会议强调，南京将坚持高位统筹，因地制宜学习推广三明医改经验，推进改革整体联动，促进服务 上下协同，推动以治病为中心转向以人民健康为中心，在促进"三医"协同发展和治理上作示范；要落实 功能定位，聚焦疑难重症攻关，提升全域医疗服务能力，构建南京市"医学高峰+市域高地+区级龙头 +基层网底"的医疗服务格局，在推进优质医疗资源扩容下沉和均衡布局上作示范；要深化协同联动，进 一步打造整合型医疗卫生服务体系，推进紧密型城市医疗集团和紧密型县域医共体建设，构建医防协同 融合体系，在打造省会城市分级诊疗体系建设上作示范；要强化党建引领，深化人事编制与薪酬制度改 革，动态调整医疗服务价格，强化综合监管，落实政府投入责任，在构建维护公益性、调动积极性、保 障可持续的运行新机制上作示范；要推动互通共享，打造全民健康"一张网"，促进新一代信息技术与卫 生健康融合发展，打造更多的便民智慧服务场景，为群众提供更加精准、便捷的医疗健康服务，在数智 赋能卫生健康事业高质量发展上作示范。 近日，我市召开公立医院改革与高质量发展示范项目部署推进会。会议指出，2025年，南京市入 选中央财政支持公立医院改革与高质量发展示范项目，是践行以人民为中心 ...

2025.12. 02 本文字数：1899，阅读时长大约4分钟 作者 | 第一财经 吴斯旻 封图 | AI生成 "加减并举"控制公立医院床位规模和确保政府卫生投入规模，事关全国医疗卫生资源统筹规划和均 衡布局，以及以"公益性"为导向的公立医院发展。 12月2日，国家卫健委发布《2024年我国卫生健康事业发展统计公报》（下称"公报"）。公报显 示，在过去的一年，中国医疗机构床位规模保持增势，但扩张速度降至近五年来同比最低水平，其中 公立医院新增床位数出现自2020年以来首次下降；与之相对应的，是城乡基层医疗机构诊疗量比上 年增加2.3亿人次，分级诊疗成效出现。 公立医院新增床位数出现近五年首次下降 在过去的一年，公立医院床位扩张态势有所减缓，全国床位规模仍整体继续增加，每千人口医疗卫生 机构床位数由2023年7.23张增加到2024年7.32张。此外，当年，一二三级医院床位使用率同比上 一年都出现了由增转降现象。 公报显示，2024年末，全国医疗卫生机构床位1029.8万张，其中，医院占比达到78.8%（812.0万 张）。与上年比较，床位增加12.5万张，其中，公立医院增加7.0万张，民营医院增加4.5万张。 ...

不少地区已相继从调控区域床位规模走向控制三级公立医院分院区建设。 "加减并举"控制公立医院床位规模和确保政府卫生投入规模，事关全国医疗卫生资源统筹规划和均衡布局，以及以"公益性"为导向的公立医院发展。 12月2日，国家卫健委发布《2024年我国卫生健康事业发展统计公报》（下称"公报"）。公报显示，在过去的一年，中国医疗机构床位规模保持增势，但扩 张速度降至近五年来同比最低水平，其中公立医院新增床位数出现自2020年以来首次下降；与之相对应的，是城乡基层医疗机构诊疗量比上年增加2.3亿人 次，分级诊疗成效出现。 公立医院新增床位数出现近五年首次下降 图片来源：2024年我国卫生健康事业发展统计公报 2019~2024年，中国医疗机构床位规模同比增速整体呈现波动中下降趋势，其中2019年和2023年床位数较上一年的增长速度均超过4%，2024年床位数同比增 幅降至近六年最低水平，为1.2％。 第一财经梳理历年公报还注意到，去年公立医院新增床位数出现了自2020年以来首次下降。2020年~2024年，公立医院新增床位数分别为11.5万张、11.6万 张、15.6 万张、17.2万张和7.0万张。 "近年来，多个关键 ...

Core Viewpoint - The Jiangsu province is implementing a series of reforms to enhance public hospitals' focus on public welfare, reduce patient burdens, and improve healthcare experiences through coordinated efforts in medical services, financing, and technology [1][2][3]. Group 1: Financial Investment and Support - Since the beginning of the "14th Five-Year Plan," Jiangsu has invested 230 billion yuan in public hospital services, with an annual increase of 9.6% in operational subsidies [1] - In 2023, the provincial government allocated an additional 12.5 billion yuan to ensure high-quality development of public hospitals [1] - In Yangzhou, 4.5 billion yuan has been allocated in 2023 for public hospital infrastructure, equipment, and talent development, with a projected 32.9% increase in fiscal subsidies for 2024 [1] Group 2: Human Resources and Compensation - Jiangsu has increased public hospital staffing by 49,000 positions, focusing on critical specialties such as pediatrics and infectious diseases [2] - The proportion of personnel expenses to business expenses in Nanjing's hospitals reached 38.3%, a 5.4 percentage point increase since 2021, with fixed salaries now accounting for 49.2% of total expenses, up 7.2 percentage points [2] - The reforms aim to stabilize key departments by improving compensation for specialists in high-demand areas [2] Group 3: Healthcare Accessibility and Technology - Jiangsu is enhancing healthcare accessibility through initiatives like "no companion wards" and "pre-admission" models, which reduce patient burdens and waiting times [2] - The province is deploying a health business collaboration platform to integrate resources across public medical institutions, aiming for full coverage by next year [3] - The development of AI tools, such as "AI personal health assistants" and "AI general practitioners," is underway to provide personalized healthcare services and support [3] Group 4: Community and Grassroots Healthcare - Jiangsu has implemented the "Health Talent Strengthening Project" for seven consecutive years, increasing the number of grassroots health workers to over 350,000 [4] - The establishment of 565 community hospitals and 200 rural health centers aims to provide specialized services at the grassroots level [4] - A consultation and referral service center in Yancheng connects 19 high-level hospitals with local public medical institutions, facilitating accessible healthcare for residents [5]

Core Insights - Public hospitals are increasingly recognizing the dual nature of scale expansion on economic efficiency, with many experiencing financial losses despite increased fiscal input and medical service revenue [1][7] - The core of achieving the "public welfare" positioning of public hospitals lies in establishing a sound compensation mechanism, as the proportion of fiscal subsidies in total revenue remains low [1][3] - The "Fifteen Five" plan emphasizes the need for reform in public hospital compensation mechanisms, focusing on performance-based funding rather than fixed allocations based on bed numbers [8][9] Financial Performance - In 2022, fiscal subsidy income accounted for 12.92% of public hospital revenue, a decrease of 3 percentage points from its peak in 2020, while medical income constituted approximately 84.1% of total revenue in tertiary public hospitals [3] - The asset-liability ratio of public hospitals remains high at around 49.2% to 49.3%, indicating financial strain despite the expansion of services [6] Expansion and Resource Allocation - The trend of urban public hospitals expanding into multiple branches has led to an increase in total bed capacity, with hospitals averaging 3 to 6 branches each [4] - The expansion has resulted in a dilution of quality medical resources and significant disparities in service quality between branches [7] County-Level Hospital Challenges - County-level public hospitals face operational challenges due to patient siphoning by urban hospitals, leading to insufficient medical income and increased expenditure pressures [10][12] - The current reimbursement policies favor urban hospitals, exacerbating the financial difficulties of county hospitals [11] Policy and Reform Directions - The "Fifteen Five" plan outlines four key areas for reform: enhancing fiscal support for county and grassroots medical institutions, increasing government investment, implementing personnel funding subsidies, and providing financial support for underfunded medical services [14][15]

Core Viewpoint - Anhui Province is implementing the "Sanming Medical Reform" experience to enhance public hospital services, focusing on improving healthcare accessibility and affordability for the local population [1][2]. Group 1: Financial Support and Policy Implementation - Anhui Province has allocated 820 million yuan for public hospital development and clinical specialty construction, marking a 13.6% increase in health investment compared to the previous year [2]. - The province has established a dynamic allocation system for public hospital staffing, optimizing resources across over 200 public medical institutions [2]. - In Fuyang City, the proportion of fiscal investment in public hospitals has increased to 15.2% in 2024, up by 6.3 percentage points since 2020 [2]. Group 2: Resource Allocation and Service Improvement - Over 5 billion yuan has been invested in the construction of healthcare facilities at county, township, and village levels in Shouxian County, addressing the healthcare needs of its population [3]. - The county has reduced the external transfer rate of cancer patients by 12.9% through the enhancement of clinical specialties and local healthcare capabilities [3]. - Collaborative efforts among hospitals have led to the establishment of regional specialty medical centers, improving local healthcare service quality [3][4]. Group 3: Technological Integration and Patient Services - The Anhui Provincial Hospital has connected with over 60 hospitals for remote consultations, completing over 3,000 online consultations and 500 remote pathology diagnoses in the past three years [4]. - A comprehensive medical imaging cloud has been established, linking 2,385 medical institutions for mutual recognition of medical examination results [5]. - Online services such as appointment scheduling and electronic health record access have been implemented, enhancing patient convenience and reducing the need for physical visits [6].

Core Insights - The National Health Commission of China is promoting the experience of Sanming medical reform, focusing on public hospital reform guided by public welfare [1] - Beijing's government emphasizes the integration of medical services, with a unified leadership structure overseeing the "three medical" (medical services, medical insurance, and medical regulation) initiatives [1] Group 1: Resource Allocation and Investment - The government has invested over 18.4 billion yuan to redistribute quality medical resources from urban centers to suburban areas, reducing the density of hospital beds in central districts by over 2,700 [2] - The bed-to-population ratio in suburban areas increased by approximately 14%, from 4.6 beds per thousand people in 2020 to 5.3 beds [2] - A total of 62 comprehensive medical alliances and 122 specialized medical alliances have been established, covering over 800 medical institutions [2] Group 2: Public Hospital Reform - The core objectives of public hospital reform are to maintain a public welfare orientation and promote high-quality development [2] - Personnel allocation is prioritized for clinical frontline staff, researchers, and scarce talent, with medical service revenue increasing by 12.8 percentage points post-reform [2] - Pediatric departments are receiving enhanced support, with salaries for pediatric staff aimed to be at least 1.2 times the average salary of medical staff in their institutions [2] Group 3: Information Technology Initiatives - The Beijing government is prioritizing the construction of a healthcare information system, with monthly meetings to coordinate efforts across health, insurance, and drug regulation sectors [3] - A unified appointment platform has been established, with nearly 300 hospitals synchronizing their appointment schedules, and 22 municipal hospitals have decentralized their outpatient services to grassroots levels [3] - Online services have expanded significantly, with 102 internet hospitals and 307 medical institutions providing online diagnosis and treatment, resulting in a 45% increase in online consultations compared to the previous year [4]

Group 1 - The National Taxation Administration will introduce tax reform and development during the "14th Five-Year Plan" period in a press conference [1] - The Ministry of Transport will hold a press conference to discuss the protection of legal rights for truck drivers [2] - The National Health Commission will promote the Sanming medical reform experience and deepen public hospital reform in a press conference [3] Group 2 - A total of 350.8 billion yuan worth of restricted shares will be unlocked today, with 21 companies involved and a total of 1.417 billion shares released [4] - Nine companies have over 10 million shares unlocked, with Copper Crown Copper Foil, Shanghai Electric, and Luguan Technology leading in unlock volume [4] - The unlocking value for Copper Crown Copper Foil, Luguan Technology, and Yidong Electronics is 125.4 billion yuan, 85.29 billion yuan, and 33.96 billion yuan respectively [4] - Eight companies have an unlocking ratio exceeding 10%, with Copper Crown Copper Foil, Jun Cheng Technology, and Yidong Electronics having the highest ratios of 72.38%, 71.28%, and 60.55% respectively [4] Group 3 - 170.7 billion yuan of 7-day reverse repos will mature today, with an operation rate of 1.40% [5]

Core Insights - The central government has announced a list of cities selected for the 2025 Central Financial Support for Public Hospital Reform and High-Quality Development Demonstration Projects, with Nanjing being one of the selected cities [1][2] - The demonstration project aims to enhance the capacity of municipal and county-level public hospitals, control unreasonable growth in medical costs, and promote the construction of smart hospitals [1][2] Group 1 - The project will leverage central financial support to stimulate local reform efforts, focusing on public hospital reform guided by public welfare [1] - Nanjing has been recognized for its commitment to health-first development, having undertaken 18 national medical reform pilot tasks and receiving accolades from the State Council and provincial government [2] - Nanjing is one of only two provincial capital cities selected among the final 20 cities for the demonstration project [2] Group 2 - The city aims to establish a high-quality integrated healthcare service system by 2027, with a focus on five major projects, including the expansion of quality medical resources and the construction of a tiered diagnosis and treatment system [2] - The implementation plan includes 18 key tasks to achieve the goal of becoming a health hub in the Yangtze River Delta region [2] - The project emphasizes the importance of regional balance in healthcare resource distribution to meet the public's demand for accessible medical services [1][2]

Core Insights - The core viewpoint of the article emphasizes the acceleration of achieving the goal of "serious illnesses not leaving the province" in Shandong, with significant improvements in healthcare accessibility and affordability [2][3]. Group 1: Healthcare Reform and Investment - The Shandong provincial government has seen an annual increase of 25% in financial support for public hospitals over the past five years [2]. - The implementation of centralized procurement policies for drugs and high-value medical consumables has led to significant price reductions, such as the price of cochlear implants dropping from over 200,000 yuan to around 50,000 yuan, a reduction of 75% [2]. Group 2: Healthcare Capacity and Accessibility - By 2024, the hospitalization rate within county areas is projected to reach 84.4%, indicating a strong focus on local treatment for general illnesses [2][3]. - The proportion of grassroots medical treatment is expected to reach 63.3% in 2024, reflecting an emphasis on local healthcare services [2][3]. - Shandong has established 866 national and provincial clinical key specialties, forming a network for the treatment of difficult and severe cases across the province [2]. Group 3: Community and Grassroots Healthcare Initiatives - Over 10,000 village clinics have been standardized and renovated, with more than 10,000 healthcare professionals deployed annually to support rural areas [3]. - The province has implemented measures to enhance convenience in medical services, such as appointment scheduling and bedside admission processes, improving patient experience [3]. - A total of 831 medical institutions have connected to a provincial platform for mutual recognition of inspection and testing results, with 429 recognized projects and 8.7 million mutual recognitions completed, reducing the burden on patients [3].