（来源：经济参考报） 为有效破解医疗资源分配不均带来的问题，近年来各地大力推进各种形式的医疗联合体（以下简称"医 联体"）建设，不断优化医疗资源配置。同时，人工智能（AI）进入集中的技术爆发期，在医联体建设 中持续得到应用，有效助力优质医疗资源下沉、医疗机构服务水平提升和基层群众方便就医。从人员素 养、技术进步和制度完善等发展趋势看，AI将持续为医联体建设技术赋能。 医联体建设 与医联体建设几乎同步的是，AI进入集中的技术爆发期。2025年10月，国家卫生健康委办公厅、国家 发展改革委办公厅等联合印发《关于促进和规范"人工智能+医疗卫生"应用发展的实施意见》，对人工 智能在基层应用、临床诊疗、患者服务、中医药、公共卫生、科研教学、行业治理、健康产业等方面进 行了部署。借助AI技术，一些地方在医联体建设中正努力探索"上级医院+AI+基层医院"的管理机制和 业务体系。 首先，AI技术有效推进医联体诊疗一体化进程。在医联体建设实践中，一些地方通过推进AI技术应 用，探索建立从上级医院到基层医院一体化的智能诊疗体系，以有效解决医联体运行中地理跨度大、难 沟通、资源分散、基层需求强等难点。例如，有的地方建立基于AI技术 ...

Core Viewpoint - The conference on the high-quality development path of Traditional Chinese Medicine (TCM) medical alliances was held in Guangzhou, emphasizing the importance of collaboration between educational institutions and healthcare providers to enhance TCM services and accessibility [1][4]. Group 1: Conference Highlights - The conference was organized by the World Federation of Chinese Medicine Societies and attended by leaders from various healthcare and educational institutions, focusing on the expansion of quality medical resources [1]. - Solidarity in TCM medical alliances was showcased, with Solidarity Hall announcing partnerships with 13 new high-level medical alliance units, including top hospitals and universities [1][2]. Group 2: Educational Initiatives - Solidarity Hall launched the "Rising Talent Scholarship" in collaboration with Guangzhou University of Chinese Medicine to support students in nursing and related fields, aiming to align educational outcomes with industry needs [2]. - A strategic cooperation agreement was signed with China Traditional Chinese Medicine News to promote TCM culture and share best practices in medical alliance construction [2]. Group 3: Expert Contributions - The conference featured high-level reports, including insights from the National Medical Insurance Administration on integrating TCM services into the insurance system, and presentations on innovative TCM techniques [3]. - The event marked a new phase in TCM medical alliance construction, focusing on consensus building and collaborative efforts for effective outcomes [4].

Core Viewpoint - The article highlights the establishment of a referral platform between Deyang and Chengdu, which significantly streamlines the remote assessment and admission process for patients, reducing the need for physical travel and waiting times [1] Group 1: Referral Platform Development - Deyang has established referral platforms with four hospitals linked to Chengdu, including Deyang Second People's Hospital with Sichuan Provincial People's Hospital, Guanghan People's Hospital with Sichuan Provincial People's Hospital, Mianzhu People's Hospital with Sichuan University Huaxi Hospital, and Chengdu University of Traditional Chinese Medicine Affiliated Hospital Deyang Hospital with Chengdu University of Traditional Chinese Medicine Affiliated Hospital [1] - The remote assessment and confirmation of patient admission can now be completed in just over 10 minutes, enhancing efficiency in patient care [1] Group 2: Medical Alliance and Integration - Chengdu has formed 44 national-level specialty alliances that include Deyang medical institutions, covering key clinical disciplines such as neurosurgery, respiratory and critical care medicine, urology, oncology, and other essential specialty areas [1] - The ongoing efforts in building medical alliances between Chengdu and Deyang aim to improve healthcare services and address shortages in specialized medical fields [1]

Core Viewpoint - The establishment of a close-knit medical alliance between Shandong University of Traditional Chinese Medicine Second Affiliated Hospital and Chengwu County Public Traditional Chinese Medicine Hospital aims to enhance the quality of medical resources and promote the high-quality development of traditional Chinese medicine in county areas [1][19]. Group 1: Event Overview - The signing and unveiling ceremony for the medical alliance took place on December 16 at the Chengwu County Public Traditional Chinese Medicine Hospital [1]. - Key officials from both institutions attended the event, including the Secretary of the Discipline Inspection Commission of Shandong University of Traditional Chinese Medicine Second Affiliated Hospital and various leaders from Chengwu County [3][5]. Group 2: Significance of the Alliance - The alliance is seen as a rare opportunity for the development of Chengwu County's healthcare system, combining medical, teaching, research, prevention, and rehabilitation services [5]. - The collaboration is expected to enhance the regional healthcare service system, optimize resource allocation, and promote the balanced distribution of quality medical resources [7]. Group 3: Goals and Expectations - The leadership of Chengwu County Public Traditional Chinese Medicine Hospital expressed hopes that the collaboration will effectively improve the hospital's service capabilities, allowing local residents to access high-quality medical services conveniently [9]. - The successful signing of the cooperation agreement is viewed as a new bridge for the interaction between provincial quality medical resources and county-level traditional Chinese medicine hospitals [19].

Core Viewpoint - The article highlights the ongoing challenges in improving grassroots healthcare services despite the progress made through medical alliance reforms and the downward transfer of quality medical resources. Group 1: Current State of Grassroots Healthcare - Quality medical resources are increasingly being transferred to grassroots levels, enhancing the capacity of community healthcare services, yet the actual patient consultation rates in communities remain low [1] - Issues such as the inability to effectively transfer patients back to grassroots facilities and insufficient drug availability at these levels are emerging problems that need to be addressed [1] - The presence of specialists in communities has not translated into increased patient visits, indicating a gap between resource availability and actual service utilization [1] Group 2: Challenges in Implementation - The intention behind the downward transfer of specialists is to elevate grassroots healthcare service levels, but many specialists are not genuinely engaged in community healthcare, leading to ineffective implementation [2] - Inconsistent scheduling of specialists and inadequate communication about their availability hinder patient access to care, resulting in patients opting out of community healthcare [2] - The construction of medical alliances must focus on genuine resource integration and collaborative development to create an effective tiered healthcare system [2] Group 3: Enhancing Motivation and Trust - Improving the motivation of grassroots healthcare workers and specialists is crucial, as low salaries and limited career advancement opportunities negatively impact their engagement [3] - Establishing a reasonable incentive mechanism and support system, including performance-based compensation and professional development opportunities, is essential for enhancing the effectiveness of grassroots healthcare [3] - Building patient trust in grassroots healthcare services is equally important, as both the capability and willingness of healthcare providers to serve patients are necessary for making community healthcare a preferred choice [3]

Core Insights - The article highlights a significant change in the accessibility of medical services in Beijing, particularly for patients from outside the city, with a notable decrease in the number of external patients seeking treatment in major hospitals [1][5][6]. Group 1: Patient Access and Trends - Patients from outside Beijing have experienced a reduction in the need to travel to the city for medical care, with many able to secure same-day appointments at top hospitals [2][4]. - The proportion of external patients in Beijing's hospitals has decreased from a peak of 28.9% in 2019 to 30.15% in 2023, indicating a shift in patient demographics [6][7]. - The establishment of regional medical centers and local healthcare improvements has contributed to this trend, allowing patients to receive care closer to home [9][10][12]. Group 2: Healthcare Supply Expansion - Over the past decade, Beijing has expanded its healthcare supply significantly, adding 73 hospitals and increasing bed capacity by 33,000, resulting in a bed-to-population ratio of 7.09 per 1,000 people [18]. - Despite the increase in healthcare facilities, the bed occupancy rate has not returned to pre-pandemic levels, indicating a more balanced supply-demand dynamic [28][29]. - New hospital branches and expansions, such as the Beijing University First Hospital's Daxing branch, are expected to further alleviate patient congestion in central hospitals [23][24].

Core Viewpoint - The collaboration between Peking University Third Hospital and Linyi Jingyuan Yimeng Hospital marks a significant advancement in the healthcare development of the Yimeng revolutionary area, aiming to enhance local medical services through innovative models of cooperation [1][3]. Group 1: Collaboration and Agreements - The signing of the medical alliance agreement between Peking University Third Hospital and Linyi Jingyuan Yimeng Hospital signifies a new phase in the development of healthcare in the Yimeng region [1][3]. - The partnership aims to explore new models and pathways for medical alliance construction, contributing to the healthcare development in the Yimeng area [3]. Group 2: Specialties and Services - Linyi Jingyuan Yimeng Hospital is focusing on developing seven key specialty clusters, including orthopedics, general surgery, sports medicine, cardiology, neurology, gastroenterology, and oncology, ensuring comprehensive coverage and strong characteristics in key disciplines [5]. - The collaboration includes substantial support from Peking University Third Hospital through consultations, training, and resource sharing, allowing local residents to access high-level medical services nearby [6]. Group 3: Community Impact and Outreach - The first free clinic event saw over 600 patients treated in one day, while a subsequent event exceeded 800 patients in just three hours, demonstrating the effective response to community healthcare needs [8]. - The establishment of a multi-disciplinary consultation (MDT) model ensures high-quality medical services, combining expertise from both Peking University Third Hospital and local teams [10]. Group 4: Future Prospects and Goals - The medical alliance is viewed as a benchmark for high-quality healthcare development in the Yimeng revolutionary area, aiming to enhance regional medical capabilities and provide better services to the local population [12]. - The initiative is expected to facilitate the introduction of advanced technologies and innovative projects in Linyi, ultimately providing "Beijing-level" medical services to the local community [12].

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 Insights - The article discusses the high-quality development of public hospitals, focusing on Huazhong University of Science and Technology Tongji Medical College Affiliated Union Hospital's innovative practices and experiences in clinical specialty construction and operational management [1] Group 1: Hospital Development Strategies - The hospital has established key specialty groups focusing on hematology, cardiovascular diseases, and trauma, implementing a "three focuses" strategy to enhance clinical specialty development [1] - The strategy includes focusing on regional health needs, managing the entire disease cycle, and enhancing regional radiation capabilities through technology output [1] Group 2: Payment Reform Adaptation - The hospital is adapting to the national medical insurance payment reform, emphasizing DRG (Diagnosis-Related Group) management to balance cost control and medical quality [1] - The hematology department is developing advanced technologies and new services, such as outpatient day treatment for patients with clear diagnoses [1] Group 3: Medical Alliance Construction - Recommendations for building a close-knit medical alliance include establishing managed hospitals in collaboration with local governments and hospitals, and creating a "5G+AI" smart medical alliance cloud platform [1] - The hospital aims to strengthen specialized alliances and talent training, facilitating two-way referrals for complex cases and rehabilitation patients [1] Group 4: Talent Development - Talent is identified as the core driving force for hospital development, with strategies focusing on attracting and nurturing talent through various programs [2] - The hospital is implementing a comprehensive talent development system, including a "three famous and one excellent" talent cultivation project and a tiered training approach [2]

Overview - The core viewpoint of the article emphasizes the significant growth and transformation in China's hospital management sector, driven by government policies and increasing public health awareness [1][4][11]. Industry Background - The Chinese government has implemented various policies to promote the development of the healthcare industry, encouraging social capital to participate in medical services and advancing a multi-tiered healthcare system [4][11]. - The number of hospitals in China is projected to reach 39,000 by 2024, representing a year-on-year growth of 1.68% [1][9]. - The market size of the hospital management industry is expected to reach 806.28 billion yuan in 2024, with a year-on-year growth of 9.53% [1][11]. Industry Chain - The upstream of the hospital management industry includes medical devices, pharmaceuticals, hospital information management systems, and clinical information systems [7]. - The midstream consists of public hospitals, private hospital groups, and third-party hospital management service providers [7]. - The downstream includes patients and institutions requiring medical services, such as health check-up centers and nursing homes [7]. Current Development - The focus on improving medical quality and safety has led to significant advancements in healthcare services, with a notable increase in both the number of medical institutions and the quality of services provided [9]. - The rise in public health awareness has shifted patient expectations towards a more comprehensive range of services, including preventive care and health management [4][11]. Competitive Landscape - The hospital management industry features a mix of public hospitals, private hospital groups, and third-party service providers, each with distinct operational focuses and market strategies [13]. - Public hospitals are transitioning towards refined operations, while private hospitals emphasize market-driven models and specialized services [13]. - Third-party providers are adopting asset-light models to offer specialized management services, enhancing operational efficiency for hospitals [13]. Representative Companies - Aier Eye Hospital Group, established in 2002, has expanded its network to 881 facilities globally, with a significant presence in China [15]. - Runhua Service Group focuses on hospital logistics and management services, reporting a revenue of 904 million yuan in 2024, with a gross profit margin of 14.15% [17]. Future Trends - Hospitals are expected to enhance patient experience by streamlining processes such as online appointment scheduling and personalized medical services [19]. - There will be a stronger emphasis on cost control and resource optimization to improve operational efficiency amid policy pressures [19].