Core Insights - The article highlights the improvements in emergency medical services in China, particularly in pre-hospital emergency care and the challenges faced in long-distance medical transport [2][4][9]. Group 1: Emergency Medical Services Improvement - The average response time for emergency medical services in Kunming, Yunnan, has decreased from 17 minutes in 2020 to 12 minutes currently, showcasing enhanced efficiency [2]. - The establishment of a unified emergency command and dispatch cloud platform in Yunnan has facilitated better communication and coordination, significantly improving emergency response times [2][8]. - In Nanjing, the emergency medical system operates under a model that emphasizes unified planning and dispatch, which has also led to improved efficiency in emergency responses [3]. Group 2: Long-Distance Medical Transport Challenges - There is a notable shortage of long-distance medical transport services, particularly for patients requiring cross-province transfers, leading to delays in critical care [4][5]. - Many regions lack the capability to provide cross-province emergency transport, forcing patients to rely on private services that may not meet safety standards [5][9]. - The need for non-emergency medical transport services is also increasing, as patients often require professional medical escort during transfers or discharges [6]. Group 3: Recommendations for Improvement - Experts suggest the establishment of standardized protocols for long-distance medical transport, including vehicle and personnel qualifications, as well as transparent pricing [9][10]. - There is a call for the integration of non-emergency transport services with existing emergency systems to enhance overall service quality and efficiency [9]. - Recommendations include the creation of a cross-regional oxygen supply support system and the standardization of oxygen interfaces to address the challenges faced during long-distance patient transfers [10].

Core Viewpoint - The article highlights the improvements in emergency medical services in China, particularly in pre-hospital emergency care, while also addressing the challenges faced in long-distance medical transport services. Group 1: Emergency Medical Services Improvement - The establishment of a unified emergency command and dispatch cloud platform in Yunnan has significantly reduced the average emergency response time from 17 minutes in 2020 to 12 minutes currently [2] - In Nanjing, the emergency center has implemented a model of "independent pre-hospital medical emergency," which includes unified planning and dispatch, enhancing overall emergency response efficiency [3] - The integration of emergency services with local traffic authorities has facilitated quicker transport of patients, as demonstrated by a case where a heart patient was transferred in just 13 minutes during peak traffic [3] Group 2: Long-Distance Medical Transport Challenges - There is a notable shortage of long-distance medical transport services, particularly for patients requiring interprovincial transfers, leading to delays in critical care [4][5] - Many regions lack the capability to provide cross-province transport, forcing medical professionals to resort to private transport options, which may not meet safety standards [4][5] - The need for non-emergency medical transport services is also growing, as patients may require assistance during transfers or after discharge [6] Group 3: Recommendations for Improvement - Experts suggest the establishment of standardized protocols for long-distance medical transport, including vehicle and personnel qualifications, as well as transparent pricing [9] - There is a call for the integration of non-emergency transport services with existing emergency systems to improve efficiency and meet rising public demand [9] - Recommendations include creating a cross-regional oxygen supply support system and standardizing oxygen interfaces to address the challenges faced during long-distance patient transfers [10]

随着医疗需求来越越多元化和个性化，非急救转运以及跨省转 运的使用场景会越来越多，这意味着，非急救转运服务体系亟 待完善。近年来，多地都在探索建立规范化的非急救转运服务 体系。 作者： 言咏 封图：图虫创意 通报中提到"就诊医院无符合跨省转运条件的救护车"，这亦是公众关切之处。患儿家属表示，当时 也觉得费用昂贵，但情况紧急，不容多考虑。这是人之常情。孩子病情危重，做父母的但凡拿得出 钱来都不会退却。可以说，这种"同意"并非基于完全平等的自由议价，带有很强的无奈，也反映出 医疗转运服务体系的短板。公众不禁要问：就诊医院为何没有符合跨省转运条件的救护车？除了民 营救护车，还有其他更平价的选择吗？2.8万元不是一个小数目，不是谁都花得起。如果花不起， 家属要如何抉择呢？ 中国公立系统的救护车很少执行跨省转运业务，是因为制度限制、资源分配和职能划分等多重因 素。我国救护车服务分院前急救和非急救转运两类。院前急救由公立系统负责，多为属地化管理， 主要服务辖区内急救需求，很少用于跨省转运；非急救转运则多由民营机构运营。根据《院前医疗 急救管理办法》，前者不得用于非院前医疗急救服务。这一制度设计旨在平衡急救资源的公益性和 使 ...

Core Viewpoint - The incident involving the high charge of 28,000 yuan for an 800-kilometer ambulance transfer has sparked significant public debate regarding the reasonableness of such fees and the regulatory framework surrounding medical transport services [1][2]. Group 1: Incident Overview - A father in Jiangxi complained about the 28,000 yuan charge for transferring his critically ill child over 800 kilometers, leading to an investigation by the Jiangxi Health Commission [1]. - The child was in urgent need of transfer due to a severe condition, and the ambulance service was provided by Nanchang Gan Medical Hospital, which was found to have unreasonable charges [1][3]. Group 2: Public Reaction and Concerns - Public opinion is divided; some view the fee as exorbitant and suspect potential kickbacks, while others argue that the service provided was akin to a mobile ICU, justifying the cost [2]. - The Jiangxi Health Commission's announcement did not clarify the specific issues with the charges or provide a reasonable fee standard, leaving many questions unanswered [2]. Group 3: Systemic Issues in Medical Transport - The lack of ambulances meeting cross-province transfer conditions at the treating hospital raises concerns about the medical transport system's shortcomings [3]. - The current system in China separates emergency and non-emergency transport, with public ambulances primarily serving local needs, which limits their availability for long-distance transfers [3][4]. Group 4: Regulatory and Market Considerations - The incident highlights the need for improved regulation and oversight in the non-emergency transport sector, especially as demand for such services grows [4]. - The introduction of market forces in areas where public resources are insufficient is necessary, but the government must enhance regulation to eliminate gray areas in service provision [4].