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看病住院费用将推行“医保包干”
Nan Fang Du Shi Bao· 2025-08-07 02:26
Core Viewpoint - The Guangdong Provincial Medical Security Bureau and the Health Commission have initiated a comprehensive reform of medical insurance payment for tightly-knit county medical communities, aiming to enhance grassroots medical service capabilities and improve accessibility for insured individuals [1][6]. Group 1: Reform Objectives - The reform aims to shift the focus from "treatment-centered" to "health-centered" care, allowing insured individuals to access quality medical services locally, thereby addressing issues of difficulty and high costs in seeking medical care [1]. - The reform emphasizes city-level coordination and adheres to principles of "income-based expenditure, balanced revenue and expenditure, with slight surplus" [1]. Group 2: Payment Mechanism - The annual total payment amount for medical communities will be determined based on the average medical expenses over the previous three years, with adjustments for annual growth [2]. - A 3% annual guarantee fund and a 2% risk adjustment fund will be established within the total payment amount [2]. - Payments will be made monthly, with year-end settlements based on performance evaluations of medical services [3]. Group 3: Risk Sharing - A mechanism for shared responsibility regarding surplus and reasonable overspending will be established, with a risk adjustment fund covering initial overspending due to public health emergencies [4]. - The specific rules for surplus retention and overspending sharing will be developed by local medical insurance and health departments [4]. Group 4: Referral Mechanism - The reform includes the establishment of a dual-direction referral mechanism, where referrals within the medical community are treated as a single hospitalization, requiring only one deductible payment [5][6]. Group 5: Case Study - Yangxi Medical Community - Yangxi County, a pilot area for the reform, has successfully transitioned from a deficit to a surplus in its medical insurance fund, achieving a surplus of 36.47 million yuan in 2023, up from a deficit of 41 million yuan in 2018 [8][9]. - The county's medical community has implemented measures to reduce disease prevalence and medical expenses, thereby enhancing health management and service efficiency [8][9].
镜观·回响丨坚持以人为本 推进共同富裕
Xin Hua Wang· 2025-08-07 02:01
Group 1 - The core viewpoint emphasizes that common prosperity is an essential requirement of socialism and a significant feature of Chinese-style modernization [1][2] - The "14th Five-Year Plan" outlines a people-centered approach, ensuring that development benefits the people and promotes social equity [1] - During the "14th Five-Year" period, China's middle-income group has exceeded 400 million, indicating a significant improvement in living standards [1] Group 2 - The focus on rural development includes high-quality agriculture, livable and workable rural areas, and the prosperity of farmers [5] - The development of the cold vegetable industry in Ningxia has established over 130 large-scale planting bases, covering 500,000 acres and producing over 2 million tons of fresh vegetables annually [7] - In Shandong, the coastal town of Taoluo has leveraged its marine resources to develop aquaculture and marine economy, contributing to rural revitalization [9] Group 3 - Hainan's tea industry is being expanded as a key strategy for poverty alleviation and rural revitalization, with the unique Hainan large-leaf tea being recognized as a new species [11] - Yunnan's coffee cultivation has reached 679,000 acres, with an annual production of 58,000 tons, maintaining its position as the leader in coffee cultivation and production in China [13] Group 4 - The construction of the Shantou Bay underwater tunnel is part of a high-speed rail project that will enhance connectivity among 15 cities in Guangdong, Fujian, and Zhejiang, promoting high-quality development in the eastern coastal region [15] - The establishment of medical communities in Jiangsu aims to improve healthcare access and quality through collaboration with renowned universities and hospitals [17] Group 5 - The development of a high-speed rail network in Henan has created a "米" shaped rail system centered around Zhengzhou, facilitating economic connectivity with surrounding provincial capitals [18] - Various initiatives have been implemented to support ethnic minorities in border areas, focusing on practical solutions to improve their livelihoods [19][20] Group 6 - The production of Tibetan carpets in Tibet has been revitalized through cooperative models and skill training, enhancing local employment opportunities [21] - In Guangxi, the mushroom production base has been developed to improve local livelihoods through specialized industries and infrastructure improvements [22]
河北兴隆有序开展安置点医疗救治及乡镇消杀工作
Yang Shi Xin Wen· 2025-08-05 07:41
此前,受强降雨影响,河北承德不少地方受灾严重。在河北承德兴隆县六道河镇,7个受灾严重村子的村民目前已全部转移,部分村民安置在了六道河镇中 学。 患者家属 张雪佳:设施都很齐全,晚上的时候医疗队也去我们宿舍,每个宿舍都去,每个人每户都去核查健康问题。 与此同时,全县各乡镇的水井消杀工作正有序开展,在兴隆县陡子峪乡,记者看到县疾控中心工作人员正向村干部讲解防疫消杀知识,并发放消毒片,用于 后续水井消杀工作。 承德市兴隆县疾病预防控制中心副主任 张国柱:目前我们专门对各乡镇的生活饮用水进行消毒指导。免费给各乡镇投放一定的用于生活饮用水消毒的药 品,再指导他们正确使用这些药品。 为更好保障安置点群众健康安全,昨天(8月4日)兴隆县加派医护人员对安置点群众进行医护救治,同时,当地灾后防疫消杀工作也正在有序推进。 记者在承德六道河中学安置点了解到,目前这个安置点共安置转移群众757人,其中老年人240人。昨天,当地县人民医院增派了12名医务人员,对安置人员 进行健康检测。据了解,兴隆县六道河中学安置点自8月2日投用以来,同步成立了医务室,为安置居民提供基本的医疗保障。 ...
医疗保健预算执行从瓶颈到解决方案
Shi Jie Yin Hang· 2025-08-05 07:04
Investment Rating - The report does not explicitly provide an investment rating for the healthcare sector in the Democratic Republic of the Congo (DRC) Core Insights - The DRC aims to achieve Universal Health Coverage (UHC) by 2030, but faces significant challenges due to limitations in budget execution and allocation, leading to a reliance on household and donor funding rather than government support [5][23] - Government health budget execution rates are low, with an average execution rate of 47.6% from 2016 to 2020, significantly below the overall government spending average of 80% [39][40] - The health budget is heavily skewed towards personnel costs, which account for 60% of total health budget expenditures, limiting the ability to execute other spending categories [53] Summary by Sections 1. Health Financing Background - From 2016 to 2021, household payments and donor contributions accounted for over 80% of total healthcare spending, while government financing ranged from 10% to 16% [23][24] - Total healthcare spending was estimated between $19 and $22 per capita from 2013 to 2019, far below the $86 per capita needed for UHC [24] 2. Health Budget Execution - The average execution rate of the health budget was 47.6% compared to the initial budget allocation, with significant variations across budget categories [39][40] - The execution rate for personnel costs was 103%, while other categories, such as provincial allocations and hospital funding, had execution rates below 20% [40][41] - In 2019, only six out of over fifty departments achieved budget execution for operational costs, highlighting severe inefficiencies [45] 3. Public Financial Management Controls in Health Expenditure - The report identifies a lack of integration between strategic planning and budget preparation, leading to challenges in resource allocation [58] - Budget management rules are often ignored, with some agencies systematically overspending their allocations, which reduces available resources for other departments [55][72] - The procurement process is cumbersome, leading to delays and inefficiencies in budget execution [56][68] 4. Good Practices and Bottlenecks - The establishment of a tripartite health-budget-finance committee aims to monitor budget execution and improve coordination among stakeholders [70] - Key bottlenecks include unrealistic revenue forecasts, a highly centralized budget execution process, and a lack of respect for budget management rules [72][73]
一年省下1700万!阳西让群众更有“医”靠 | 众说百千万⑨
Nan Fang Nong Cun Bao· 2025-08-05 01:32
"现在高血压犯 了也不用往镇里 跑,村卫生站就 能拿到药,连中 医按摩都能 做!"阳江市阳 西县塘口镇下垌 村的邓伯一边接 受针灸,一边笑 着说。 在阳西,"在家 门口看病"这件 事情正变得越来 越便利。作为广 东省首批以县城 为重要载体的新 型城镇化试点, 阳西县持续推进 紧密型县域医共 体建设,将3家 县级医院、8家 乡镇卫生院和 138个公建村卫 生站整体"打 包",组建阳西 总医院"抱团发 一年省下1700 万!阳西让群众 更有"医"靠 | 众 说百千万⑨_南 方+_南方plus 0:00 / 3:04 (县镇村拧成"医"股绳,阳西编织群众健康网,时长共3分04秒) 展",用"人员、 财务、药械、质 量、信息、健康 管护、后勤、宣 传"八统一管 理,不断推动医 疗资源下沉和分 级诊疗,让基层 报销不跑腿 群众更 小病不出村 有"医"靠。 "村民现在都愿 意留在村子里看 病,常见的慢性 病药物都能在我 们村卫生站拿 到。"在下垌村 卫生站,村医饶 桂水正给邓伯递 过降压药,语气 里满是干劲。 村卫生站是农村 医疗的"最后一 公里",乡村医 生则是乡亲们 的"健康守门 人"。阳西在医 共体建设中,把 村卫 ...
中证港股通医药卫生综合指数上涨0.21%
Jin Rong Jie· 2025-08-04 12:01
Core Viewpoint - The China Securities Hong Kong Stock Connect Medical and Health Comprehensive Index (Hong Kong Stock Connect Medical C, 930965) has shown significant growth, with a 20.91% increase over the past month, 43.59% over the past three months, and an impressive 80.61% year-to-date [1]. Group 1: Index Performance - The index opened low but closed higher, with a current value of 3666.44 points and a trading volume of 17.976 billion yuan [1]. - The index is designed to reflect the overall performance of 50 liquid and large-cap medical and health industry listed companies within the Hong Kong Stock Connect framework [1]. Group 2: Index Composition and Adjustments - The index is based on a starting point of 3000.0 points as of November 14, 2014, and undergoes biannual adjustments to its sample companies every June and December [1]. - Weight factors are generally fixed until the next scheduled adjustment, with special circumstances allowing for temporary adjustments [1].
广州实现与对口帮扶城市检查检验结果互认
跨省看病还要重复检查,如何提升患者看病就医的感受?近日,据广州市卫生健康委消息,广州已打通 与对口帮扶城市的跨省检查检验结果互认共享,与19家贵州安顺市、38家黔南州和25家毕节市的医疗机 构实现跨省调阅和互认。截至目前,累计共享检验报告约18.7万份、检查报告约5.4万份,让越来越多外 地患者在广州实现"轻装就医"。 医生不会盲目互认报告 "孩子刚出生就被送进了当地医院,医生建议我们赶紧转到广州。"患儿母亲谢女士回忆,她的孩子程程 (化名)8个月大时,在广州医科大学附属妇女儿童医疗中心(下称"广妇儿")接受了动脉导管结扎手 术。术后随访中,孩子仍表现出生长发育落后,他们便决定再次返穗就诊。 医生如何判断外地报告是否能互认?王燕飞解释,血常规、尿常规等标准化项目由自动化设备完成,实 验室定期质控,数据通用性强,而心电图、X光片等检查,如果能同步原始影像则更具参考价值。但 是,涉及高技术要求或主观性强的项目,如心脏彩超,仍建议在广州复查确认。"我们不会机械互认, 而是结合病情、时间、数据来源作出判断。" 跨省共享检验报告约18.7万份 不仅在三甲医院,跨省检查检验结果互认共享机制也已延伸至广州基层医疗机构。 广 ...
阳谷县在全市率先通过“全国基层中医药工作先进单位”创建
Qi Lu Wan Bao Wang· 2025-07-31 11:31
齐鲁晚报.齐鲁壹点张同建 7月31日,阳谷县召开"看发展.强信心.聚力量"主题新闻发布会卫健专场,县卫生健康局局长、县中医药管理局局长刘晓燕等应邀出席会 议并回答记者提问。 刘晓燕介绍,"十四五"以来,阳谷县卫生健康局深入贯彻落实新时期卫生健康方针,统筹推进卫生健康事业高质量发展,多项工作实现 新突破。 经过历年发展,县人民医院拥有市级重点专科22个、县域省级重点专科2个,市级重点学科3个、省级癌痛规范化示范病房和优质护理示 范病房各1个、国家级示范卒中中心1个。成功建成杜怡峰教授、袁双虎教授、刘炬教授3位"泰山学者"工作站和宋士秋教授名医工作站。 县中医医院已建成市级特色专科1个、省级特色专科2个、山东省齐鲁中医药优势专科集群建设科室2个,大力打造了国家级特色专科1 个,国家级名老中医传承工作室2个。 基本公卫服务工作稳步推进 通过深入开展"优质服务基层行"活动,所有基层医疗卫生机构均通过国家优质服务基层行基本标准,所有基层医疗卫生机构均配备了 DR、彩超、全自动生化分析仪,11家卫生院配备了CT,基层医疗机构诊疗服务能力大幅提升。目前,全县有750个村卫生室业务用房面 积全部达到60平方以上,199个村卫 ...
民生一件事丨在家门口享更好医疗服务 城市医疗资源下沉惠及基层百姓
Yang Shi Wang· 2025-07-31 03:58
央视网消息:记者日前从国家卫生健康委了解到,我国将实施医疗卫生强基工程,推动城市医疗资源向县级医院和城乡基层下沉,进一步 方便百姓就医。如何能让更多人在家门口享有更好的医疗服务?民生一件事,集中关注。 医疗卫生强基工程将进一步提升基层医疗卫生机构设备设施水平,改善看病就医条件。三级医院要帮扶二级医院,二级医院要带动基层医 疗卫生机构。进一步推动紧密型县域医共体建设,到2027年底,紧密型县域医共体基本实现全覆盖。在乡镇一级,由上级医院派驻中级以上职 称的专业人员,为居民提供医疗服务。加强基层信息化建设,应用人工智能辅助技术,提升基层服务能力。 建设县域医疗次中心 方便群众就近就医 近两年,中央财政投入近9亿元,为中西部地区更新升级乡镇卫生院的医用设备。超过90%的乡镇卫生院和社区卫生服务中心达到服务能 力标准。基层医疗卫生机构以占全国将近三分之一的卫生人力资源提供了全国一半以上的诊疗服务量以及绝大多数的基本公共卫生服务,为城 乡居民的健康提供了基础性的保障。 让百姓在"家门口"看好病,各地都在探索实践。四川、湖南等地,在距离县城较远、服务人口较多、服务能力较强的乡镇卫生院,建设了 县域医疗卫生次中心,承担起部 ...
医药板块延续涨势,恒生创新药ETF(159316)、医药ETF(512010)等产品助力布局板块龙头
Sou Hu Cai Jing· 2025-07-30 05:16
Group 1 - The core viewpoint of the news highlights the performance of various healthcare indices, with the CSI Hong Kong Stock Connect Healthcare Index rising by 2%, the CSI 300 Healthcare Index increasing by 1.7%, and the Hang Seng Hong Kong Stock Connect Innovative Drug Index up by 1.5% [1][4][11] - The CSI Hong Kong Stock Connect Healthcare Index focuses on leading companies in the Hong Kong healthcare sector, comprising 50 stocks from medical devices, biopharmaceuticals, chemical drugs, and other healthcare-related industries [3] - The CSI Innovative Drug Industry Index targets leading A-share innovative drug companies, consisting of no more than 50 stocks involved in innovative drug research and development [6] - The CSI Biotechnology Theme Index centers on leading A-share biotechnology companies, including no more than 50 stocks related to gene diagnostics, biopharmaceuticals, blood products, and other human biotechnology [8] - The CSI 300 Healthcare Index encompasses leading A-share healthcare companies, covering segments such as chemical pharmaceuticals, medical services, and medical devices [10]