This article explores analyzes three kinds of integrated treatment and convalesce pension model in Anhui Province such as built-in model,linkage model and “1 + N” mode. It find out some problems of that service charge is high,shortage of talents of integrated treatment and convalesce,butt joint of resource of integrated treatment and convalesce is not free in integrated treatment and convalesce pension model. It puts forward countermeasures of joint effort from government and social,strengthening talents management,promoting “internet +” and so on.

This article has combed the establishment and measures of integrated health care service system in Japan from governmental macropolicy level. It puts forwar dlegislative process of promoting health care service system,improving the ability of regional health planning,strengthening coordination ability of health,medical insurance and financial policy,and introducing multiple disciplinary service team model,in order to provide reference for the construction of integrated health care service system in China.

This paper introduces the application and development background of new generation of artificial intelligence,describes application situation of artificial intelligence in medical imaging,auxiliary diagnosis,health management,disease prediction and drug research and development. It analyzes problems and challenges from data,algorithms,entities responsibility,laws and regulations,evaluation criteria,talent security. Meanwhile,this paper puts forward relevant suggestions to medical artificial intelligence application from the perspective of industry development.

Literature review and SWOT analysis were used to study the advantages,disadvantages and opportunities and challenges currently faced of the health industry in Hangzhou. It put forward some suggestion of embracing on giving play to the advantages of the industry brand,focusing on pension industry,cultivating high-level professional talents,promoting the development of industrial products and boosting industrial innovation.

With the development of artificial intelligence technology,medical institutions have become one of main application scenarios of cutting-edge artificial intelligence(AI)technology. This paper introduces the applications of AI in medical institutions,such as disease diagnosis and treatment,disease prediction intervention,health management,and disease consultation. Based on actual research situation,this paper analyzes the development status and problems of artificial intelligence in medical institutions in China,and puts forward relevant policy recommendations from the aspects of hospital artificial intelligence platform construction,supervision and management,and personnel training.

At present, the application of artificial intelligence technology in medical field is more and more extensive, and has great prospects. While medical artificial intelligence brings great convenience to the development of health industry, it also brings some ethical issues and challenges. This article studies current application status of medical artificial intelligence in our country, analyzes the existing or potential ethical issues in its application, and proposes countermeasures and suggestions from the four aspects of concept, R&D, application and supervision, in order to better improve medical level in our country, promote human health.

Investigate and study operation status of medical alliance in Xiamen,Shanghai,Zhenjiang and other places. Analyze relevant policies about hierarchical diagnosis treatment and public hospital reform. Explore and analyze key factors of medical alliance “co-operation”. Put forward relevant suggestion for promoting medical alliance “co-operation” benefit lifting,so as to provide reference for the promotion of hierarchical diagnosis treatment. It points out that give play to synergy of medical alliance is the important support to promote hierarchical diagnosis treatment. Key factors of influencing medical alliance “co-operation” include the synergy of diagnosis and treatment of the disease types and types of medical institutions,the synergy of patients with freedom medical treatment choice and general practitioners recommend,the synergy of drug supply,the synergy of medical personnel and medical insurance policy. To promote medical alliance “co-operation” may from several aspects like that promote cognition and approve of patient to medical alliance,build up the bridge between patient and medical institute with the help of family doctor contract,give play to price guiding function of medical insurance,strengthen drug synergy in different type of medical institutes,so as to promote the implementation of hierarchical diagnosis treatment.

Based on an overview of the concepts related to artificial intelligence,the main applications of artificial intelligence in the medical field are introduced. It includes AI virtual assistant,intelligent assisted diagnosis and treatment,intelligent medical imaging,medical robot,intelligent health management,intelligent drug research and development,etc. This paper analyzes the problems in the application of artificial intelligence in China's medical field,such as data utilization,algorithm “black box”,lack of standards,shortage of talents,legal ethics and so on.

Objective To analyze the completion and fairness of health human resource allocation plan in Sichuan Province during the “13th Five-Year Plan” period so as to provide a scientific basis for strengthening the construction of health human resources in Sichuan Province. Methods The comparative analysis method,health resource density index and health resource agglomeration degree were used to analyze the completion and fairness of health human resource allocation planning in Sichuan Province. Results The number of health technicians,licensed(assistant)physicians and registered nurses per 1 000 permanent residents in Sichuan Province had exceeded the planning target,the number of health technicians per 1 000 permanent residents in 9 prefectures(cities)was below the planning target,and the number of licensed(assistant)physicians and registered nurses per 1 000 permanent residents in prefectures(cities)was below the planning target,the ratio of doctors and nurses in Sichuan Province as a whole and 15 prefectures(cities)did not meet the planning target. Compared with the standard index of health resource density based on the average level of Sichuan Province in 2020,the health technicians and licensed(assistant)physicians of Ya'an City,Aba,Ganzi and Liangshan Prefecture were below the average level,and registered nurses of Ya'an City,Bazhong City,Aba,Ganzi and Liangshan Prefecture were below the average level. The health resource agglomeration degree of health technicians,licensed(assistant)physicians and registered nurses was less than 1 in Guangyuan City,Ya'an City,Aba,Ganzi and Liangshan Prefecture. The health resource agglomeration degree/population agglomeration degree of health technicians,licensed(assistant)physicians and registered nurses were more than 1 in Chengdu,Panzhihua,and Ya'an city,but which those were less than 1 in 10 prefectures(cities)including Leshan,Nanchong,and Meishan city. Conclusions There is a large gap between the health human resources and planning goals in some regions in Sichuan Province,and the ratio of doctor and nurse is unbalanced. There is large different in inter-region health human resources allocation,and there is a situation that the equity is inconsistent with the actual demand for medical treatment.

It introduces the status of construction and development of healthcare big data in main developed countries such as the United States,Britain and Japan. It reviews the status of construction and application of healthcare big data in our country. It puts forward that healthcare big data could excavate and study in deepening assessment and supervision of medicine health system reform,evaluation of medical service ability,monitoring and management of hospital risk,optimization and allocation of medical resource,so as to strengthen the application of healthcare big data in health decision support.

“Internet+” smart home care contributes to achieve effective resource allocation,alleviate social loneliness of the elderly,and improve their satisfaction. This paper introduces main modes of smart home care in our country and abroad. It analyzes the problems of high investment cost by government,personal heavy burden,fragmentation of home smart application,immature research technology,lack of legal and regulatory support for smart home care to the aged,and shortage of intelligent technical service personnel. It is necessary to cooperate with government departments,old-age care institutions,health care and household service to achieve the goal of smart home care for the aged in China.

This article is focus on the “Health China 2030” planning outline to analyze and expound the following aspects of the distinguished concept transformation such as “Health in All Policies(HiAP)”, “Start From the Factors of Influencing Health”, “Focus on Health Rather Than Treatment”, “Government Multi Sectors deep Participation in” and so on.

The implementation of integration between treatment and prevention is an important means to promote the new medical reform,and an important way to realize the transformation from a treatment-centered approach to a people's health-centered approach. This paper systematically compares the current status of research on integration between treatment and prevention in China,summarizes the research results on integration between treatment and prevention in China,and focuses on the shortcomings of the research on integration between treatment and prevention in China,concluding that the current research mostly focuses on the research on the practice model and promotion model of integration between treatment and prevention,and there are still problems such as the relevant theoretical research is not deep enough,the top-level design of integration between treatment and prevention is lacking,and the relevant policy system is not systematic. On this basis,future research directions and policy countermeasures are proposed:to carry out special theoretical research on integration between treatment and prevention,to strengthen the top-level design of the government,to establish a sound policy system for integration between treatment and prevention,and to promote integrated innovation of relevant policy systems so as to provide theoretical support and policy recommendations for future integration development and research between treatment and prevention.

Based on reviewing relevant research literature on emergency management,combining with the actual situation of COVID-19 outbreak in China. It discusses the relevant concepts and research status of emergency management and puts forward some suggestions for the establishment of emergency management system for public health emergencies in China,such as strengthening accurate prevention and control in overall process of the risk,promoting legislation and large-scale level of emergency management,strengthening professional talents training of emergency management,optimizing governance mechanism,establishing and perfecting top-down emergency management organization system.

By comparing elderly home-based care service model and development situation in the United States,the United Kingdom,Japan and Australia,it summarizes the characteristics such as multi-subject service supply,services rely on internet,perfect supervision and feedback mechanism,sound elderly service evaluation system,perfect law and standardization system in foreign elderly home-based care service. It puts forward suggestions that we should integrate elderly home-based care service resource,improve elderly home-based care service standardization system,establish perfect insurance system,strengthen community,internet service platform.

Based on symbiosis theory of biology, construct traditional Chinese medicine elderly care service system in Guangdong-Hong Kong-Macao Greater Bay Area. Through the specific analysis of symbiosis unit, symbiosis matrix, symbiosis interface and symbiosis environment, the “443” multi strong and multicenter symbiosis space structure mode is constructed, the organization and system mechanism based on the joint meeting, the multicenter cooperation linkage mechanism based on the maximization of common interests and the market leading mechanism based on parallel coupling are established. Put forward countermeasures and suggestions to improve symbiotic environment, improve symbiotic interface, and strengthen symbiotic matrix, and promote the development of traditional Chinese medicine health care services in Guangdong-Hong Kong-Macao Greater Bay Area.

Foreign medical aid is an important part of China's diplomacy and plays an important role in safeguarding national interests, strengthening international cooperation, and enhancing the image of a big country. With accelerating of historical background of “the Belt and Road Initiative”, it has further far-reaching and more important significance to promote the improvement and development of China's medical assistance work. This paper combs relevant literature, combines with the background of “the Belt and Road Initiative”, it takes foreign medical aid work of Guangdong Province as an example to analyze its status quo and problems so as to put forward relevant countermeasures for further perfecting and developing China's medical assistance work and help the construction and development of “the Belt and Road Initiative”.

In this paper,it takes Chepi community service cnter of Tianhe District as the test point. It combines three major links of PRECEDE-PROCEED model with 4 processes of community health management,comprehensively assess hypertensive patients in the community. Find out tendency,stimulus and intensify factors of affect hypertensive patients and formulate target health intervention plan. Finally,implement and evaluate it,and analyze the feasibility of its implementation,so as to provide reference and thinking for improving the quality of life of hypertensive patients and building propagable hypertension community health management model.

Internet medical care is in exploration stage in our country yet. At present, it mainly includes three representative operation patterns,that is tele medicine, Internet diagnosis and treatment, and Internet hospital. There are some problems such as imperfect policies and regulations, lack of qualified physician resource, poor security of diagnosis and treatment on line, risk in information safety, unstandardized of medical data, conflict of benefit distribution and so on. We should further strengthen standardized construction of Internet medical care management, perfect information safety protection mechanism, link medical insurance settlement system and so on, so as to promote health development for Internet medical care in our country.

The purpose of this paper is to analyze the meaning,characteristics and development dilemma of the mode of community home-based for the aged in integrated treatment and convalesce mode,as well as the necessity and feasibility of social work involving community home-based for the aged in integrated treatment and convalesce mode. It puts forward some intervention strategies of strengthening professional service,optimizing participation path,integrating resource in many ways and so on.

The paper illustrates economics theory of drug bulk purchasing with quantity in “4+7” cities in recent years. It include economics theory which is group purchasing,single source,buyer monopsony and seller setting monopoly prices,price and volume agreement,etc. The key issue is that it is necessary to establish a reasonable,fair and equity pricing mechanism. It also describes the significance,basic mode, effectiveness and impact analysis of bulk purchasing. Finally,the paper discusses several points of view raised by the stakeholders. It also puts forward some suggestions on how to improve the direction of bulk purchasing with quantity in the future in China.

It aims at the problems of insufficient supply amount, supply deficiency and malposition of supply and demand, and structural imbalance among homes, communities, and institutions. Therefore, it puts forward that is dominated by government to provide part of services supply so as to provide necessary support for entire elderly care service system, promote the reform and transformation of community/township health service institutions, expand comprehensive services of “medical care + wellness convalesce”. It forms integration health care model which takes community health service center (township health clinic) as the main body and effectively join family and institution together through smooth referral mechanism as well as technical guidance and service delivery for home elderly health care. Innovate operation mechanism, service content and method to achieve affordable, high-quality, accessible and inclusive elderly care services.

Based on the analysis of wisdom medical research status,the model construction is carried out. It sums up and analyzes the practice of “wisdom medical + health poverty alleviation” in Jingde county,states that the implanting of wisdom medical brings new challenges and opportunities for government departments,medical staffs and poor people. It puts forward the direction of intelligentize,standardized and digitization of health poverty alleviation model innovation so as to promote the development of medical and health service system.

Objective To study the factors influencing the willingness of middle-aged and elderly users to use smart wearable devices so as to promoting availability of smart wearable devices in this group. Methods Firstly,the influencing factors were preliminarily selected through document analysis and interview,establish structural equation model. Secondly,the information of middle-aged and elderly user was collected by questionnaire survey,and the data were processed to verify the structural equation model,and the influencing factors were finally determined and the path analysis was conducted. Results The two factors of self-efficacy and outcome expectancy had obvious significance on use willingness. Legislative protection and health awareness had significant effects on self-efficacy of middle-aged and elderly people. Three factors of functional consistency and perceived aesthetic experience and replacement experience had obvious significance on outcome expectancy. Both contact preference and rejection change had no significant effect on self-efficacy in middle and old age. Conclusions Promote the users' health awareness,rich the function of smart wearable devices,optimize the products' appearance and design,protect users' privacy are the key of promoting the use of smart wearable devices in middle-aged and elderly users.

This article describes the social background,policy support,exploring practice and current status of the development of cross-regional elderly care services in Guangdong-Hong Kong-Macao Great Bay Area. Then,the characteristics and advantages of elderly care services in the Greater Bay Area were summarized and the governance dilemma of cross-regional elderly care services in the Great Bay Area was analyzed. In order to build “Health Bay Area”,it is suggested that the governments of Guangdong,Hong Kong and Macao strengthen policy coordination,gradually solve the dilemma of uneven social welfare in Hong Kong,Macao and Guangdong province. Strive to develop cross-regional elderly care services in Guangdong,Hong Kong and Macao. Strengthen policy coordination in 9 cities of Pearl River Delta based on economic integration,gradually carry out social welfare integration. Increase financial funding and policy support,adjust measures to local conditions,develop community home-based elderly care services of integrating treatment and convalesce.

Under the background of internet medical,it states three aspects intelligent traditional Chinese medicine(TCM)diagnosis and treatment model of TCM doctor diagnosis on line,patient visit doctor offline and intelligent TCM big data. In the practice of intelligent TCM,combine with long-distance diagnosis and treatment model of “inspection,auscultation and olfaction,inquiry and palpation”,establish a remote diagnosis system for patients with difficult diseases and chronic disease follow-up system. The precision prevention and management for disease,and carry out new model for the promotion of intelligent Chinese medicine through excavating deeply massive TCM data,explore core treatment method and prescription of famous TCM doctors.

This article combines advantages of multilevel, high quality and wide coverage institutional pension system in Canada, summarizes four types main models integrated treatment and convalesce in our country, analyzes the problems in exploring integrated treatment and convalesce such as insufficient investment, low social force participation, imperfect evaluation system, insufficient integration of institutional function, and lack of nursing personnel training mechanism for the elderly. It puts forward that perfect endowment insurance, build standardization needs assessment system, promote information integration of treatment and convalesce, train nursing talents and so on.

This paper through teasing out current disease cost accounting methods at home and abroad, and summarizes the characteristic and adaptability of different methods. Combine with current situation in China, such as weak foundation of disease cost accounting, ineffective integration of methodology, and incompact relationship between cost accounting and pricing, the study provides reasonable suggestion to promote the development of disease cost accounting methods and accelerate the practical application of cost accounting results.

Seniors are high risk groups in the COVID-19 epidemic and vulnerable groups in various digitized communicative platforms, and desiderate to receive attention. The social alienation and loneliness caused by home isolation, as well as the anxiety and panic caused by “infodemic,” can seriously affect the subjective well-being of the elderly. Based on the theories of social capital, this study investigated the influence and construction of social capital on the life satisfaction of the elderly during COVID-19 epidemic period by investigation data from the national questionnaire survey of the elderly. The study finds that self-reported good physical and mental health, high social trust, and emotional support based on acquaintances’ social circle can significantly improve the life satisfaction of the elderly during COVID-19 epidemic, while extensive network social contract scale has no significant effect on the life satisfaction of the elderly during COVID-19 epidemic.

This article briefly summarizes the development history and current several models of hierarchical diagnosis treatment in China. It suns up the effect of hierarchical diagnosis treatment implementation to promote dual referral,reduce medical expenses and improve the service capacity of primary medical institutions after new medical reform. Analyze the problems of that scare service capacity of primary medical institutions in hierarchical diagnosis treatment implementation,has not fundamentality change happened of patients flow yet,low awareness of hierarchical diagnosis treatment by the residents,and imperfection medical insurance and other supporting measures. We should improve service capacity of primary medical institutions,strengthen labor division and cooperation in different level's medical institutes,dredge dual referral,strengthen publicity,improve the awareness of hierarchical diagnosis treatment and grass root first diagnosis treatment by the residents. Perfect medical insurance and other supporting measures. In order to promote the implementation of hierarchical diagnosis treatment.

Objective Based on the SPO model(structure-process-outcome),establish a set of service quality evaluation index system for integrated treatment and convalesce in elderly care institutions which is suitable for our country. Methods A index system was built by two rounds of expert consultation based on literature review and related policies interpretation. Through analytic hierarchy process to determine each index weight of service quality evaluation index system,and conducted reliability test to index system by Cronbach's alpha coefficient. Results The positive coefficient of experts in two rounds of questionnaires was 0.83 and 0.87 respectively,and the authority coefficient was 0.817 and 0.823 respectively. Kendall's concordance coefficient was 0.39 and 0.44 respectively(P<0.01). The last established evaluation system contained 3 first-level indexes,7 second-level indexes and 36 third-level indexes. Cronbach's alpha coefficient of every dimensionality index for reliability test were all >0.800. Conclusions This service quality evaluation index system has better practicability and scientificity,and provide a new kind of evaluation method for service quality level for integrated treatment and convalesce in elderly care institutions,which enriches the research on the service quality evaluation for integrated treatment and convalesce in elderly care institutions,so as to provide a certain theoretical reference for the continuous improvement of service quality in elderly care institutions.

This paper states that social workers provide service for children by the advantage of home quarantine, playing the function of resources linkers, strengthening the function of social support in in public health emergency. It analyzes difficulties of the challenge in traditional intervention and difficult to play the advantage of professional services in social work. It puts forward thinking and expectation, that is to say do well the intervention of children crisis, improve health management for children, perfect emergency safeguard mechanism for children, promote children's comprehensive healthy growth.

Objective By investigating current situation of medical device industry in Yunnan Province,discussing factors affecting the development of the medical device industry in Yunnan Province so as to provide suggestions and references for promoting the development of medical device industry. Methods The questions were designed on the basis of literature review and preliminary investigation. The questionnaire was conducted by random sampling and field interviews in Yunnan province. Results There were 88 manufacturing enterprises and 15,900 medical device business enterprises in Yunnan province. There were common problems in the two kinds of enterprises such as single product structure,homogeneous competition was severity and lack of professional and technical personnel. In the analysis of influence factors,the higest item of manufacturing enterprise was the capacity of device research and development innovation(3.63～0.68). Business enterprise was government and social capital fund investment. Conclusions There is big gap between Yunnan medical device industry and other provinces' and cities's. Single product structure,homogeneous competition was severity and lack of professional and technical personnel professionals are main problems. Government,social capital fund investment and medical device regulatory reform are main factors of influencing the development of medical device industry.

It analyzes some legal and ethical issues in the pilot process of “internet + nursing service” in Shanghai,such as inconsistency of cognition between mass needs and actual supply,further refinement and standardization in relevant management system and service,balance between nurses' safety protection and patients' privacy protection,ethical decision-making of nurses in emergencies of medical nursing activities,cultivation and establishment of nurses' humanistic care spirit and so on. It puts forward corresponding suggestions so as to promote the development of “internet + nursing service”.

This article introduces reform process of payment method reform after implementing national health insurance in Taiwan,and analyzes the design of payment method and reform characteristics through teasing literature. It puts forward suggestions such as improving law system,clear-cutting department responsibility,promoting the reform step by step,playing organizational function of medical associations and experts,establishing reasonable negotiation decision-making mechanism,actively exploring performance payment,improving the quality of medical services,adjusting measures to local condition and exploring local payment method of health insurance,so as to provide reference for payment method reform of health insurance in mainland.

Promote modernization of China's public health governance system and capacity is an inevitable requirement for the construction of a healthy China. Facing the difficulties and challenges in the field of public health system,this study reflects the modernization requirements of governance capabilities based on the three dimensions of integration,equalization and diversification,analyzes overall operating mechanism of public health system at macro,meso and micro levels,and proposes target governance,collaborative governance,mechanism governance,and technical governance coping strategies.

Objective To understand outpatient's satisfaction of non-medical technical services in top three hospitals and explore the influencing factors,and to put forward suggestions for improvement of non-medical technical services. Methods It each chose one from top three general hospitals,traditional Chinese medicine hospitals,maternity and child care centers and specialized hospitals in Nanjing,total of 820 outpatients were investigated by questionnaire. 762 valid questionnaires were collected and the effective rate was 92.9%. Results The satisfaction scores of outpatient patients in various dimensions on non-medical technical services in turn as follows,medical facilities and environment>convenience for medical treatment>cost level >occupational ethics and attitude. Age and attitude towards doctor-patient relationship were main influencing factors of non-medical technical factors and overall satisfaction. Diagnosis and treatment time and waiting time for taking medicine were the influencing factors of professional ethics and attitude satisfaction. Self-payment fee was the influencing factor of cost level satisfaction. The source of household registration and educational background were the influencing factors of medical facility environmental satisfaction. The way of registration was the influencing factors of convenience for medical treatment. Source of household registration,time of diagnosis and treatment,waiting time of taking medicine were the influencing factors of overall satisfaction of non-technical services. Conclusions Outpatients are more satisfied with the environment of medical facilities in top three hospitals,and less satisfied with the professional ethics and attitude of medical staff and the cost of medical treatment. Generally speaking,the older patients,the longer diagnosis and treatment time and the shorter waiting time for taking medicine,the more positive attitude towards the relationship between doctors and patients,the more satisfaction of non-medical technical services.

Systematically reviews the social medical insurance policy of different types of migrants, analyzes the migrants' health status change and the social medical insurance system based on the perspective of health selection. Aims at the problems of redistribution of financial risk of sickness from the migration and poor efficiency of the social medical insurance system. Suggestions such as promote civilization of migrants through promoting stable employment, accelerate integration reform of the social medical insurance system and improve the social medical insurance level of migrants.

Based on the background of “Healthy China 2030”,the study compares the level,growth trend,elasticity coefficient of health consumption and personal health expenditure of total health expenditure in four municipalities of Beijing,Tianjin,Shanghai and Chongqing from 2012 to 2016. It analyses the characteristics and problems in the development of total health expenditure of four municipalities such as total health expenditure in Beijing,Tianjin,Shanghai and Chongqing municipalities is running well in general,it is unbalance in the input of total health expenditure in four municipalities,it grows too fast of total health expenditure in a certain extent. It puts forward some suggestions of that reasonably adjust the relationship between total health expenditure and economic development,the development of total health expenditure of the four municipalities under the construction of “Healthy China 2030” needs to be more targeted.

The cardinal number of elderly people in rural areas in China is large,the growth rate is fast,and the problem of rural aging is becoming more and more serious. Getting old before getting rich and getting old before getting ready are the real problem of rural China. The traditional pension model has been unable to adapt to the needs of rural areas in China at present,and integrated treatment and convalesce in pension model has become a new choice. However,subject to the backwardness of old-age care idea,lack of funds,professional talents,and policy support,integrated treatment and convalesce develops slowly in rural area. This paper explores the path of rural integrated treatment and convalesce in old-age care in the context of rural revitalization from the aspects of changing the concept of old-age care,developing rural economy,strengthening personnel training,and improving policies and regulations under the background of rural revitalization.