医防融合协同管理

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公立医院公益性如何维护?青岛:对重点人群、重点疾病实行免费筛查、体检
2 1 Shi Ji Jing Ji Bao Dao· 2025-05-27 09:47
Core Viewpoint - The article discusses the ongoing promotion of the Sanming healthcare reform experience across cities in China, with a focus on public hospital reforms guided by public welfare principles, particularly in Shandong Province [2] Group 1: Public Hospital Reform Initiatives - Shandong Province is actively exploring innovative approaches to deepen healthcare reform, with cities like Qingdao, Weifang, and Jinan being recognized as demonstration cities for public hospital reform and high-quality development [2] - Qingdao City has implemented several measures to maintain the public welfare nature of public hospitals, including comprehensive financial support for basic construction and social insurance contributions for on-duty personnel [3] - Since 2019, fiscal investment in municipal and county-level public hospitals has increased by an average of 15% annually, while the proportion of medical service revenue has risen by 5.1 percentage points, and the share of drug and consumable costs has decreased by 6.8 percentage points [3] Group 2: Development of Specialized Services - Qingdao City has focused on addressing public healthcare needs by establishing 10 peak disciplines, 100 municipal key specialties, 50 county-level key specialties, and 35 major disease specialty alliances to promote balanced specialty development [3] - The city has increased the annual subsidy standard for public health hospitals with heavy public health responsibilities to 59 million yuan, enhancing internal salary distribution to improve compensation for specialists in high-demand fields such as pediatrics and emergency medicine [3] Group 3: Health-Centric Reforms - The reforms emphasize a people-centered approach, implementing integrated management for key health issues such as hypertension, diabetes, and chronic obstructive pulmonary disease [4] - Qingdao City conducts free screenings and health check-ups for key populations, reaching over 1.8 million screenings annually, and has launched a health literacy improvement project, achieving a health literacy level of 38.5% among residents [4]