On January 22, 2024, during the third session of the inaugural "Global Health Development Cross-Strait Forum," themed "Integration Across the Taiwan Strait and Global Health," scholars, policymakers, entrepreneurs, and other guests from both sides of the Taiwan Strait spoke on integration across the strait and global health. The event was moderated by Zhang Haibin, Associate Dean of the Institute for Global Health and Development at Peking University, Associate Dean of the School of International Relations, and a member of the Fourth National Expert Committee on Climate Change.

Practicing “One Health,” Building a Healthy China Together.

Guest Introduction:

Liu Qian, President of the Chinese Hospital Association and Convener of the Mainland Working Group for the Cross-Strait Entrepreneurs Summit on Biotechnology and Healthcare Industry Collaboration.

President Liu Qian shared his insights from policy and management perspectives. Regarding the development and practice of "One Health" in China, he emphasized the importance of ideology, action, and legal framework. He first traced the evolution of health policies in different historical periods, demonstrating the Chinese government's conceptualization and methods of practicing "One Health" over time. There has been a consistent emphasis on prevention as the primary approach, extensive participation at the societal level, a focus on grassroots efforts, and the integration of traditional Chinese and Western medicine. Simultaneously, he expressed that the Patriotic Health Campaign and the Healthy China Action are consistent efforts that have propelled the development of the nation's public health system and have yielded significant results.

Regarding legal issues, he believed that the Chinese government has placed high importance on legal systems, particularly since the 18th National Congress, adhering to the requirement of governing the country according to law within the framework of the "Four Comprehensives." There are currently 15 laws, along with 35 administrative regulations, 85 departmental rules, and over a thousand standards, collectively constituting the legal framework related to health. The developmental practice of China's health system fully demonstrates that a people-centered approach to jointly plan, build, and share aligns closely with the "One Health" concept.

Regarding the promotion of "One Health," he emphasized the need for synergy across regions, sectors, and disciplines, stressing the importance of cooperation and support. Cooperation is needed for effectively utilizing resources and improving the quality and efficiency of work. When addressing global challenges such as infectious diseases, chronic diseases, and antimicrobial resistance, ideological consensus is needed to strengthen cooperation and manage the relationship between cooperation and competition effectively. Secondly, collaborative mechanisms to integrate medical treatment and disease prevention need to be established. Coordination mechanisms between departments and regions are also necessary. Thirdly, technological changes occur in various fields. Hospitals are indispensable platforms that are responsible for strengthening cooperation with all parties. Information and resource sharing should form effective working methods and mechanisms within the framework of the law.

Exploring Areas for Cross-Strait Health Exchange and Cooperation

Guest Introduction:

Li Zude, Chairman of Taipei Medical University in Taiwan.

I'm presenting this report based on over 36 years of exchanges and experience in mainland China. I'd like to share my thoughts using a quote from the Book of Songs: "Each side has its strengths and weaknesses, cooperation complements; interaction and understanding benefit both; challenges are normal, persistence is valuable; we must hold a positive attitude of benefiting others before ourselves." Today, I will discuss two aspects: insights into exchange experiences and five areas for discussion on exchange and cooperation, which will be further elaborated by representatives from Taiwan. Firstly, the initiation of cross-strait exchanges is inseparable from central leadership attitudes. In the past, many central leaders visited Taipei, playing a crucial role in cross-strait exchanges. Taipei Medical University has also influenced cross-strait relations. A significant milestone in cross-strait exchanges is standardizing evaluation norms. In 2013, Taiwanese experts spent four days at the China-Japan Friendship Hospital revising the norms, which are now in use.

Now, let's delve into the areas for exchange and cooperation. Firstly, can the mainland avoid the accumulated issues in Taiwan's health insurance system over the past 30 years? The future integration of commercial insurance is crucial. Secondly, how do we achieve integrated healthcare for the elderly? Finally, what do we do with the more than 500 million people born between 1975 and 2015, who will be over 60 years old in the future?

The second part focuses on exchange regarding the connection between medical care, health care, and nursing services. It includes integrating innovation in these areas and addressing the global shortage of caregivers. Lastly, it discusses how to address future challenges through data-driven health policies and the significance of integrating prevention into medical insurance.

The third part is about exchange in incorporating medical education into medical quality. It covers the standardization of medical education in Taiwan, medical education certification, training for Taiwanese physicians, and the future trend of medical training.

The fourth part is about establishing an innovative biotechnology industry ecosystem, including

breakthroughs from scratch, protecting original technological patents, the necessity of integrating with the mainland market due to Taiwan's small market share, and connecting Taiwan's innovation with the mainland's market and industry. Lastly, it discusses optimizing the connection of the traditional Chinese medicine industry across the strait.

In conclusion, both sides of the strait would benefit from collaborating on the development of global medicine and innovative technology. I hope that both sides can continue to exchange and create a harmonious and prosperous society together. Thank you!

Creation and Evaluation of "Double First-Class" Hospitals in China.

Guest Introduction:

Liu Tingfang, Founder and Director of the Department of Hospital Management at Peking Union Medical College, Chinese Academy of Medical Sciences, and a Lifetime Fellow of IAQS (International Academy for Quality and Safety).

Professor Liu Tingfang's keynote speech was titled "Construction and Evaluation of 'Double First-Class' Hospitals in China." He first defined "Double First-Class," as nationally top-tier hospitals and globally top-tier hospitals. The "Chinese-style" policy is based on General Secretary Xi Jinping's new definition of China's modernization at the 19th National Congress of the Communist Party of China, which includes three characteristics: Party leadership, respect for the common features of developed countries, and development with Chinese characteristics.

Professor Liu first introduced cases of internationally renowned hospitals and shared the composition of indicators for world-class hospitals. Compared with the indicators of world-class hospitals, there is still significant room for improvement in the existing ranking indicator systems in China. Therefore, based on in-depth research on China's national conditions and a thorough understanding of experiences abroad, Professor Liu and his team have developed, for the first time, a set of evaluation indicators and implementation pathways for constructing and evaluating "Double First-Class" hospitals with Chinese characteristics. They have attempted to use translated international scales to carry out evaluations of relevant primary indicators.

This project systematically and scientifically proposes a set of evaluation indicators and implementation pathways for constructing and evaluating "Double First-Class" hospitals with Chinese characteristics from macro and micro levels and provides relevant policy recommendations. Professor Liu detailed the progress of the project and future plans. The team has gained a deeper understanding of the current situation of public hospitals in China and has increased confidence that this scientific research will help domestic hospitals enter the ranks of world-class hospitals. Hospitals have attached great importance to this project, and leaders at all levels, including Party secretaries, hospital presidents, and department heads, have actively participated in exchanges. Next, the project team will incorporate the indicator system into 20 hospitals, form specialized teams within each hospital, conduct benchmarking tests for three months, assess the level of each hospital as A, B, or C, and then validate the indicator system again using structural equation modeling. Professor Liu hopes that through this project, he can promote the high-quality development of public hospitals and propel them into the ranks of world-class hospitals.

Constructing a New Theory with "Artistic Health Management"

Guest Introduction:

Jin Man, Director of the Art and Health Management Laboratory at Peking University, Professor at the Opera Research Institute, Dual-Appointment Professor at the Institute for Global Health and Development, and Dean of the School of Music at Shanxi University.

Professor Jin Man pointed out that the proposal of "Art and Health Management" responds to the "Healthy China" initiative and aims to implement "Psychological Health Promotion" by targeting "holistic" education. Through art, it nourishes emotions and relieves stress, promoting development and providing a basis for achieving a high-quality life.

"Art and Health Management" combines art, health, and management with nourishment and comfort. "Comfort" corresponds to "art" while "nourishment" corresponds to "health management." The combination of "comfort" and "nourishment" constitutes the operational behavior of "Art and Health Management." Therefore, the goal of "Art and Health Management" is to focus on "comfort" as the core keyword, pointing to the cultivation of "holistic" individuals.

After clarifying this concept, we have formulated a set of goals for talent development, namely: arousing interest through art, finding methods to promote aspirations in management, and ultimately aiming to achieve quality health. This system aims to practice the concept of "three in one," which includes understanding the "knowledge" related to new theories and concepts, the "good" related to innovation and research spirit, and the "pleasure" related to methods that nurture the mind and emotions. In other words, in talent development, a systematic knowledge structure of art and health management should be established to understand what healthy art is, how art empowers and promotes health management, gain practical experience, and ultimately apply knowledge and experience to solve practical problems.

Therefore, the goal of Art and Health Management is to establish the practical artistic functionality and usability of "Life Aesthetics" from the "Life Sciences," beginning with four dimensions of human survival, life, spirit, and emotion. Empirical research has implemented sound energy, health ballet, art therapy, virtual reality, and health management. Connecting "Life Aesthetics" with the "Life Sciences" will enable people to achieve satisfying, fulfilled lives.

During roundtable discussions, insights and thoughts on cross-strait health insurance were shared from various perspectives by the following participants:

• He Weiling, President of Xiang'an Hospital, Affiliated to Xiamen University

• Zhou Guiru, Distinguished Professor at Taipei Medical University

• Guo Yan, Professor at the School of Public Health, Peking University

• Zhu Yihong, President of Taipei Zhongshan Hospital

• Xu Jing, Professor at the School of Journalism and Communication, Peking University

• Lu Ruifen, Professor at the Department of Health Care Management, Chang Gung University, Taiwan

• Zhilin Liao, Secretary of the Party Committee of Huaxi Hospital, Sichuan University, Xiamen

• Lu Kongming, Chairman of the Board of Directors, CTS Bio-Tech Group, Taiwan

• Lei Zhibin, Vice President of Tongji University Alumni Association

• Li Wei, Deputy Director of the Cross-Strait Exchange and Cooperation Committee of the China Association of Traditional Chinese Medicine

They shared their experiences and thoughts on cross-strait health insurance, giving suggestions to promote cross-strait integration and complementary advantages between the two sides, aiming to better address the common challenges faced by the health systems on both sides of the strait.

(Interpreted by Waverly Shi)