新华社北京9月27日电 题：提升全民健康获得感的关键所在——从2025年中国卫生发展论坛看"三 医"协同 "下一步要持续推动中医药融入分级诊疗体系，发挥其在治未病、重大疾病和康复中的独特作 用。"严华国说。 新华社记者 李恒、彭韵佳 推动"三医"协同发展和治理，是深化医改、提升全民健康获得感的关键所在。 9月27日，2025年中国卫生发展论坛在京举行，主题聚焦"'三医'协同发展和治理：跨部门行动与改 革"。相关部门负责人围绕医疗、医保、医药三大体系的深度融合展开深度对话，并探讨下一步发展方 向。 医疗：从"以治病为中心"转向"以健康为中心" 国家卫生健康委副主任、国家疾控局局长沈洪兵指出，"三医"协同不仅是深化医改的重要目标，更 是推动卫生健康事业高质量发展的关键路径。 党的十八大以来，我国医疗卫生服务体系持续优化，全国已设置13个类别26个国家医学中心、125 个国家区域医疗中心和114个省级医疗中心，优质医疗资源不断向中西部和基层下沉。 "当前，全国338个地市（州、盟）实现医学检查结果互认，互认项目超过200项；紧密型城市医疗 集团和县域医共体建设加快，2024年双向转诊人次达3600万，较2020年增 ...

Core Viewpoint - The implementation of the National Basic Public Health Service Project in Jiangsu has significantly improved public health services over the past 15 years, transitioning from a disease-centered approach to a health-centered model, enhancing the overall health of residents [1][2]. Funding and Financial Support - By 2025, the per capita basic public health funding in Jiangsu has reached 108 yuan, exceeding the national standard, with a mechanism established for seasonal pre-allocation and year-end assessment to ensure precise fund allocation [3]. Service Quality Improvement - Jiangsu has expanded its basic public health services to include 12 categories, such as health records, health education, and chronic disease management, with over 90% of residents having electronic health records by 2024 [4][6]. - The management of chronic diseases has evolved to include multiple conditions, with services like hypertension and diabetes management being integrated into a comprehensive screening and prevention center [4][5]. Community Health Initiatives - Local health workers, such as village doctors, are actively involved in managing residents' health, conducting free health check-ups, and establishing personalized health records for chronic disease management [2][4]. - Innovative services like digital vaccination management and personalized exercise prescriptions are being introduced to enhance community health engagement [6][8]. Future Directions - Jiangsu plans to focus on deepening the integration of medical and preventive services, enhancing digital capabilities, and providing targeted services for specific populations, particularly the elderly and children, to meet the evolving health needs of residents [8].

Core Insights - Jiangsu Province has transformed its basic public health services over the past fifteen years, shifting focus from "treatment" to "health" for the benefit of citizens [1][5]. Group 1: Service Development - Since 2009, Jiangsu has significantly increased its financial support for basic public health services, raising the subsidy from 15 yuan to 108 yuan by 2025, covering areas such as health education, vaccination, elderly health management, and chronic disease management [1][5]. - The introduction of the "Jiangsu Provincial Grassroots Health Regulations" has elevated basic public health services from administrative tasks to legal obligations, enhancing accountability [2]. Group 2: Innovative Management Approaches - Jiangsu has established a management principle that ensures efficient collaboration among professional public health institutions, general hospitals, and grassroots medical organizations [2]. - Innovative models for chronic disease management have been developed, such as the "three professionals co-management" model in Nanjing, which involves doctors, exercise prescription specialists, and social sports instructors working together to create personalized exercise plans for chronic disease patients [2][4]. Group 3: Health Outcomes - The implementation of a comprehensive service management information system for vaccination has enabled real-time tracking and management across the province [5]. - Key health indicators for residents have improved significantly, with health literacy reaching 40.07% in 2024, an increase of 24.77 percentage points since 2009, and effective control of major diseases and chronic conditions [5].

Core Viewpoint - 百克生物 is facing challenges in the vaccine market, leading to a decline in revenue and profit, but is implementing strategies to enhance public awareness and drive demand for its products [2][3]. Group 1: Company Overview - 百克生物 specializes in the research, production, and sales of human vaccines, with approved products including varicella vaccine, nasal influenza vaccine, herpes zoster vaccine, and liquid nasal influenza vaccine [1]. - The company has a leading market share in varicella vaccine and is the only domestic provider of the nasal influenza vaccine, which significantly improves vaccination compliance [1][3]. - The herpes zoster vaccine is the first of its kind developed for individuals aged 40 and above in China, providing a new preventive option for the public [1][3]. Group 2: Financial Performance - In the first half of 2025, 百克生物 reported revenue of 285 million yuan and a net loss of 73.57 million yuan, with a non-recurring net profit loss of 82.23 million yuan [2]. - The decline in revenue and profit is attributed to a significant drop in the issuance of non-immunization planning vaccines, with some products seeing a decrease of over 50% in issuance batches [2]. Group 3: Market Challenges and Strategies - The company is closely monitoring market dynamics and is adopting innovative marketing strategies to enhance public awareness of related diseases and stimulate demand for vaccinations [2][3]. - 百克生物 is committed to an innovation-driven development strategy, increasing R&D investment to accelerate the progress of its pipeline and prepare for future growth opportunities [2].

Core Viewpoint - The implementation of the "Medical and Health Strengthening Project" aims to enhance the capacity of grassroots medical services in China, addressing the uneven development and insufficient capabilities of the healthcare system at the grassroots level [2][3]. Summary by Sections Implementation Plan Overview - The State Council officially released the "Implementation Plan for Strengthening Medical and Health Services" on September 10, which was jointly drafted by the National Health Commission and the National Development and Reform Commission [2]. - The plan aims to improve the layout of grassroots medical institutions by 2027, ensuring that residents can reach the nearest medical service point within 15 minutes [3]. Key Goals and Tasks - By 2030, the grassroots medical service system is expected to be further improved, with a significant increase in the service volume of county-level and lower medical institutions [3]. - The plan outlines 12 key tasks focusing on system improvement, service optimization, and strengthening disease control and traditional Chinese medicine [3]. Strengthening Grassroots Medical Services - The plan emphasizes the need for continuous service for key populations, aiming for a 70% management rate for hypertension and type 2 diabetes patients at the grassroots level by 2030 [3][4]. - It also aims to enhance the capabilities of grassroots medical institutions to perform specific medical procedures, such as cataract surgery and dialysis, by 2030 [4]. Resource Allocation and Incentives - The plan encourages the allocation of resources from higher-level hospitals to grassroots institutions, including reserving appointment slots for local healthcare facilities [6]. - It proposes a multi-channel income mechanism for grassroots healthcare institutions, with a reported increase of 15% in medical service revenue for government-run grassroots institutions in 2023, totaling over 140 billion yuan [6][7]. Healthcare Financing and Payment Reforms - The plan includes reforms in medical service pricing and payment methods, promoting a multi-faceted payment system that favors grassroots healthcare institutions [7]. - It emphasizes the need for increased fiscal support for public health institutions and basic public health services, ensuring that government funding is directed towards grassroots healthcare [7].

Core Points - The implementation of the "Healthcare Strengthening Project" aims to enhance grassroots medical service capabilities and is a key component of the "14th Five-Year Plan" [1][2] - The project emphasizes the integration of medical insurance reimbursement benefits towards grassroots healthcare and aims for comprehensive coverage of mobile medical services in under-resourced counties [1][4] Group 1: Implementation Goals - By 2027, the layout of grassroots medical institutions will be more rational, with a goal for residents to reach the nearest medical service point within 15 minutes [2] - By 2030, the service volume of county-level and below medical institutions is expected to increase significantly, with a notable improvement in the hierarchical diagnosis and treatment system [2][3] Group 2: Key Tasks and Metrics - The implementation plan outlines 12 key tasks focusing on system improvement, service optimization, and strengthening disease control and traditional Chinese medicine [2] - Specific targets include achieving a 70% management rate for hypertension and type 2 diabetes patients at the grassroots level by 2030 [2][3] Group 3: Resource Allocation and Support - The plan encourages the allocation of medical resources from higher-level hospitals to grassroots institutions and promotes a "fixed + mobile" service supply model [4] - It also emphasizes the need for a performance evaluation system to enhance the quality of grassroots healthcare services [4][6] Group 4: Financial and Policy Support - The project highlights the importance of increasing financial input from both central and local governments to support public health institutions and basic public health services [6] - Reforms in medical service pricing and insurance payment methods are proposed to ensure that grassroots healthcare institutions receive a larger share of funding [5][6]

Core Insights - The company is closely monitoring market dynamics and is implementing innovative marketing strategies to enhance public awareness of related diseases and stimulate demand for vaccinations [1][2] - The approval of the nasal spray influenza live attenuated vaccine marks a significant addition to the company's product lineup, enhancing its core competitiveness [1] - The company is actively conducting clinical research to expand the target population for its influenza vaccine, aiming to include a broader age range [1] Research and Development - The company has 16 ongoing research projects, with 11 in clinical trial approval or registration stages, and has invested 98.2 million yuan, accounting for 34.47% of its revenue [2] - Several products in the pipeline have made significant progress, including the recombinant shingles vaccine and adjuvanted influenza vaccines, with some already receiving clinical trial approvals [2] - The company is exploring new marketing models in line with product characteristics and public health policies [2] Marketing and Public Engagement - The company is enhancing awareness of the shingles vaccine through academic promotion and public education, aiming to correct misconceptions and increase vaccination rates [3] - Collaborations with local governments are being pursued to integrate vaccines into public health projects, reducing the economic and psychological burdens of shingles on patients [3] - The company is expanding its overseas market presence through international industry exhibitions and is progressing with product registrations in countries like Russia [3]

Core Viewpoint - The company is adapting to external challenges and market competition by innovating marketing strategies and increasing R&D investments to enhance public awareness of disease prevention and stimulate demand for vaccinations [1][2][3]. Group 1: Financial Performance and R&D - In the first half of 2025, the company reported a significant decline in operating performance due to external factors and decreased vaccination willingness among the public [1]. - The company invested CNY 98.2 million in R&D, accounting for 34.47% of its revenue, with 16 ongoing projects, 11 of which are in clinical trial or registration stages [3]. Group 2: Product Development and Approvals - The company received approval for its liquid nasal spray influenza vaccine, enhancing its product portfolio and competitive edge [2]. - The company is conducting clinical research to expand the influenza vaccine's target population to include adults aged 18-59, aiming to provide new immunization options [2]. Group 3: Marketing Strategies - The company is implementing innovative marketing strategies focused on academic promotion and public education to correct misconceptions and increase awareness of its vaccines [4]. - The company participated in major academic conferences to showcase its technological breakthroughs and clinical applications in the field of live attenuated vaccines [4]. Group 4: Social Collaboration and International Expansion - The company collaborates with local governments to integrate vaccines into public health projects, aiming to alleviate the economic and psychological burdens of diseases like shingles [5]. - The company is actively pursuing international market expansion and product registration in countries like Russia, enhancing its global presence [6].

Group 1 - The core message emphasizes the integration of disease prevention and treatment in Shenzhen's healthcare management, focusing on community health services and expert involvement [1][2] - Shenzhen has established 16 specialized teams for integrated medical prevention, targeting specific diseases and enhancing community healthcare capabilities [1][2] - The "Love You from the Heart" screening initiative has reached over 1.2 million residents, with significant findings indicating that 65% of individuals aged 45 to 75 in Nanshan District are at risk for cardiovascular diseases [2][4] Group 2 - The project for chronic obstructive pulmonary disease (COPD) management has been initiated in community health centers, with a focus on early screening and treatment for high-risk populations [3][4] - The integration of pediatric care has improved service capabilities in community health centers, with over 120 centers now offering enhanced pediatric services [5][6] - The establishment of specialized clinics for chronic cough in children demonstrates the commitment to addressing common pediatric health issues through expert support and training [6]

Core Viewpoint - The pilot program granting public health physicians prescription rights in Guangdong aims to enhance the integration of medical and preventive services, particularly for chronic disease management [2][4]. Group 1: Implementation of Prescription Rights - The first public health physician prescription in Zhongshan was issued on August 19, coinciding with China's Physician Day, marking a significant step in the pilot program [1]. - A total of 20 public health physicians in Zhongshan are now authorized to prescribe for 18 specific diseases, including diabetes and hypertension, across five community health service centers and three medical institutions [2][4]. Group 2: Benefits for Patients - Patients like Jiang Dandan have reported significant time savings, with the ability to receive prescriptions directly from public health physicians, reducing the need for lengthy hospital visits [3]. - The new prescription rights allow public health physicians to provide a complete service loop for chronic disease management, including follow-up, assessment, guidance, and medication [4]. Group 3: Broader Implications for Public Health - The initiative is expected to improve the continuity and coordination of care for chronic disease patients, addressing the challenges faced by public health physicians who previously could not prescribe medications [5]. - The program aims to create an integrated model of disease prevention and management, enhancing the overall effectiveness of public health services [5].