Core Viewpoint - The article discusses the emerging field of proton and heavy ion therapy as a cutting-edge cancer treatment, highlighting its advantages over traditional radiation therapy, while also addressing the challenges of high costs and limited accessibility for patients [1][2][3]. Group 1: Treatment Overview - Proton and heavy ion therapy utilizes charged particles to target and destroy tumor cells, offering benefits such as reduced side effects and higher tumor control rates compared to conventional radiation therapy [1][3]. - Clinical studies indicate that particle therapy has a five-year overall survival rate of nearly 70% for patients, with specific rates of 92.9% for nasopharyngeal cancer and 70.3% for early-stage non-small cell lung cancer [1][2]. Group 2: Accessibility and Costs - The treatment costs approximately 300,000 yuan per course, which is not covered by health insurance, making it unaffordable for many patients [2][6]. - Only a few thousand patients receive proton and heavy ion therapy annually in China, compared to over 4 million new cancer cases each year, indicating a significant gap in treatment availability [2][6]. Group 3: Technological Development - China has made rapid advancements in proton and heavy ion therapy since the establishment of its first treatment center in 2015, with ongoing efforts to expand the number of treatment facilities [8][9]. - The high cost of equipment and treatment, along with the complexity of the therapy process, limits the number of patients that can be treated each year, with estimates of 1,000 to 1,500 cases annually per facility [10][11]. Group 4: Insurance and Financial Solutions - Approximately 60% of patients self-fund their treatment, while commercial health insurance covers nearly 40% of the costs, highlighting the financial burden on families [15][16]. - Initiatives like the "Shanghai Health Insurance" program include proton and heavy ion therapy, assisting patients with insurance claims and improving treatment accessibility [16][17].

Core Viewpoint - The article highlights the launch of a free fluoride application program for new kindergarten children in Yuhang District, aimed at improving children's oral health and preventing dental caries [1] Group 1: Program Overview - The fluoride application initiative covers 159 kindergartens in Yuhang District, targeting approximately 11,000 new children [1] - This marks the third year of the fluoride application program, indicating a sustained effort in promoting children's oral health [1] Group 2: Training and Awareness - Prior to the program, 12 community health service centers trained medical staff in standardized techniques for fluoride application [1] - The initiative includes educational outreach to parents, enhancing their understanding and acceptance of fluoride treatments [1] Group 3: Parental Engagement - Parents, such as Ms. Zheng, expressed initial concerns about the safety of fluoride materials but became more informed through educational resources provided by the school [1] - Increased parental acceptance and cooperation have been noted compared to the first year of the program, reflecting the effectiveness of educational efforts [1] Group 4: Future Plans - The district plans to continue and expand the fluoride application program, incorporating more oral health education activities in kindergartens [1] - The goal is to ensure that more children benefit from quality oral health services, supporting their healthy development [1]

在临平，得益于完善的早孕关爱服务，越来越多像刘女士这样的女性正通过早孕门诊获得专业服务 和人文关怀。据了解，早孕门诊主要服务于以妊娠为主诉的孕早期女性，为拟生育、早孕异常、拟人工 流产三类人群提供针对性指导和精准规范的诊疗服务。 目前，临平区已构建起完善的"1+2+N"早孕关爱服务网络，即以1家省级监测医院（临平区妇幼保 健院）为核心，2家市级监测医院（临平区第一人民医院、临平区中医院）为骨干，并在全市率先将符 合条件的民营助产医院及社区卫生服务中心纳入服务网络，形成了"20分钟早孕关爱服务圈"。 临平区卫健局相关负责人介绍，早孕门诊的核心优势在于其整合了妇产科、内外科、营养科、中医 科等多学科优质诊疗资源，为早孕女性提供"咨询—评估—管理—转诊"的全链条服务。目前，临平共有 11家医疗机构开设了早孕门诊，今年以来已累计为1500余名女性提供早孕关爱服务。 今后，临平区将继续秉持"怀得上、留得住、孕得优"的理念，深化早孕门诊建设，在充分尊重女性 及家庭意愿的基础上，以专业力量筑牢优生优育根基，为杭州市基层早孕门诊提供"临平样本"。 临平区中医院早孕门诊 近日，顺利通过胎儿NT（颈项透明层）检查的刘女士安心了不 ...

眼下，随着全区社区服务站实现心电图机全覆盖，临平区"心电一张网"的神经末梢已悄然深入每个 角落：患者在任意站点所做心电图，均可即时传输至区级诊断中心，由专家快速诊断并反馈。目前，全 区胸痛患者心电图报告时间已缩短至5分钟以内，达到省市领先水平。 据统计，2022年以来，临平区医疗机构累计接诊急性胸痛患者1万余例，成功抢救急性心肌梗死患 者800余例。今后，该区将继续扩大"心电一张网"覆盖面，今年计划新增10家民营医院纳入胸痛救治单 元建设，让更多居民在"家门口"就能享受到高效、便捷、优质的医疗服务。 近日，72岁的王奶奶突发剧烈胸痛3小时，被家属紧急送至临平区星桥街道社区卫生服务中心。急 诊医生立即完成心电图检查，结果实时传输至区第一人民医院心电诊断中心。仅3分钟，专家便作出诊 断：这是最危急的ST段抬高型心肌梗死，必须立即进行急诊心脏介入手术（PCI）！专家团队迅速确认 方案并启动紧急转诊程序。经及时救治，王奶奶转危为安，现已康复出院。 这场生死竞速的胜利，得益于临平区精心构建的"胸痛中心—胸痛救治单元—胸痛救治点"三级胸痛 救治体系。自2019年成功建设国家级胸痛中心以来，临平持续筑牢基层胸痛救治网络。2 ...

Core Viewpoint - Shandong province is advancing the integration of medical and preventive health services, focusing on high-quality development in disease control and prevention through comprehensive planning and implementation of policies and measures [1][2][3] Group 1: Policy and Structural Developments - Shandong has issued guiding documents and 20 measures to promote the integration of medical and preventive health services, establishing public health departments in all secondary and higher medical institutions, with 93% of public medical institutions having independent public health departments [1] - The province has formed internal institutions responsible for the integration of medical and preventive health services at various health and disease control departments, and an expert committee has been established at the provincial level [1] Group 2: Personnel and Resource Collaboration - In the past two years, Shandong has facilitated personnel exchanges between disease control centers and medical institutions, with 1,848 and 594 personnel exchanged respectively, and over 210,000 disease monitoring reports collaboratively conducted [2] - A total of 153 disease control centers have signed work agreements with 462 secondary and higher medical institutions, resulting in 366 collaborative projects on disease risk assessment and health management [2] Group 3: Technological Advancements - Shandong is accelerating the deployment of monitoring and early warning software in medical institutions, with the trial operation of a smart multi-point trigger monitoring and early warning platform for infectious diseases, which has expanded its functions to include data collection, smart early warning, emergency operations, and command [2] - Over 2,600 public medical institutions at the secondary level and above have adopted the monitoring and early warning platform [2] Group 4: Pilot Programs and Expansion - Shandong is exploring feasible models for the integration of medical and preventive health services through pilot programs, including collaborations on infectious disease control, chronic disease management, vaccination prescriptions, and health education interventions [2] - By January 2025, Shandong will have the highest number of pilot projects in the country, with two cities, six counties, and nine medical institutions included in the national pilot for infectious disease prevention and control [2]

全科医生特设岗位招聘对象主要面向4类人：具有执业医师资格，且执业范围为临床类别全科医学 专业或中医类别全科医学专业。具有执业医师资格，经过省级卫生健康行政部门（含中医管理部门）认 可的全科医生规范化培养、转岗培训或者岗位培训并考核合格。具有执业医师资格，从事临床医疗工作 3年及以上，能够胜任全科医生岗位，一般应具有二级及以上医院工作经历。 具有高级职称的退休医 师。 全科医生一般是以门诊形式处理常见病、多发病以及一般急症的多面手，被誉为居民健康的"守门 人"。为全面提升乡村医疗卫生水平，2025年度河南省计划为乡镇卫生院招聘120名特岗全科医生。 全科医生特设岗位招聘严格遵循"公开、平等、竞争、择优"原则进行，7月10日前，各省辖市、济 源示范区结合实际自行制定招聘方案并在市卫生健康委、人力资源社会保障局官方网站同步发布。对于 报名人数比例达不到1∶3的紧缺岗位，可按程序核准采取考核方式招聘。 6月17日，省卫生健康委发布公告，2025年河南省全科医生特设岗位招聘计划启动，今年全省计划 为乡镇卫生院公开招聘120名特岗全科医生。 政策规定，特岗全科医生在基层工作服务时间不少于4年，由用人单位与特岗全科医生签订 ...

Core Viewpoint - The ongoing reform of medical service pricing is significantly impacting hospitals and healthcare providers, with concerns about revenue implications and the complexity of implementation [1][2][11]. Group 1: Medical Service Pricing Reform - The National Healthcare Security Administration (NHSA) has issued a new guideline for urological medical service pricing, consolidating 421 existing pricing items into 108, with additional charges and expansions [1]. - The NHSA has released 29 batches of the "Medical Service Pricing Project Establishment Guidelines (Trial)" to standardize medical service pricing across regions, but the implementation has been slow and cautious [1][4]. - Some regions, like Inner Mongolia, have successfully implemented over 20 batches, while most areas have only seen 5-6 batches adopted [4]. Group 2: Implementation Challenges - Hospitals express concerns about the impact of the new guidelines on their already fragile revenue, particularly as some new projects do not fully map onto existing ones [2][3]. - The implementation process involves two main steps: mapping existing medical projects to the new guidelines and setting prices, which has proven complex and labor-intensive for hospitals [5][6]. - Hospitals are under pressure to adapt quickly, with some staff feeling unprepared due to missed training sessions [7]. Group 3: Revenue Impact Concerns - There is a widespread fear among hospitals that the pricing reforms will lead to reduced revenue, especially in areas like radiological examinations and clinical assessment scales [8][9]. - For instance, the price of CT scans has dropped from over 300 yuan to around 200 yuan, and MRI scans from 600 yuan to 500 yuan, which could significantly affect hospital income [8]. - The clinical assessment scales have seen a drastic reduction in both the number of items and their prices, raising concerns about the sustainability of revenue from these services [9]. Group 4: Confusion Over Costing and Billing - Hospitals face confusion regarding which consumables can be charged separately, as the guidelines include basic consumables in the project pricing [13][14]. - There is a call for a standardized naming system for medical consumables and a clear directory for billable items to alleviate these concerns [14]. - Some existing local projects are not included in the new guidelines, leading to uncertainty about their future status and whether they will be discontinued [15].

Group 1 - The effectiveness of style construction is ultimately reflected in the direct feelings of the people [1] - Various departments are actively identifying and addressing issues to promote a new atmosphere of integrity and diligence [2][4] - The establishment of new legal aid workstations and the improvement of service quality have led to a 95% coverage rate in community service points [2] Group 2 - The introduction of intelligent service models and AI applications has significantly improved administrative efficiency, with nearly 5000 monthly transactions processed through smart windows [3] - The restructuring of approval processes has reduced the time for pharmacy license applications from 13 to 6 working days, achieving a 100% on-site completion rate [3] - The implementation of a comprehensive administrative inspection reform has resulted in a 30% reduction in enterprise inspections, easing the burden on businesses [5] Group 3 - The establishment of the "Pioneer Guide" service aims to enhance the efficiency of real estate registration by providing tailored assistance to citizens [6] - The "Rural Arbitration" system has been introduced to address grassroots conflicts effectively, providing a replicable model for rural governance [6] - A focused supervision initiative in property services for resettlement communities has identified and addressed numerous common and individual issues, enhancing service quality [7]

Group 1: Cross-Border Medical Services - The establishment of the "1369 Life Express" cross-border medical emergency rescue mechanism facilitates rapid medical assistance for critical patients from Vietnam to China, significantly reducing the time for emergency care from hours to as little as 10 minutes [2][3] - Since its inception in 2016, the "1369 Life Express" has treated over 680 critical patients, showcasing the effectiveness of this cross-border medical channel [2] - The East China Hospital has implemented a "China-Vietnam Friendly Ward" and bilingual service windows to accommodate Vietnamese patients, with a notable increase in patient visits from 891 in 2014 to 2,788 in 2024 for outpatient services [3] Group 2: Regional Medical Cooperation - The cooperation between East China and Vietnam has led to the formalization of emergency rescue protocols, ensuring a sustainable and efficient cross-border medical service [2][4] - The hospital is planning to enhance its international medical services by establishing an international medical diagnosis department and a direct transfer mechanism for patients between East China and Vietnam [4] Group 3: Medical Services for Laos - The Xishuangbanna region has seen a significant increase in foreign patients, particularly from Laos, with a 89% year-on-year growth in 2024, primarily due to the inadequacy of local medical facilities in Laos [6][8] - The establishment of a bilingual consultation service and a dedicated translation team at the Mengla County People's Hospital has improved the accessibility of medical services for Laotian patients [7][8] - The hospital has also engaged in cross-border medical cooperation, providing free medical services to over 600 Laotian patients and signing agreements with five Laotian hospitals to enhance regional healthcare capabilities [8][11] Group 4: Mongolian Patient Services - The International Mongolian Medicine Hospital has become a popular choice for Mongolian patients, with 24,000 visits recorded last year, and offers a range of traditional Mongolian medical treatments combined with modern techniques [9][10] - The hospital has established a dedicated international consultation hotline to assist foreign patients in navigating their medical needs before arriving [9][10] - Training programs for Mongolian medical personnel have been implemented, resulting in the training of 405 healthcare workers, thereby enhancing the local healthcare system [11][12]

□ 本报记者安莹 近日，东南大学附属中大医院耳鼻咽喉头颈外科传来喜讯，中大医院耳鼻咽喉头颈外科主任陆玲带领团 队首次运用3D外视镜技术成功开展人工耳蜗植入术，术中践行柔手术、微创理念，充分暴露面隐窝、 圆窗膜后，微创在圆窗膜上开放直径0.4毫米的小窗，缓慢稳定植入直径0.3毫米的电极，以求最大程度 保留残余听力，减轻内耳创伤，各项数据监测显示，耳蜗电极工作状态与神经反应状态均正常，术后患 者平稳度过围手术期，无眩晕、面瘫等不适。这一成果标志着中大医院在耳鼻咽喉头颈外科微创手术领 域实现了新的跨越。 人工耳蜗植入作为目前治疗重度、极重度耳聋的有效手段，通过将声音转化为电信号直接刺激听觉神 经，帮助患者恢复听力。但目前我国人工耳蜗植入率不足5%，远低于发达国家水平，亟需提升公众认 知与医疗技术普及。 3D外视镜赋能手术 五旬患者"追声之旅" 此次手术中运用的3D外视镜技术，通过配备的高清三维视野，将手术部位放大数十倍，让医生仿佛置 身"微观世界"，在狭小的耳蜗空间内精准完成电极植入等精细操作，手术精准度与安全性大幅提升。此 外，三维视野还具备教学演示和视频教学功能，为医学知识的传播和人才培养提供了有力支持。 58 ...