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未来医院将没有围墙？联影智能“元医院”战略发布 落地还须严守三道关_我的网站

A |     《科创板日报》7月20日讯（记者 史士云）“你好，小U，请帮我展示患者张建国（虚拟患者）的检查结果。”          “好的，该患者存在肝功能、凝血功能，肿瘤指标异常，7月18日已经完成最新一次腹部CT检查。    Commerce Secretary Gina Raimondo said this weekend that U.S. business leaders are "very worried" about a partial federal government shutdown if Congress cannot pass a short-term funding measure ahead of an Oct. 1 deadline."They are, I think, in some cases, frustrated that this is how government operates," Raimondo said in an interview that aired Sunday on "Face the Nation."  The White House has asked Congress to pass a short-term spending bill to avoid a partial shutdown on Oct. 1. Raimondo said she hopes there will be a "speedy resolution" to the situation. 

     "It's a challenge for the economy and (has) the potential to set us back," she continued. 

• Transcript: Commerce Secretary Gina Raimondo on "Face the Nation," September 3, 2023

Earlier this summer, Republican Rep. Garret Graves of Louisiana told "Face the Nation" that he couldn't rule out a potential government shutdown after struggles to make a deal to raise the nation's debt ceiling stretched on, bringing the country dangerously close to a default.                 Fitch Ratings cited the standoff as one of the reasons why the ratings agency recently downgraded U.S. credit from its highest rating. The agency said that the government's "repeated debt-limit political standoffs and last-minute resolutions have eroded confidence in fiscal management."The August jobs report, released Friday morning, showed 187,000 jobs added last month to the workforce. However, it also showed that underemployment – the number of people working more than one job, or jobs they are overqualified for – has gone up."The reality is that inflation still exists," Raimondo said. "I don't want to minimize what Americans are feeling, and that's why we get up and go to work every day, but this economy by any measure is doing incredibly well, and much better than anyone could have predicted, I think, three years ago when we started."

On China

Raimondo also spoke on her recent visit to China, saying that "a great deal of progress" was made. Raimondo is the first U.S. commerce secretary in five years to be on the ground in China.                       "In terms of concrete deliverables, I was able to open three specific lines of communication with the Chinese," Raimondo said. These included sharing information about export controls, opening a dialogue on commercial issues, and discussing how trade secrets are handled.American business leaders have expressed concern about the handling of trade secrets, Raimondo said. Another is the lack of transparency in Chinese business regulations. American companies in China have had their offices raided and employees detained, without Chinese authorities presenting hard evidence of wrongdoing. "When I expressed these concerns, I was heard," Raimondo said, before emphasizing that she  "wasn't given any promises" by Chinese leaders. When asked if she trusted the Chinese government after her visit, Raimondo said that "trust is probably not the word" she would use. "Actions speak louder than words," Raimondo said. "So time will tell whether they are going to really be as they say they want to be, you know, more market oriented and open and reform minded when it comes to their economy, their regulatory regime."Raimondo was the fourth high-level official from the Biden administration to visit Beijing this summer, following Secretary of State Antony Blinken, Treasury Secretary Janet Yellen, and the Presidential Envoy for Climate, John Kerry. "But one thing that I think we can take a bit of heart in is it's in China's interest," Raimondo continued. "It's in their economic interest to have foreign direct investment and to make sure, you know, they had a very good economy when they were market oriented and reform minded. And so we have to hope that self interest will affect their future decisions."                      — Richard Escobedo contributed to this report.                                  。”          “小U，请帮我做一份手术规划。”          “依据CNLC分期标准，本例患者肝细胞癌分期为IA期，Child-Pugh分级A级，PS 评分为0分。手术智能体已自动完成肝脏三维重建，实现肝内动静脉、胆道系统精准辨识及残肝体积定量测算，并形成两套手术方案……”          上述对话，不是好莱坞电影《钢铁侠》中呼唤“贾维斯”的科幻场景，而是人类医生组队“元医生”，化身为“超级医生”开展日常临床工作的具象化呈现。         未来，如果医院不再局限于只是承载诊疗服务的实体空间，转而演变为联通医师、患者、医疗设备与各类医疗资源的智能能力网络，医院的边界又将归于何处？          ▌打破传统医疗物理边界          自医院诞生以来，其服务形态主要依托物理空间展开：患者走进医院，医生依托专业设备、临床经验完成疾病诊疗，医疗能力也主要汇聚于这一物理空间之中。

B |          但随着AI、多模态大模型、医疗智能体等技术快速发展，医院的边界正在被重新定义：未来，医院或将不再偏安于一栋建筑之内，医疗服务能力也将打破空间桎梏，以更多元的形态触达广大患者。         在日前举行的2026年世界人工智能大会（WAIC）期间，联影智能正式发布“元医院战略”。         联影智能将“元医院”定义为：通过多模态大模型、医疗智能体、数智孪生等‘元技术’升维医院能力，让医疗服务超越物理边界，从而成为解决医疗三难困境的全院级、数智化医院运营新模式。更为通俗地讲，元医院并不是一个AI产品，而是一套持续生成、持续学习、持续调度医疗能力的系统。         在元医院模式下，医生经验能够通过AI持续沉淀与进化成可复制的智能体应用，中枢型医疗智能体协同完成繁杂的诊疗流程；患者借助医疗级可穿戴设备实现持续监测、主动预警和及时干预；医疗服务也将从“有病才治疗”走向“全生命周期主动健康管理”。         “我们把‘元’定义为一种超越——让物理医院的能力在数智空间中不断拓展、增强和升维。”联影智能联席CEO周翔表示，“元医院所要突破的，是传统医院长期受到时间、空间、人力和资源条件限制的发展瓶颈。医院和医生始终是医疗服务的主体，我们不造医院，也不颠覆医生，而是让他们拥有更强大的数智能力。在这一模式下，医疗服务不再完全依赖‘人在医院’，而是可以延伸至院外与日常生活场景。”          另据《科创板日报》记者获悉，“元医生”作为元医院中的中枢智能体，承担统筹全院智能化诊疗运转的关键作用。该智能中枢覆盖医院全业务流程，可精准识别临床诊疗诉求，自主整合调配各类医疗资源，统筹调度多类细分AI智能体协同作业。其核心能力主要展现在以下方面：          认知能力，即“超级大脑”：依托元智多模态大模型与动态更新医疗知识库，深度对接院内各业务系统，达成全域数据实时互通，具备资深临床专家级别的复杂诊疗逻辑解析能力；          调度能力，即“神眼千手”：可依据医护人员临床指令，统一调配院内智能工具库、细分智能体，联动各类医疗设备与手术机器人协同工作；          执行能力，即“行动闭环”：依托具身智能与各类医疗硬件互联互通，将智能认知、诊疗决策落地为诊断、检验、手术、护理等完整实操任务，形成诊疗全流程闭环。

C |          在整个过程中，医生无需在多个系统之间反复切换，也无需耗费大量时间进行信息检索和数据整理。这些繁琐的数据处理、知识调用和流程协同，全部由元医生负责完成，临床医生则能够更加专注于患者沟通、临床判断和治疗决策。         不过，有行业人士指出，元医院规模化落地还需严守“三道关”：首先是合规关，要保证符合现行政策规范落地医疗伦理管控与医疗安全合规相关要求；其次是专业关，元医院与元医生要规避漏诊、误诊以及模型幻觉等各类问题，整体保障诊疗安全；最后为执行关，当下医疗智能体、具身智能技术持续迭代，未来院内各类设备和全流程诊疗环节都将深度智能化，因此需持续强化智能体与实体医疗设备的联动协同水平与实操落地能力。         ▌医疗AI规模化落地仍存短板          过去十年，AI在医疗机构落地应用进程在持续提速。各类单一场景AI工具陆续走进影像阅片、检验判读、手术辅助、病案管理等细分环节，通过技术赋能提升诊疗效率。但这些创新大多仍围绕现有医疗体系展开，更多是在既有流程上做"加法"。         如何让人工智能真正融入医疗业务流程，解决临床实际需求，释放更大的医疗价值，成为行业下一阶段需要探索的重要方向。

D |          在“元医院战略”发布现场，中国科学院院士、浙江大学医学院附属邵逸夫医院院长蔡秀军表示，对于人工智能医疗应用，既要保持发展信心，也要保持理性认知。         “当前医疗AI仍处于持续发展阶段，距离高水平、高通用性的智能系统还有一定距离。人工智能的发展不是替代医生，而是赋能医生，未来医学人才培养仍然不可或缺。”蔡秀军说道。         同时，产业端与医疗机构需求端存在供需脱节问题。医疗机构虽存在大量智能化改造需求，但院内兼具AI应用能力的专业人员储备不足。部分医疗科技企业深耕技术研发，却难立足临床工作中的难点和堵点深入挖掘落地场景。

E |          此外，复合型专业人才的供给不足和底层原创研发能力的薄弱也同样制约着AI在医疗领域的有效落地。         多重现实短板共同构成当前医疗AI规模化推广的发展桎梏，这也决定了医疗AI产业并非单点工具的简单迭代，而是需要完整技术链条、深度临床融合与长期研发投入支撑的系统性赛道。

F | 在此行业现状之下，资本市场也逐步梳理出具备长期成长潜力的核心投资主线。         易方达资本投委会委员、医疗健康投资部总经理王昊指出，医疗垂直领域大模型和多模态、全流程的智能体，AI原生的医疗信息系统，以及AI原生的医疗硬件与设备是未来医疗AI的主要投资方向。         “过往市场普遍认为医疗AI落地门槛高，缺乏成熟的商业模式，相关企业盈利难度较大，但较高的行业壁垒反而构筑了难以复刻的长期核心价值。未来仅提供单一AI工具的企业发展空间会越来越难，只有像联影这类具备完整临床场景、过硬合规实力、规模化临床落地基础，且可搭建和整合全产业链生态的平台型企业，才能穿越行业周期，引领产业变革。” 王昊认为。         （科创板日报记者 史士云）。

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