第八届"上海医改十大创新举措"评选提名奖包括：急诊多学科协同创新，筑牢危重急症患者生命防线； 构建中西医协同新范式，多措并举提升医疗服务质量；预防为主 关口前移——打造新时代妇幼健康"科 普大摇篮"等。 据介绍，自2017年起，上海在全国率先开展省级层面的十大医改创新举措评选，至今累计申报667项举 措。 ■ 全面实施二、三级医院门诊号源优先向基层开放，助力分级诊疗制度建设； ■ 助力多元支付，赋能商保发展，探索医保商保直赔"上海模式"； ■ 先行先试提升临床试验质效，赋能创新药研发上市； ■ 人工智能赋能互联网医院助力分级诊疗，提高医疗供给和患者就医体验； ■"防、治、管、康"综合施策，筑牢市民心理健康防线； ■ 数字赋能医药服务新生态——"15分钟社区生活圈"便民配药服务创新实践； ■ 以口腔专科医联体建设为抓手，实践优质高效协同延续的整合型分级诊疗服务； ■ 以新质专科（专病）为突破口，同向发力，集成推动区属公立医院"强腰"行动落地见效； ■ 数据明志，规范致远——智慧医保护航康复医疗高质发展； ■ 依托医疗统计数据赋能健康保险服务，满足百姓多元健康服务需求。 本报讯（记者 郜阳）昨天，第八届"上海医改 ...

Core Viewpoint - The article draws a parallel between the myth of Sisyphus and the ongoing challenges of medical reform in China, suggesting that while progress is made, the struggle to balance drug pricing and innovation continues indefinitely [1] Group 1: Medical Reform - In 2018, China introduced a centralized procurement system as part of its medical reform efforts, aimed at combating high drug prices [1] - After seven years of implementation, by 2025, the industry is beginning to oppose the "low-price only" approach, advocating for stable profits for companies to ensure innovation [1] - The medical insurance policy must maintain existing achievements while balancing the interests of the market, government, and the public regarding drug pricing [1]

Core Viewpoint - Beijing has upgraded the "Sanming model" of medical reform to the "Beijing plan," focusing on a government-led approach, public investment, price and salary reforms, resource allocation, and information technology support [1][2][10] Group 1: Government-led Coordination - The Beijing government has established a centralized decision-making body for "three medical" coordination, with a unified leadership structure overseeing medical, insurance, and pharmaceutical sectors [2][3] - Monthly meetings are held to monitor key tasks in the "three medical" fields, enhancing policy coordination and regulatory collaboration [1][2] Group 2: Resource Allocation and Infrastructure - Beijing is addressing the uneven distribution of medical resources by promoting the relocation of quality medical services from central urban areas to suburban regions, with over 184 billion yuan invested in major projects [4][6] - The number of hospital beds per thousand people in suburban areas has increased by approximately 14% from 4.6 to 5.3 beds since 2020 [4] Group 3: Financial Support and Pricing Reforms - The government has committed over 60 billion yuan annually to public health services, with 25.6% of this funding directed towards grassroots healthcare institutions [6][7] - A dynamic pricing adjustment mechanism has been established, resulting in a 12.8 percentage point increase in medical service revenue share compared to pre-reform levels [7] Group 4: Strengthening Grassroots Healthcare - Beijing has implemented measures to enhance the capabilities of community health services, including increasing personnel and improving infrastructure, with over 23 billion yuan invested since 2023 [8][9] - The city has developed the "Jing Tong" service platform to streamline medical processes and improve patient access to healthcare services [9]

Core Insights - The National Health Commission of China is promoting the "Sanming Experience" to deepen public hospital reform with a focus on public welfare [1][2][3] Group 1: Implementation of Reforms - Hubei province has integrated medical reform indicators into high-quality development assessments, linking results to local government performance evaluations [1] - A collaborative mechanism involving multiple health-related agencies has been established to focus on public hospital reform, enhancing coordination on personnel, pricing, and insurance payment reforms [1] - The province has allocated 150 million yuan to support 36 tertiary hospitals in improving the service capabilities of 70 county-level medical institutions [1] Group 2: Health Service Accessibility - Hubei has developed a comprehensive service system for chronic diseases, enhancing health literacy among residents through education [2] - Measures have been introduced to improve access to healthcare for the elderly, including enhanced guidance services and family beds [2] - Urban and rural emergency medical response systems have been established, with urban areas having a 10-minute response time and rural areas a 30-minute response time [2] Group 3: Digital Health Initiatives - Yichang city is leveraging government planning to enhance digital healthcare, integrating health data across various departments with an investment of 1.84 billion yuan [2] - The city aims to create a comprehensive health data center that connects medical institutions at all levels, facilitating better monitoring and resource allocation [2] Group 4: Focus on Talent and Compensation - Shiyan city has implemented measures to address challenges in public hospital reform, including increasing hospital staffing by 315 positions and adjusting service prices for 3,479 items [3] - The city has established a dynamic system for determining medical staff salaries, with fixed income making up 45% of total compensation [3] - The national government plans to promote the Sanming experience across cities to enhance public hospital reform [3]