《 人民日报 》（ 2025年11月21日 02 版） (责编：胡永秋、杨光宇) 近年来，国家医保局推动影像"上云"，即各个医疗机构将影像数据上传到云端，实现数据的集中存储、 管理与共享。同时，推动形成全国医保影像云数据"一张网"，实现患者可阅、同行可查、医保可核，为 有效解决广大患者重复检查费时、费力、费钱的痛点问题奠定基础。截至11月20日，北京、河北、山 西、内蒙古、吉林等24个省份和新疆生产建设兵团已完成医保影像云软件部署，具备影像云索引数据上 传能力和省级平台端影像数据跨省调阅能力，向国家医保局归集的医保影像云索引数据达1.7亿条。 据介绍，除北京大学第三医院可调阅福建三明、河北雄安新区、陕西延安等5地医保云影像外，上海华 山医院可调阅福建三明、宁德的医保云影像，广东省人民医院可调阅江西瑞金、四川华西医院可调阅西 藏自治区的医保云影像。今后，影像互通将延伸至更多省份、更多层级的医疗机构，实现医学影像跨地 域高效流转。 本报北京11月20日电 （记者孙秀艳）20日下午，北京大学第三医院的一名医生轻点鼠标，电脑上立刻 显示出患者在福建三明拍摄的医学影像资料。查体结合影像，医生得出诊断，给出医嘱。 这标志 ...

Core Viewpoint - Gushengtang Singapore, a subsidiary of Gushengtang, is acquiring 100% equity of DA ZHONG TANG PTE.LTD. to expand its offline medical network and increase market share in Singapore, aiming for synergies with existing operations [1] Group 1 - The acquisition price is determined through fair negotiations and will be funded by net proceeds from placements, idle funds of the group, and Gushengtang Singapore's own funds [1] - After the acquisition, DA ZHONG TANG will become a subsidiary of Gushengtang, and its financial performance will be included in the group's consolidated financial statements [1]

Group 1 - Qinghai Province's Medical Insurance Bureau exposed five typical cases of medical insurance fund violations, involving designated pharmacies, medical institutions, and insured individuals, highlighting issues such as drug trafficking, illegal cashing of savings books, and excessive medical treatment [1][2] - The special rectification action initiated by the Qinghai Medical Insurance Bureau this year has maintained a high-pressure regulatory stance, leading to the serious investigation and handling of multiple cases [1] - The drug distribution sector has been particularly problematic, with two pharmacies, Xining Saiyida Pharmacy and Qinghai Fukang Medical Chain Binhua Pharmacy, found guilty of falsifying drug delivery documents and invoices, involving a total of 1,474.2 yuan in illegal funds [1] Group 2 - Medical institutions have shown the most severe violations, with the Lanzhou Hand-Foot Surgery Hospital's Guo De Tibetan Hospital branch being reported for multiple violations including project switching, overcharging, and excessive treatment, involving 280,200 yuan in funds [2] - The Tongren City Nankazang Western Medicine Combined Clinic in Huangnan Prefecture was found to have assisted in impersonating patients, large-scale fraudulent billing, and excessive prescriptions, involving 462,800 yuan in funds [2] - The reported violations have led to the recovery of funds and penalties, with whistleblowers receiving rewards for their reports [2]

Core Insights - Zhengzhou has implemented a groundbreaking medical insurance fund instant settlement reform, significantly reducing the reimbursement time from an average of 30 days to just 1 day, enhancing cash flow for hospitals [1][2] - The reform integrates the settlement process into a streamlined "instant acceptance and approval" model, eliminating previous steps and improving efficiency [2] - A new intelligent reconciliation platform has been launched, facilitating real-time data synchronization between medical institutions and insurance agencies, thus ensuring accurate and timely fund allocation [2][3] Group 1 - The instant settlement reform was initiated by Zhengzhou Medical Insurance Bureau, making it the first in the country to adopt such a system [2] - The previous "post-payment" model placed a heavy financial burden on medical institutions, leading to slow fund circulation [2] - The new process includes a scientific mechanism to ensure fund security while enhancing efficiency, with 70% of inpatient expenses being audited and paid promptly [2] Group 2 - Since the system's launch on January 15, over 251 designated medical institutions have participated, completing more than 27,000 settlements and disbursing a total of 11.792 billion yuan [3] - The initiative aligns with national goals to improve the coordination of medical, insurance, and pharmaceutical services, aiming for further reforms such as direct and synchronous settlements [3]

Group 1 - The company is enhancing its specialized departments such as neurology, cardiovascular, digestive, thoracic, oncology, hematology, and orthopedics in response to ongoing healthcare policy adjustments, particularly the deepening of medical insurance payment reforms [2] - The company is exploring and laying out strategies in aesthetic medicine, rehabilitation, pediatrics, health management, traditional Chinese medicine, assisted reproduction, mental health, special services, elderly care, and proton therapy to build competitive advantages through differentiation [2] - The company is committed to standardized operations, implementing measures like clinical pathway management and promoting day surgery to strengthen cost control and efficiency, leading to continuous optimization of operational efficiency and improvement in business performance [2]

Core Viewpoint - The Jiangxi Provincial Health Commission and five other departments have issued the "Jiangxi Province Public Medical Institutions External Sample Testing Management Regulations (2025 Edition)", emphasizing the establishment of an admission list for external sample testing projects to ensure their clinical value and avoid excessive diagnosis and treatment [1] Group 1: Regulations and Guidelines - Medical institutions are required to create a list of external sample testing projects based on authoritative diagnostic norms, guidelines, and expert consensus, ensuring these tests have clear value for patient diagnosis and subsequent treatment [1] - Strict control is mandated for testing projects that lack clear indications and are costly, aiming to prevent overdiagnosis and overtreatment [1] - Institutions must draft the external sample testing project list according to clinical needs, involving relevant departments and experts to assess the necessity and rationality of the projects, while considering clinical application and insurance policies [1] Group 2: Implementation and Updates - The decision to implement the testing project list must be made collectively through a "three major and one large" research process [1] - The list can be updated regularly in accordance with the actual conditions of the medical institution and standardized procedures [1]

Core Viewpoint - The National Healthcare Security Administration (NHSA) is accelerating the implementation of instant settlement for medical insurance funds, aiming for nationwide coverage by the end of this year and over 80% of designated medical institutions by the end of next year, which will improve cash flow for medical institutions [1][2]. Group 1: Policy Implementation - The NHSA has issued a notice to promote the instant settlement reform, with a focus on expanding the coverage of regions, funds, and designated medical institutions [1][3]. - By the end of 2025, all regions are required to implement instant settlement, and by the end of 2026, 80% of local medical insurance fund monthly settlement funds should be covered by instant settlement [1][3]. Group 2: Impact on Medical Institutions - The reform aims to alleviate the long-standing issue of slow payment to medical institutions, which typically experience a 40 to 60-day wait for funds after patient discharge [2][3]. - Instant settlement will shorten the payment cycle, allowing medical institutions to have smoother cash flow and invest more in equipment upgrades and talent development, ultimately enhancing patient care [2][3]. Group 3: Operational Efficiency - The NHSA has initiated pilot programs for instant settlement, optimizing processes such as fund settlement list uploads and intelligent reviews to improve efficiency [3]. - The notice emphasizes the need for a standardized fund disbursement mechanism, requiring medical institutions to submit expense claims by the 10th of the following month, with funds disbursed within 20 working days [3].

Core Points - The Guangdong Huizhou Health Bureau conducted inspections of medical institutions around colleges during the National Day holiday to strengthen the prevention and control of two infectious diseases, Chikungunya and Dengue fever [1] - A total of 84 medical institutions were inspected, focusing on pre-examination and triage, infectious disease reporting, medical waste management, and vector control [1] - Issues found included incomplete outpatient log registrations and insufficient disinfection records, leading to immediate rectification orders [1] - Since the start of the "two heat" prevention work, 2,047 medical institutions have been inspected, resulting in penalties for 13 institutions for failing to comply with infectious disease prevention regulations, with a total fine of 38,000 yuan [1] Summary by Categories Inspections and Findings - Inspections were conducted at 84 medical institutions, with a focus on various health management aspects [1] - Specific issues included incomplete registration and disinfection records, prompting immediate corrective actions [1] Regulatory Actions - A total of 2,047 medical institutions have been inspected since the initiation of the infectious disease prevention work [1] - 13 institutions faced legal penalties for non-compliance with infectious disease prevention and control regulations, along with 8 other violations leading to fines totaling 38,000 yuan [1]

Group 1 - The core idea of the news is to promote and share exemplary experiences and innovative practices of public hospitals in China to enhance the quality of healthcare services [1] - A series of programs titled "Director Talks" will be launched to invite hospital directors from across the country to share their experiences and practices [1] - On October 11, the director of Wuhan Children's Hospital, Lu Xiaoxia, will participate in a live broadcast to discuss typical experiences and innovative practices in high-quality development [1] Group 2 - Lu Xiaoxia is the director of Wuhan Children's Hospital, holding a medical doctorate and serving as a chief physician and doctoral supervisor [2] - She is recognized as a national outstanding Communist Party member and has multiple academic and professional titles, including guest professor at Wenzhou Medical University [2] - Lu Xiaoxia holds leadership roles in various medical associations, including vice group leader of the Respiratory Group of the Chinese Medical Association's Pediatrics Branch [2]

Core Viewpoint - The article emphasizes the importance of patient safety in the healthcare system and outlines various measures taken in China to enhance patient safety management, especially with the integration of advanced technologies [1][4]. Group 1: Technological Integration - The use of small wristband QR codes and mobile nursing terminals is becoming standard for nurses, enhancing the traditional "three checks and seven confirmations" process with smart technology [2]. - New technologies such as artificial intelligence, 5G, and big data are being integrated into medical safety, shifting the risk management model from "post-event handling" to "pre-warning and in-process intervention" [2]. - Electronic medical record systems can automatically alert healthcare providers about drug interactions and allergies, while smart infusion pumps ensure precise control of medication delivery [2]. Group 2: Data Security Measures - Medical institutions are investing in stronger data encryption, access management, and intrusion detection systems to protect patient information from leaks and misuse [3]. - Some hospitals are adopting blockchain technology to ensure traceability of access logs and immutability of operational behaviors, providing an additional layer of privacy protection for patients [3]. Group 3: Policy and Framework Development - The Chinese government has implemented various initiatives to strengthen medical safety governance, including the "Patient Safety Special Action Plan (2023-2025)" which aims to enhance medication safety and service processes [4]. - The "Healthy China Action - Cancer Prevention and Control Action Implementation Plan (2023-2030)" highlights patient safety for cancer patients as a key focus area, indicating a comprehensive policy framework for patient safety [4]. Group 4: Hospital-Level Practices - Hospitals are embedding patient safety concepts into their management practices, focusing on standardizing processes from medical record writing to emergency response plans [5]. - There is a disparity in patient safety awareness and resources between leading hospitals and grassroots medical institutions, with some still in the early stages of adopting patient safety principles [5]. Group 5: Education and Cultural Shift - The China Hospital Association has established a collaborative network for patient safety education and research, promoting case sharing and root cause analysis of adverse events [6]. - Efforts are being made to shift the mindset of healthcare professionals from "I have to ensure safety" to "I want to ensure safety," fostering a culture of safety within medical institutions [6]. - Patient involvement is increasingly recognized as a vital component of safety governance, with initiatives to educate patients and their families about the medical process and risk identification [6].