。 从被动的受检者转变为主动的健康参与者 "《指引》具有较强的权威性、指导性和实操性。"中华医学会健康管理学分会第五届主任委员郭清教授 说。2009年原卫生部出台《健康体检管理暂行规定》，是相关领域早期指导性文件；中华医学会健康管 理学分会2014年发布《健康体检基本项目专家共识》，并于2022年进一步修订。 《指引》在此前基础上，结合疾病谱变化与医学证据更新，进行系统性修改、完善，推动健康体检向健 康管理模式转变。 成人健康体检的关键任务在于促进加强常见疾病管理与重大疾病早诊早治。《指引》中明确的恶性肿瘤 风险涵盖肺癌、肝癌、胃癌等类型，"通过规范体检，这些肿瘤早期发现的可能性较高。"中华医学会肿 瘤学分会主任委员、四川省肿瘤医院院长林桐榆教授介绍。 《指引》有助于推动癌症三级预防理念进一步落地：一级预防关注病因阻断，如通过接种HPV疫苗预防 宫颈癌；二级预防着眼于早诊早治；三级预防则强调规范治疗。"如果在疾病早期通过筛查实现干预， 一定程度上可延缓疾病进展，甚至逆转部分早期病变。"林桐榆说。 "体检机构在告知异常 ...

Core Points - The National Health Commission of China has issued the "Adult Health Examination Project Recommendation Guidelines (2025 Edition)" to standardize health examination practices and protect the health rights of examinees [1] Group 1: Guidelines Overview - The guidelines include a self-assessment questionnaire, basic examination items, and chronic disease risk screening projects [1] - The self-assessment questionnaire covers personal information, medical history, lifestyle information, and mental health status to evaluate the examinee's health risks [1] - Basic examination items consist of physical examinations, laboratory tests, and auxiliary checks, which are essential for establishing health records and supporting subsequent health management [1] Group 2: Chronic Disease Screening - Chronic disease risk screening projects are tailored for individuals at risk of cardiovascular diseases, common malignant tumors, chronic respiratory diseases, and diabetes, based on the self-assessment questionnaire [1] - These projects include personalized in-depth examination items to facilitate early diagnosis and treatment [1] Group 3: Applicability - The guidelines apply to individuals or organizations conducting collective health examinations for individuals aged 18 and above to identify health issues and risks early [1] - The guidelines do not cover specific examinations such as pre-employment, occupational health checks, school entry, military service, marriage checks, or public health service examinations [1]

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]