Core Viewpoint - Vaccination is highlighted as one of the most cost-effective measures for preventing infectious diseases and their related complications, with a focus on integrating clinical treatment and disease prevention through vaccine prescriptions [1][2]. Group 1: Current Situation and Challenges - The elderly population in China has reached 310 million, leading to increased chronic disease prevalence and a heavier disease burden, making vaccine prescriptions a vital tool for connecting clinical care and disease prevention [1]. - The incidence of shingles among individuals over 50 is approximately 1.56 million cases annually, with diabetes patients having a 60% higher risk and those with cardiovascular diseases having a 39% higher risk compared to the general population [1]. - The hospitalization rate for shingles patients is 0.39%, with an average treatment cost of 8,116.9 yuan per hospitalization, leading to an estimated annual treatment expenditure of around 1.3 billion yuan for shingles in China [1]. - Despite the shingles vaccine being available for over five years, the vaccination rate among individuals over 50 remains below 1%, indicating that the value of vaccines has not been fully realized [1]. Group 2: Vaccine Prescription Implementation - Vaccine prescriptions consist of two levels: as a "health education prescription" for providing vaccination guidance to suitable populations, particularly chronic disease patients, and as an executable "medical prescription" allowing doctors to directly prescribe vaccines in certain pilot areas [2]. - The National Health Commission has officially supported vaccine prescriptions in policy documents, marking a significant step in promoting vaccination [2]. - Current pilot programs have shown positive progress, such as the establishment of vaccination clinics in some medical institutions, improving service accessibility and public acceptance [2]. - Challenges remain, including insufficient awareness among healthcare providers regarding vaccine prescriptions, incomplete incentive policies, and widespread vaccine hesitancy among the public [2]. Group 3: Recommendations for Improvement - To build a more comprehensive adult vaccination service system, it is recommended to encourage more secondary and tertiary hospitals to establish adult vaccination clinics to enhance accessibility and convenience [3]. - Strengthening policy support by incorporating vaccination performance into the evaluation system for healthcare institutions is suggested [3]. - Promoting interoperability of information systems to ensure efficient integration of clinical and preventive services is essential [3]. - The exploration of innovative technologies such as artificial intelligence and digital health to enhance public awareness and vaccination convenience is encouraged, along with continuous optimization of strategies through implementation research [3].