胡富树推荐临平草莓。 临平援建大棚。 张云龙教石渠当地医生。 石渠县邓柯中学崭新的教学楼。 从杭州临平到甘孜石渠，要转2趟飞机，再坐3小时汽车。当临平仍被绿意包裹，石渠却早已是一片 苍茫的雪景，两地海拔落差超4000米，在气候、地理、生态上迥然不同，却因一场山海之约，紧紧相 连。 2025年是巩固拓展脱贫攻坚成果同乡村振兴有效衔接5年过渡期的最后一年，也是临平区对口帮扶 四川省甘孜藏族自治州石渠县的第5个年头。近日，杭州日报记者跨越3000多公里，来到这个因海拔极 高、草原广袤而被称为"离天最近的地方"，探寻援建岁月里那些温暖的故事。 雪域江南，蔬果飘香 12月的石渠，寒风凛冽，但在邓柯观光生态农业科技示范园（以下简称"生态园"）的温室大棚里， 却是另一番景象：一垄垄草莓植株上，娇艳欲滴的果实点缀其间，散发着诱人的光泽；不远处的晾晒场 上，一个个白萝卜硕大饱满，预处理后将被发往成都，成为"饭扫光"品牌的原料。 "去年在临平干部的积极对接下，生态园从临平引进了2个草莓新品种，通过技术专家的悉心指导， 如今亩产能达到600公斤，采摘期能一直持续到明年5月呢。"生态园生产经理胡富树笑着介绍。 胡富树望着连绵的大棚感 ...

当下，基层一些医疗、养老等设施存在闲置搁置现象，成为基层群众关注的一个焦点。今年以来，淮安 市洪泽区以排查整治低效闲置资源为主线，组织开展低效闲置资源"纠偏"行动，会同区卫健主管部门着 力推进医疗资源整合重组优化，促进基层医疗机构赋能增效，提升服务群众的能力和水平。 非建制镇卫生院设施闲置、人员冗余——"3+3"划转整合 2014年县(区)行政区划调整后，非建制镇卫生院渐进"赋闲"运行，医疗设施空转、医护人员空耗现象逐 步显现。当前，整治低效闲置资源是整治形式主义为基层减负的一项重要内容。该区卫健主管部门乘势 将仁和等3家非建制镇卫生院，分步整体划转至所属3家建制镇卫生院，推动关联卫生院资源整合重组。 原仁和卫生院相关负责人阮加飞反映，因乡镇撤并引发的蝴蝶效应，该院近些年门可罗雀、门诊量逐年 下降，现在整体划转至岔河镇中心卫生院，设施、人员、业务等将重新调配优化，有很大希望摆脱眼前 的窘境。 该院负责人吴秀智简明介绍："我们利用'一墙之隔'的地理位置优势，打破'院'墙贯通'院'落，推动建立 镇卫生院、养老院、敬老院'一个法人、一套班子、三块牌子'机制，实行资源要素统筹、医疗服务统 领、经费资金统管，为老年人、 ...

今年8月，省卫生健康委启动"港澳药械通"第四批指定医疗机构申报工作，并组织对前三批指定医疗机 构资质进行复核。经大湾区内地市受理评估、省卫生健康委审核，确定新增27家医院为第四批指定医 院，44家医院通过资质复核，1家医院因停业移出指定医院名单。 12月8日，广东省卫生健康委、广东省药品监督管理局印发《关于印发粤港澳大湾区"港澳药械通"第四 批指定医疗机构名单的通知》，新增指定医院包括南方医科大学珠江医院等27家医疗机构，移出佛山希 玛林顺潮眼科医院1家医院。 广东省自2021年正式实施"港澳药械通"，先后于2021年8月、2023年2月、2024年9月公布3批次指定医疗 机构名单。截至目前，"港澳药械通"指定医疗机构达到71家，先后获批引进使用港澳药品医疗器械140 个品种（药品63种、器械77种），服务惠及患者约1.7万人次。 《通知》要求，各有关地级以上市行政主管部门要加强对指定医疗机构的监督管理，各指定医疗机构要 不断深化与港澳医疗卫生服务合作，加强临床研究与港澳药械申报进口工作，持续健全"港澳药械通"相 关制度，确保进口港澳药械仅用于本医疗机构特定医疗目的，保障用药用械安全。 ...

在全体参会人员的共同见证下，双方代表共同签署合作协议，并完成"校企合作基地"授牌，标志着菏泽 市牡丹人民医院与院校的合作正式进入实质性推进阶段。 此次合作是菏泽市牡丹人民医院深化医教协同、履行社会责任的重要实践。未来，医院将严格履行协议 约定，以优质的医疗服务、专业的教学支持，与院校携手共进，既为学生健康保驾护航，也为医学人才 成长搭建阶梯，更为区域卫生健康事业高质量发展贡献一份力量。 为充分发挥医疗机构临床资源优势，保障学生生命健康安全，持续推动区域医教协同高质量发展，12月 4日，菏泽市牡丹人民医院与菏泽家政职业学院、山东省菏泽卫生学校合作签约仪式顺利举行。菏泽市 牡丹人民医院党委书记、院长高庆祥，党委副书记、副院长李国强，副院长王本昀、蔡文，医务科科长 魏贵玲出席仪式,与菏泽家政职业学院党委委员、山东省菏泽卫生学校党委书记王伟献、山东省菏泽卫 生学校校长魏东等院校代表共同擘画合作发展新蓝图。 仪式现场，高庆祥首先代表医院简要介绍发展概况。他表示，菏泽市牡丹人民医院作为区域医疗服务的 重要力量，综合实力突出，不仅拥有完善的临床诊疗体系，更沉淀了丰富的实践教学资源。此次与院校 合作，既要充分发挥医疗优势全力 ...

据介绍，今年8月，广东省卫生健康委员会启动"港澳药械通"第四批指定医疗机构申报工作，并组织对 前三批指定医疗机构资质进行复核，确定新增27家医院为第四批指定医院，44家医院通过资质复核，1 家医院因停业被移出指定医院名单。本次新增医院包括南方医科大学珠江医院、广州医科大学附属脑科 医院、广东省第二人民医院等。 根据广东省卫生健康委员会、广东省药品监督管理局印发的相关通知，各有关地级以上市行政主管部门 要加强对指定医疗机构的监督管理，各指定医疗机构要不断深化与港澳医疗卫生服务合作，加强临床研 究与港澳药械申报进口工作，持续健全"港澳药械通"相关制度，确保进口港澳药械仅用于本医疗机构特 定医疗目的，保障用药用械安全。 据了解，2021年广东省正式实施"港澳药械通"工作，先后于2021年8月、2023年2月、2024年9月公布3批 次指定医疗机构名单。 本报广州12月8日电(记者程远州)12月8日，广东省卫生健康委员会、广东省药品监督管理局发布粤港澳 大湾区"港澳药械通"第四批指定医疗机构名单。至此，"港澳药械通"指定医疗机构达到71家，先后获批 引进使用港澳药品、医疗器械140个品种，惠及患者约1.7万人次。 根 ...

中国工程院院士、广州国家实验室主任钟南山致辞。大会组委会供图 医学人工智能因行业的海量数据、丰富场景与民生刚需，成为"人工智能+"最具潜力的落地赛道。 钟南山认为，机器人、AI代替不了医生。"技术上AI能做得很出色，但医生面对的是有思想、有情感的 人。干了六十多年医生，我知道首先要理解病人的诉求、期待，这是AI分析不出来的。健康的一半是 心理，疾病的一半是心理，这点机器替代不了。我们做的是'观察人、关怀人'的工作，这是医生的核心 价值。" 中国医院协会常务副会长毛群安指出，我国医疗资源分布不均、基层服务能力薄弱等问题，亟待通过新 一代信息技术创新来破解。"人工智能+医疗卫生"不能靠单打独斗，而是新质生产力发展所需的"技术创 新+体制机制创新+生态协同"的系统工程，产学研医用联动更是医学AI转化落地的关键载体。 钟南山：医学AI要靠更多机构的协作，产学研是关键 中新网广州12月8日电 (记者 蔡敏婕)"医学AI绝对不是选择题，而是必答题，不跟上就肯定落后。"中国 工程院院士钟南山7日在广州表示，这些事靠一个机构"单打独斗"肯定不行，而是要靠更多机构的协 作。"人工智能的创新和发展，也需要产学研结合，才能尽快转化 ...

回望"十四五"，聚焦"看大病在本省解决，一般的病在市县解决，日常的头疼脑热在乡村解决"，推动优 质医疗资源扩容和区域均衡布局，始终是卫生健康领域深化改革的"重头戏"。这份"成绩单"来之不易， 也为"十五五"时期加快建设健康中国奠定坚实基础。 推进紧密型县域医共体建设，让县乡医疗机构成为"一家人"；重点强化全科、儿科、康复科、中医科等 科室建设；布局建设国家医学中心和国家区域医疗中心，着力解决群众跨区域就医难题；推动三级医院 技术、人才、管理下沉，提升基层"造血"能力……"十四五"期间，一套"组合拳"让基层医疗机构服务能 力"再升级"。 如今，一些社区卫生服务中心和乡镇卫生院，彩超、CT等设备已成"标配"，以往只能在大医院开展的 检查检验项目逐步普及；越来越多专家号源、慢性病常用药，通过分级诊疗和双向转诊渠道"流"向基 层；远程医疗，让偏远地区群众也能"隔空"享受高水平诊疗服务。 新华财经北京12月7日电（记者李恒、刘祯）生病了，是先跑大医院，还是在"家门口"看？"十五五"规 划建议明确提出，实施医疗卫生强基工程。"十四五"以来，我国基层医疗卫生机构诊疗量占全国诊疗量 的比例保持在50%以上。 这意味着，超过一 ...

Core Viewpoint - The article discusses the integration of healthcare services in the Yangtze River Delta region, emphasizing the need for improved access to quality medical resources for the 160 million residents, particularly in rural areas [1][3]. Group 1: Healthcare Integration Initiatives - The "14th Five-Year Plan" proposes strong foundational projects in healthcare, promoting tiered medical services and the decentralization of quality medical resources to grassroots levels [1]. - The integration strategy has led to cross-province medical consultations, with doctors from major hospitals providing training and support to local healthcare providers, enhancing their capabilities [3][5]. - The establishment of medical alliances and expert consultation centers allows patients to receive specialized care locally, reducing the need for long-distance travel to major cities [5][7]. Group 2: Patient Experience and Accessibility - Patients in rural areas can now access top-tier medical expertise without traveling far, as demonstrated by a patient who received surgery from a Shanghai expert at a local hospital [7][9]. - The integration of digital platforms has streamlined the process of making appointments and handling insurance claims, significantly improving the experience for patients seeking care across provinces [11][13]. - The article highlights the success of direct insurance reimbursement for cross-province medical services, which was a significant pain point for residents seven years ago [13][15]. Group 3: Data Sharing and Technological Integration - The article emphasizes the importance of data sharing among healthcare institutions to eliminate redundant medical tests and improve patient care efficiency [17][19]. - A "smart hospital" initiative is being implemented to integrate medical data across the region, facilitating remote consultations and expert services for patients [17][19]. - The ongoing efforts to unify medical treatment standards and insurance payment mechanisms aim to enhance the overall healthcare experience in the Yangtze River Delta [19][20].

Core Insights - The healthcare reform in Sanming, Fujian, has shown positive results, contrasting sharply with the struggles faced by a county-level hospital in Shandong, where medical staff are experiencing delayed salaries and are forced to take on side jobs to make ends meet [2][3] Summary by Sections Background of Sanming Healthcare Reform - The Sanming healthcare reform was initiated in response to the financial challenges faced by medical institutions, particularly regarding the funding of healthcare services and the sustainability of medical insurance [2] - The government implemented several measures to reduce medical costs, including the cancellation of drug markups and the establishment of a universal healthcare insurance system, which has improved access to healthcare for the public [2] Current Challenges in Shandong - A county-level hospital in Shandong is struggling with delayed performance bonuses and salaries, with some medical staff resorting to side jobs due to financial constraints [3] - The hospital has had to cover a significant portion of medical insurance reimbursements, leading to a financial strain where over 50 million yuan has been paid out of pocket, representing nearly 25% of the hospital's total annual revenue [3] Key Features of Sanming's Reform - The Sanming reform emphasizes a shift from a "treatment-centered" to a "health-centered" healthcare system, which requires a change in the compensation structure for medical staff [5] - The reform has decoupled medical staff salaries from hospital revenue, moving towards a system where fixed salaries are prioritized over performance-based pay [6] Salary Structure in Sanming - The salary structure in Sanming includes a fixed salary component that constitutes 90% of the total, with only 10% linked to performance, effectively reducing the incentive for unnecessary medical procedures [6] - The reform has led to a unified salary system across different levels of healthcare institutions, promoting equity and efficiency in the healthcare workforce [6][7] Financial Mechanisms Supporting the Reform - Sanming's reform relies on two key financial pools: savings from reduced drug prices and surplus funds generated through bundled payment systems [8][9] - The implementation of a bundled payment system allows for more efficient use of medical insurance funds, encouraging hospitals to focus on preventive care rather than excessive treatments [9][10] Overall Impact of the Reform - The Sanming healthcare reform has successfully reduced unnecessary medical expenses, with approximately 9 billion yuan in excess costs eliminated, which has been redirected to support healthcare institutions [9] - The reform's success is attributed to a comprehensive approach that integrates various aspects of healthcare management, ensuring that financial incentives align with patient care quality [11]

Core Viewpoint - The article contrasts the successful healthcare reform in Sanming, Fujian, with the struggles faced by a county-level hospital in Shandong, highlighting the financial challenges and the impact of healthcare policies on medical staff and institutions [3][4]. Summary by Sections Background of Sanming Healthcare Reform - The Sanming healthcare reform was initiated to address the financial difficulties in the healthcare sector, focusing on reducing medical costs through various measures such as eliminating drug markups and establishing a comprehensive medical insurance system [5][6]. - The increasing demand for healthcare services due to chronic diseases and an aging population has led to rising healthcare costs, putting pressure on medical insurance funds, particularly in rural areas [6]. Key Issues in Healthcare Financing - A county-level hospital in Shandong has faced severe financial strain, with doctors reporting unpaid performance bonuses and resorting to side jobs to make ends meet. The hospital has had to borrow nearly 300 million yuan to maintain operations [6][7]. - The core issue stems from the medical insurance payment system, where hospitals are often left to cover the shortfall between what patients pay and what insurance reimburses [6][7]. Sanming's Innovative Compensation Model - The reform in Sanming emphasizes a shift from a "treatment-centered" to a "health-centered" healthcare system, requiring a change in the compensation structure for medical staff [7][8]. - The new compensation model significantly increases the fixed salary component for healthcare workers, reducing their reliance on performance-based pay linked to patient volume [8][9]. Integration of Healthcare Services - Sanming's reform has led to the establishment of a tightly integrated healthcare system that unifies county, township, and village medical institutions, promoting shared responsibilities and benefits [9][10]. - The integration aims to streamline operations and improve healthcare delivery, ensuring that resources are allocated efficiently across different levels of care [10][11]. Financial Mechanisms Supporting Reform - The success of the Sanming reform relies on two key financial pools: funds generated from reducing drug prices and surplus funds from bundled medical insurance payments [12][13]. - The implementation of a bundled payment system allows for more efficient use of medical insurance funds, incentivizing hospitals to focus on preventive care rather than excessive treatments [13][14]. Challenges and Future Directions - Despite the successes, the article notes that many county-level hospitals still face limited financial resources, making it difficult to sustain the reforms without ongoing funding support [12][15]. - The article emphasizes the need for a comprehensive approach to healthcare financing that aligns incentives with patient care quality, moving away from a purely treatment-focused model [15].