Core Viewpoint - The increasing demand for non-emergency medical transport services is highlighted, driven by economic development and an aging population, alongside the challenges posed by illegal "black ambulances" that exploit this demand [5][9]. Group 1: Emergency vs. Non-Emergency Medical Transport - The healthcare system in China categorizes ambulances into two types: emergency medical services (EMS) funded by the government and non-emergency medical transport services, which are often market-driven and lack clear regulatory frameworks [7][10]. - Emergency medical services are well-established with unified dispatch systems, while non-emergency transport services are still developing, leading to inconsistencies and potential exploitation by unregulated operators [7][11]. Group 2: Issues with "Black Ambulances" - "Black ambulances" are characterized by low operational costs and often lack proper medical equipment and qualified personnel, posing significant risks to patients [8][9]. - The prevalence of these illegal services is attributed to a supply-demand imbalance in the non-emergency transport market, where legitimate services are insufficient to meet the needs of patients [9][10]. Group 3: Regulatory Challenges - The regulatory oversight of non-emergency medical transport is fragmented across various government departments, leading to ineffective enforcement against illegal operations [10][12]. - The lack of a unified policy framework at the national level complicates the establishment of standards for service quality, vehicle registration, and personnel qualifications [12][13]. Group 4: Proposed Solutions - Experts suggest expanding the supply of legitimate non-emergency medical transport services to meet diverse patient needs and reduce reliance on illegal operators [12][15]. - Recommendations include establishing a unified dispatch system, improving regulatory frameworks, and enhancing service standards to ensure patient safety and service quality [15][16].

非急救医疗转运服务是医疗急救的必要补充，院际患者转诊、骨科伤残患者出院、重症患者放弃治疗回 家及常年卧床残障人士的出院、入院转运等都需要寻求非急救医疗转运服务。随着需求增多，非急救医 疗转运服务的重要性日益凸显。医院因资源有限，通常在120急救车以外无力提供此服务，那么这一服 务则必然走向社会化。湛江的事件折射出的，正是当前医疗资源配置的结构性失衡，临终关怀、康复转 院等刚性需求无法获得正规渠道满足和规范化管理，市场行为便有了野蛮生长的土壤。 当前非急救转运尚未明确界定为医疗服务，导致大量机构通过"去医疗化"规避监管。经营者注册为运输 公司却承接了危重患者转运，途中突发状况时缺乏急救能力，甚至直接威胁患者生命安全。更有部分民 营医院为非法车辆提供"挂靠"伪合法外衣，形成灰色利益链。 要解决非急救医疗转运的社会难题，首先，要推动相关法律法规的健全，全国性《非急救医疗转运服务 管理办法》亟须出台，从源头杜绝"去医疗化"乱象。其次，有关方面应构建多元化供给体系，通过公开 招标引入社会资本，建立分级收费制度和医保报销试点。还可以搭建全国统一调度平台，实时监控车辆 定位、服务记录与收费明细，并查处服务过程中的各种违规行 ...