近日，重组带状疱疹疫苗在我国获批了新适应证，将接种对象范围从50岁及以上人群扩展至18岁及以上 因免疫缺陷或免疫抑制导致带状疱疹风险增加的成人。这项新适应证在本市率先"开打"，不仅为年轻高 风险人群提供了主动预防的选择，也为申城筑牢重点人群免疫屏障提供了关键支撑。 警惕这种感染病"卷土重来" 很多人小时候都出过水痘，那种满身红疹、奇痒难耐的日子或许早已淡忘。而鲜为人知的是，引起水痘 的罪魁祸首水痘-带状疱疹病毒，并没有真正离开，它会长期潜伏在神经里。当身体抵抗力下降时，它 就会伺机而动，引发带状疱疹。带状疱疹是由水痘-带状疱疹病毒引起的一种感染性皮肤病，通常表现 为位于面部或身体单侧的伴有疼痛的皮疹，可能造成皮肤损伤。带状疱疹好发部位是腰腹部，呈带状沿 某一支神经走行分布，一般不超过正中线，民间常叫它"缠腰龙"。疼痛是另一个典型症状，有些人在皮 疹消退后，带状疱疹后遗神经痛还会持续数月甚至数年。 数据显示，超过90%的成人体内潜伏有水痘-带状疱疹病毒，大约1/3的人在一生中会患带状疱疹，中国 每年的带状疱疹病例数可能超过600万例。然而，带状疱疹的高发病率与公众对其风险的低估之间，存 在一道"认知鸿沟"。 同 ...

2023年以来，作 为省首批"百千 万工程"典型 县、省首批以县 城为重要载体的 新型城镇化建设 试点，连州进一 步探索"334"模 式，以县乡村三 级医疗服务能力 协同提升为核心 支撑，推动优质 医疗资源、医防 融合与血液透析 等精准下沉，坚 持大型设备、检 查检验结果、就 诊数据和中心药 房四类资源全域 共享，铺就一条 清远连州：三维 提升实现"大病 不出县"，优质 医疗可感可及_ 南方+_南方plus 清远连州偏居粤 北山区，自2019 年成为全国紧密 型县域医共体建 设试点以来，以 破冰之势深耕医 疗改革，实现资 源整合高效、服 务下沉精准、效 能提升显著，为 千年文脉增添了 一张响亮的健康 名片。 优质医疗可感可 及的民生之路。 改革成效在数据 里可见分晓：连 州县域内住院率 连续十年稳超 90%，2025年上 半年为92.0%， 位列全省第 三，"大病不出 县"的美好愿景 照进现实。 让患者在基层卫生院就享受到大医院的医疗检查服务 县域服务能力全 面提升 2025年7月，连 州市人民医院紧 急收治了一名转 诊来的特殊患儿 ——胎龄仅28+2 周、出生体重仅 1.2公斤的林宝 宝，因为各器官 发育尚 ...

Group 1 - The core viewpoint of the article emphasizes the establishment of a modern public health governance system in Hangzhou, focusing on the integration of disease control and health supervision to enhance public health and safety [4][5][6] - The Hangzhou model for infectious disease prevention has transitioned from passive response to proactive defense, with effective emergency drills and a robust monitoring system in place [5][6][7] - Significant technological innovations have been implemented to ensure precise prevention and effective protection against infectious diseases, with successful practices being adopted nationwide [7][8] Group 2 - The public health initiative aims to enhance the well-being of citizens by shifting from merely treating diseases to managing overall health throughout the life cycle [8][9] - Free vaccination programs for influenza and HPV have been expanded, benefiting thousands and maintaining low infection rates among the elderly [9][10] - Over the past five years, key health metrics have improved, including a decrease in premature mortality rates from major chronic diseases, reflecting the effectiveness of public health measures [10] Group 3 - The regulatory approach has evolved from traditional face-to-face inspections to a smart, cloud-based warning system, significantly improving enforcement efficiency [11][12] - The implementation of an online monitoring system for medical practices has led to timely alerts for unregistered medical procedures, enhancing public safety [11][12] - The integration of artificial intelligence in public health governance has transformed the oversight of medical practices, making it more efficient and precise [12]

作者 | 第一财经 吴斯旻 超20%的人口为60岁以上老年人；"两慢病"住院费用年增长率一度达到22%，但参保人门诊报销年度 封顶线仅1500元；辖区内行政村达数百个，但政府办村卫生室占比少……这是浙江温州一个常住人 口约百万级的县城——平阳县，曾长期面临的县域医疗发展困境。 近期，第一财经记者对平阳县医改工作进行实地调研。通过三年多的紧密型医共体建设和"两慢 病"（高血压、糖尿病）改革，该县医保资金从2022年的超支2000余万元，到2024年实现3000万元结 余；与此同时，"两慢病"住院总费用增长率从22%降至12%，重点慢病及并发症控制的健康效益逐渐 显现。 平阳县的变化正是中国县域地区通过紧密型医共体改革，解决"患者不来、医护不去"问题的一个缩 影。 国家卫健委在《关于全面推进紧密型县域医疗卫生共同体建设的指导意见》中提出：到2025年底， 紧密型县域医共体建设取得明显进展，支持县域医共体建设的组织管理、投入保障、人事编制、薪酬 待遇、医保支付等政策进一步完善。 2025.12. 22 本文字数：4432，阅读时长大约7分钟 根据该委11月底发布的最新数据：全国目前共建设运行了3099个紧密型县域医 ...

作者：郝晓宁（国家卫生健康委卫生发展研究中心研究员） 日前，国家卫生健康委相关负责人在基层医疗卫生服务进展成效新闻发布会上指出，"十四五"以来，基 层医疗卫生机构诊疗量占全国诊疗量比例始终保持在50%以上，全国超90%居民已步入"15分钟医疗 圈"，我国基层医疗健康事业实现历史性跨越。 "15分钟医疗圈"的建设完善，不仅指地理距离的缩短，更是服务质量的全面提升。近年来，国家紧抓县 域医疗服务能力提升，乡镇卫生院和社区卫生服务中心普遍配备常用检查设备，中医馆、远程会诊大范 围铺开，家庭医生签约服务全面推广，重点慢病管理逐年规范，群众对基层满意度持续提升。未来， 把"15分钟医疗圈"做得更扎实、更可持续，需要在强基层、促健康、保连续三个环节下功夫。 资源下沉是提升基层医疗服务能力的关键，如此才能减少跨区域就医，降低就医成本，让群众在家门口 就能享受到较好的医疗服务。实施县级医院能力提升工程，支持县级医院补齐一些薄弱专科，让县级医 院成为县域医疗服务的龙头和枢纽。依托中央投资支持边远地区乡镇卫生院改扩建，对人口较少的行政 村通过巡回医疗、流动服务车、互联网诊疗等方式实现服务覆盖，确保偏远地区群众也能享受到基本医 疗 ...

根据该委11月底发布的最新数据：全国目前共建设运行了3099个紧密型县域医共体，基本覆盖了全部的 县和县级市以及1/3的城市区，惠及全国超六成人口（9.24亿），并有超过一半的县（市、区）正在积 极探索和落实对县域医共体实施总额付费、结余留用的政策。 但医共体人财物一体化建设的挑战依然存在。记者了解到，在平阳县，尽管医保控费、医疗强基和慢病 管理的多重目标均取得进展，但面对有限的医保和财政资金，当地县医院维持自身公益性运行机制以及 落实分级诊疗体系中的功能定位仍存在补偿缺口。 更为关键的是，城市医院的虹吸效应仍然突出，"10%左右的异地住院患者花费了超四成的县域医保基 金"，继而导致当地紧密型医共体单位面临医疗行为渐趋饱和但可支配收入增速放缓的压力。 城市医院的虹吸效应仍然突出，"10%左右的异地住院患者花费了超四成的县域医保基金"。 超20%的人口为60岁以上老年人；"两慢病"住院费用年增长率一度达到22%，但参保人门诊报销年度封 顶线仅1500元；辖区内行政村达数百个，但政府办村卫生室占比少……这是浙江温州一个常住人口约百 万级的县城——平阳县，曾长期面临的县域医疗发展困境。 近期，第一财经记者对平阳县医 ...

Core Viewpoint - The National Health Commission and five other departments have issued guidelines to strengthen the construction of specialty departments in grassroots medical and health institutions, aiming to enhance service quality and meet diverse health needs of the population [2][3]. Overall Requirements - The guidelines emphasize the need to implement a strong foundation for medical and health services, improve service quality, and promote the integration of prevention and treatment. By 2030, at least one specialty department should be established in grassroots medical institutions [3]. Key Tasks and Measures - **Strengthening Department Setup**: Grassroots institutions should prioritize departments like pediatrics, gynecology, rehabilitation, and mental health, focusing on common and chronic diseases [4]. - **Staffing Requirements**: Specialty departments should have a well-structured team, including at least two qualified physicians, with one holding a mid-level title or higher [4]. - **Management Standardization**: Institutions must establish management regulations for specialty departments, ensuring proper layout and equipment, and enhancing patient satisfaction [5]. - **Service Capacity Enhancement**: Specialty departments should serve a minimum of 3,000 patients annually, or account for at least 10% of total diagnoses, extending services from treatment to health management [5]. - **Quality Management**: Institutions are required to implement strict quality management systems and utilize technology for monitoring and reporting [6]. - **Support from Medical Alliances**: Urban hospitals are encouraged to provide technical support and training to enhance the capabilities of grassroots specialty departments [7]. Policy Support and Implementation - **Policy Assurance**: Local governments should prioritize the construction of specialty departments as a practical measure to address public health concerns, ensuring resource allocation and infrastructure improvement [8]. - **Organizational Implementation**: Provincial health departments must take responsibility for implementing these guidelines, coordinating with various sectors to establish clear goals and plans [8]. - **Public Awareness**: Efforts should be made to promote the achievements and experiences of grassroots specialty department construction to enhance their recognition and influence [8].

Core Insights - The National Major Infectious Disease Prevention Base (Hainan) project has commenced, aimed at enhancing public health capabilities in Hainan Free Trade Port [1][2] - This project is a significant milestone for the development of health services in Hainan and is part of the "14th Five-Year Plan" for building a high-quality and efficient medical and health service system [2] Group 1: Project Overview - The project is located at the southwest corner of Hainan Medical University Second Affiliated Hospital, featuring a 19-story above-ground and 2-story underground comprehensive medical building with a total construction area of 55,300 square meters [2] - Once completed, the facility will have the capacity to treat a large number of critically ill patients during outbreaks and will be able to quickly assist other regions facing severe epidemics [2] Group 2: Strategic Importance - The establishment of the base is crucial for strengthening the public health safety net in Hainan and is aligned with the national strategy for the Free Trade Port [1] - The project emphasizes the integration of medical and preventive measures, focusing on four key areas: medical-prevention collaboration, emergency response, research innovation, and international cooperation [1]

疫苗行业之所以陷入内卷式竞争，背后有多重原因，包括产品同质化竞争激烈、产能过剩问 题突出等。 疫苗市场正经历剧烈的价格震荡：一支三价流感疫苗价格低至5.5元，比一杯奶茶还便宜；而二价HPV 疫苗的价格，则是从几年前每支超过300元的高点骤降约九成，几乎只剩下"零头"…… 面对行业困境，近期中国疫苗行业协会发布了《关于反对"内卷式"竞争 促进疫苗及其相关生物制品行 业高质量发展的倡议》，明确提出"坚决抵制无序低价竞争，在招投标全流程中，严禁以低于成本的报 价参与竞标，切实保障产品与服务的质量标准"。 疫苗行业之所以陷入内卷式竞争，背后有多重原因。一方面，随着越来越多同类疫苗的上市，疫苗产品 同质化竞争激烈、产能过剩的问题日益突出。另一方面，受"疫苗犹豫"、新生儿数量下降等因素影响， 需求端增长乏力，供需的失衡进一步激化了价格战。 当前，疫苗市场无疑正处"寒冬"。但在中国疫苗行业协会市场专业委员会副主任委员刘沛诚看来，以流 感疫苗为代表的"内卷"，实质上是一种高度市场化的完全竞争状态，也是产业从分散走向集中过程中不 可避免的阶段。 "这种竞争不仅将淘汰劣质或竞争力较弱的企业，也为优质企业实现突破、提升市场地位创造 ...

Core Viewpoint - The vaccine market in China is experiencing significant price fluctuations, with prices for certain vaccines dropping dramatically, leading to concerns about quality and sustainability in the industry [4][6][7]. Price Competition and Market Dynamics - The price of the bivalent HPV vaccine has plummeted from over 300 yuan to around 30 yuan, a decrease of nearly 90% [6]. - The three-valent flu vaccine's price has reached a record low of 5.5 yuan, significantly impacting the market [6]. - The price war is attributed to oversupply and intense competition among similar products, exacerbated by factors like vaccine hesitancy and declining birth rates [4][6][10]. Impact on Public Perception and Industry Health - While lower prices may increase accessibility, they also risk undermining public trust in vaccine quality, leading to skepticism about safety and effectiveness [7][10]. - The perception of vaccines as "cheap" could distort public understanding of their value, hindering the establishment of a market that supports health investments [7][10]. Industry Performance and Challenges - The price competition has resulted in declining revenues for many vaccine companies, with only 5 out of 14 companies reporting revenue growth in the first three quarters of 2025 [10]. - Companies like Zhifei Biological have reported significant losses, with a 66.53% drop in revenue and a net profit decline of 156.86% [10]. - The overall public willingness to receive vaccinations remains low, with flu vaccine uptake rates estimated at less than 5% for the general population in Shanghai [10][11]. Factors Influencing Vaccination Rates - Public awareness of diseases, vaccine pricing, and accessibility are key factors affecting vaccination rates [11]. - The lack of understanding about the severity of diseases like influenza contributes to low vaccination rates, alongside the self-pay nature of flu vaccines [11]. - The convenience of vaccination services is also a critical factor, with current service availability needing improvement [11][12]. Long-term Market Potential - Despite current challenges, the long-term potential of the Chinese vaccine market remains strong, driven by an aging population and rising chronic disease rates [12][13]. - The chronic disease management market is projected to reach 60,122 billion yuan by 2024, indicating a growing need for adult vaccination [12]. - The "Healthy China" strategy emphasizes prevention, which may lead to increased demand for vaccines among specific populations, such as the elderly and chronic disease patients [13].