第九屆中美健康峰會探討如何建造可持續衛生健康體系

中美健康峰會工作團隊和志願者合影。(周菊子攝)

部分嘉賓及出席者合影。(周菊子攝)

              (Boston Orange 周菊子波士頓報導)第九屆中美健康峰會(U.S. – China Health Summit)的美國波士頓場，日前在400多人出席，逾百中美專家，醫院院長雲集，探討中美都面對的” 建立可持續發展的衛生健康體系”這重要議題聲中落幕。11月2日至3日，該會將轉往武漢東湖賓館，舉辦中國場會議。

中美健康峰會總書記馬晶(左)頒發培訓證書給中國國家衛健委
能力建設與繼續教育中心主任楊愛平。(周菊子攝)

              根據中美健康峰會官網中文版，中國衛生部和美國健康與人類服務部於2011年正式簽署定期對話備忘錄後，該會每年在中美兩國輪流舉辦，藉以促進中美兩國醫療健康產業高階層人士與未來領袖的合作及交流。2017年起，因應需求，還改成每年在中美兩國各辦一場。

              在擔任中美健康峰會主席的哈佛大學醫學院人口醫學系教授暨中國健康創新與轉化中心主任馬晶領導下，今年的峰會，不僅有逾百名醫療衛生政策制定者，公私立醫院院長，醫學教研機構，以及醫藥相關企業界人士專程從中國趕來參會，還首次增加了一場”醫療健康創新與投融資論壇”。

北京協和醫學院公共衛生學院院長劉遠立談"健康中國2030計畫"。
(周菊子攝)

              馬晶表示，近年來美國人民為醫療費用高漲頭痛，中國也面對出生率下降，人口老齡化的挑戰，而與此同時，醫療科技的快速日新月異，既擴大且提高了可治癒病種，卻又可能昂貴，還不易得到，如何在人們可負擔情況下，有效率的應用創新醫療科技來治病，改善人們的身體健康，變得十分迫切。今年的峰會，因此特地聚焦在” 建立可持續發展的衛生健康體系”。

              9月26日及27日這為期兩日的會議，第一天是側重在創新與投融資上，分為3場論壇，另有特別邀請到會的麻省理工學院商學院副院長黃亞生，講談”中美脫鉤對美國高新技術產業的影響"，甘迺迪家族辦公室Park Agency企業董事Stephen Kennedy Smith談”相互依存時代下的醫療健康”。

哈佛教授傅高義(右)和伍人英對談"中美關係何去何從"。
(周菊子攝)

              黃亞生指出，中美經濟"脫鉤"，會對中美兩國都造成極大的長期影響，美國的高科技產業會受損害，並影響到全球科學發展，但美國在科技領域的發展，仍將領先世界，並且包括中國在內的惠及全球。中國社會不該因為川普(Trump)在損害美國發展而開心。

              在3場論壇的主題演講，依序由哈佛醫學院遺傳學教授George Church，Iora 健康創始人兼執行長Rushika Fernandopulle，Pear Therapeutics創始人兼執行長Corey McCann主講了”成本創新、預防罕見及常見病”，”學會飛翔:建構以人為本的新型初級醫療”，”數位醫療，內褲侏儒和處方藥數位療法(Digital Health, Underpants Gnomes, and Prescription Digital Therapeutics)”。

麻省理工學院史隆管理學院副院長黃亞生談中美經濟脫鉤的影響。
(周菊子攝)

              George Church指出，大多數的創新生物科技，可負擔性都是關鍵問題。他提出兩種降低價格的建議，完全轉向預防，或把某些療法轉為預防，此外應該聚焦常見病，以期做臨床實驗的固定開銷，可由更多人來分攤。他擔心的是，最常見的病大都和年齡引起的衰老有關。

              Rushika Fernandopulle表示，現有的醫療服務提供模式不充足，將來的新模式大概和人們現在看到的都不一樣，關鍵是要根據消費者的需求來打造服務提供模式。新進入市場者，將在帶動行業向前上，扮演重要腳色。

梁王淵恒(右起)主持生物製藥知識產權座談。崔粲，Jonathan Darrow，
Jeffrey J. Ellison等人與談。(周菊子攝)

              Corey McCann以”南園(South Park)”卡通片的”內褲侏儒(Underpants Gnomes)”，來形容醫療健保行業的經營。”內褲侏儒”的第一階段是收集內褲，醫藥健保行業數位化的第一步是收集大數據，但第二步要做什麼，最後才達到盈利目的呢?他認為，得到法規機構授權，基於所創造的價值來補償費用，將是趨勢。該公司Pear就有美國食品及藥物管理局認證的商標和功效聲明，進而藉由定價和報銷途徑來反映其在健康上的經濟價值。他表示，處方數位療法(Prescription Digital Therapeutics)是下一代的主流治療方案。

Rushika Fernandopule (左起)主持"誰為創新買單"座談，謝懿立，
湯敏超，Stephen Knight, Beth Bierbower, Michael Greeley與談。
(周菊子攝)

              3場論壇各有的圓桌討論，創新展示，分別探討了”精準醫學的新前沿”，”細胞治療與基因治療”，”誰為創新買單”，”智慧醫療，以合理的成本提供高質量的服務”，”智慧醫療變革醫療服務模式”。

              出席與談者，包括啟菡生物及eGenesis執行長楊璐菡，愛康國賓創始人張黎剛，阿里健康院前運長蘇凌雲等多名備受矚目的醫療健康產業年輕後進，以及復星健康控股總裁謝懿立，松禾資本合夥人吳越，易創科技執行長湯敏超，廣州達博生物執行長周曉鴻，推想科技北美執行長鄧昱楓，Partners Healthcare副總裁Joseph Kvedar等等企業首長。

David Mou (左起)主持智慧醫療座談，張犁剛，Joseph Kvedar,
Corey McCann, 蘇凌雲與談。(周菊子攝)

              另外還有一場特別論壇，邀來美富律師事務所的崔粲和哈佛醫學院政策、治療與法律中心助理教授Jonathan Darrow，Clark+Elbing合夥人Jeffrey J. Ellison，從法律角度談"生物製藥創新的知識產權保護與監管”。

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              第二天的會議主旨是”建立可持續發展的衛生健康體系”，有五場論壇或圓桌討論，分別是"衛生體系與醫療機構間的學習與比較”，”建立可持續發展的整合型醫療衛生體系”，”以價值為基礎的保險和醫療品質”，”中國公共衛生與醫療服務的未來”，”美國公共衛生與醫療服務的未來”，以及東亞問題著名學者傅高義(Ezra Vogel)和哈佛大學法學院教授伍人英(Mark Wu)的”中美關係何去何從”午餐討論。

              傅高義直言，時移勢易，中國不但早已不再貧弱，在經濟，尤其是武力的發展上，以及對亞洲、非洲，印度的影響力越來越大，更已使得美國對中國，開始戒慎警備，兩國之間的關係，看來並不樂觀，恐怕會持續緊張。但兩國合作，才是解決世上問題的最好方向。

              伍人英認為，中美兩國關係演變至今，關鍵之一是核心價值觀大相逕庭。許多人以為，關係不好，都是因為貿易戰，其實不那麼單純。

美國中華醫學基金會主席陳致和(Lincoln Chen)。(周菊子攝)

              在"衛生體系與醫療機構間的學習與比較”這場論壇中，有兩位特邀嘉賓。美國中華醫學基金會主席陳致和(Lincoln Chen)，以及湖北省人民醫院院長暨武漢大學副校長唐其柱。

              陳致和回顧洛克菲勒基金會在1914年成立中華醫學基金會，協助中國醫院現代化，建成北京協和醫學院，以及其教學醫院，為中國培養了許多醫療衛生人才。該會也協助中國從海外引進人才。中美健康峰會創始人劉遠立，就是6年前經該會引介，從哈佛大學到中國，擔任北京協和醫學院公共衛生學院院長的。

哈佛格林健保研究院醫療長 Michael Sherman。(周菊子攝)

              唐其柱以”中國傳統醫學在控制預防主要慢性病中的作用”為題，闡述中國人的壽命普遍加長了，但在主要慢性病的控制和預防上，仍不樂觀。心血管病，癌症，糖尿病的發病率與死亡率都更高了，染患者的年齡還在降低中。中國為改善人民身體健康，已於2019年推出”2030健康中國計劃”。

              這場論壇，另有兩名嘉賓做主旨演講，分別是哈佛大學醫學院人口醫學系系主任暨哈佛格林健保醫護研究所(Harvard Pilgrim Health Care Institute )主任Richard Platt，主管麻州健康(MassHealth)及麻州聯邦醫療補助計畫的麻州衛生廳助理署長蔡維翰(Daniel Tsai)。

中國衛健委衛生發展研究中心衛生服務體系研究部副部長黃二丹。
(周菊子攝)

              Richard Platt以”真實世界證據和學習型醫療體系”為主題，發表了一段演講。他簡介了過去十年來，他和人合作建立了 一個有7000萬人提供新數據的全國醫療產品監測系統，”哨兵(Sentinel)”公共衛生項目，希望到2020年時，90%的門診決策可以反映出來採用了最好的可得證據。他強調，中美在健康醫療上應該，也必須合作。

武漢大學副校長唐其柱(中)和校友合影。(周菊子攝)

              蔡維翰綜述了麻州的醫療健保體系結構，概況與開銷。他表示，麻州的全民健康醫療保險涵蓋率已高達97%，遠高於美國各州平均數，其中大約50%到60%是由商業醫保提供，20%到30%是由他負責承辦的麻州健康(MassHealth)項目來提供醫療保險(Medicare)，以及為貧窮，殘障等等人口提供的醫療補助(Medicaid)。整個麻州的政府預算，約有40%都是花在醫療保險上。他也談到”麻州健康”重整架構，藉由負責任醫療護理組織(Accountable Care Organization，簡稱ACOs)來根據醫療的價值與結果付費。

甘迺迪家族辦公室Park Agency 企業董事Stephen Kennedy Smith。
(周菊子攝)

              在”建立可持續發展的整合型醫療衛生體系”論壇中，哈佛大學社區健康計劃創辦人Gorgon Moore簡述了美國初級醫療歷史。中美健康峰會理事長William Haseltine，也是中國醫改專家小組顧問和中國老年保健協會會長的北京協和醫學院公共衛生學院院長劉遠立教授，美國醫學保健改善研究院榮休主席Donald M. Berwick，中國國家衛健委衛生發展研究中心衛生服務體系研究部副部長黃二丹，中國河南省人民醫院副院長顧建欽分別做了講談。

劉遠立教授從北京協和醫學院公共衛生創始主席John B. Grant和中國的第一次”健康革命”開始談起，重點闡述了中國如今重視更預防，治療結果的”健康中國2030: 從計劃到行動”，包括15項計劃，以及”如何使地方領導行動”，”如何使人們改變生活型態”等挑戰。

麻州公共衛生署助理署長蔡維翰(Daniel Tsai)和中美健康峰會財政
何淑圭。(周菊子攝)

              黃二丹以”中國醫共體改革的政策進展與思考”為題，闡述中國在醫療改革上，都已經做了些什麼，包括根據調查結果制定政策，為500多家醫院設計了新的營運體系，把重點放在一般治療上，還強調健康優先，改革及創新，科學發展以及平等上。

              在”以價值為基礎的保險和醫療品質”這論壇中，四川省人民醫院院長鄧紹屏，深圳市人民醫院院長徐勇和密西根大學以價值為基礎的保險設計中心主任Mark Fendrick，哈佛朝聖者醫療研究所醫療長Michael Sherman。

愛醫傳遞(Morre Health)創始人朱郡伶專程從加州趕來與會。
(周菊子攝)

              在”中國公共衛生與醫療服務的未來”環節，中國國家衛健委能力建設與繼續教育中心主任楊愛平先發表演講，再和北京醫院副院長奚垣，首都醫科大學北京安貞醫院副院長孔晴宇，雲南瑞奇德醫院院長徐梅，南昌大學第一附屬醫院副院長洪濤座談。

              ”美國公共衛生與醫療服務的未來”環節，美國衛生及公共服務醫療研究與質量菊證據與實踐改進中心主任Arlene Bierman先發表演講，再和CVS 微診所(Minute Clinic)前任執行長Marc-David Munk，哈佛醫學院人口醫學系精準醫學研究中心主任暨副教授Christine Lu，Atrius 健康社區醫療聯盟醫療長Joe Kimura，麻州公共衛生署傳染病局醫學主任Alfred Demaria座談。

愛康國賓創始人張犁剛將加入中美健康峰會董事行列。(周菊子攝)

              中美健康峰會現有9名董事，創始主席為哈佛傑出教授Barry Bloom，現任主席為國際ACCESS健康創辦人William Haseltine，總書記為哈佛副教授馬晶，財務為奧洛瑞(Aurora)執行長何淑圭，董事有哈佛中國基金主席柯偉林(William Kirby)，北京協和醫學院公共衛生學院院長劉遠立，清華大學史瓦茲雯(Schwarzman)學院院長薛瀾，北極光創投執行長鄧鋒。馬晶在會中宣佈，愛康國賓創始人張犁剛將加入成為新董事。

        

哈佛大學醫學院人口醫學系副教授馬晶是中美健康峰會的靈魂人物。
(周菊子攝)

台灣科技創業創新基地9團隊波士頓秀項目

9家醫療新創團隊代表在劍橋創新中心做簡報。(周菊子攝)

            (Boston Orange 周菊子波士頓整理報導)科技部日前率領12個台灣新創團隊來波士頓，參加有來自39國，1410家公司，3320名醫療科技高管雲集的第13屆全球性醫療科技會議(MedTech)，並在劍橋創新中心(CIC)舉辦路演活動，為台灣新創科技打進國際市場鋪路。

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           科技部為協助台灣醫療新創團隊進軍國際市場，由科技部國際產學聯盟，生醫商品化中心攜手，率隊到世界各地參展，辦活動已近六年，這還是第一次帶隊到波士頓，參加麻州州長查理貝克(Charlie Baker)也出席了，在波士頓會議展覽中心舉行的2019醫療科技會議。

蔣沂成(左)和David Uffre。(周菊子攝)

Dav

          今年的這場會議，有175家廠商展示各自的最新產品及服務，50名醫療科技創新者展示他們研發的最新醫療及診斷科技，把網絡安全、市場機會、精準醫學、人工智能及歐盟、美國食品藥物法規等分成四類的126場教育性講座。

來自香港的睿信生醫行刑長表達他的看法。(周菊子攝)

          在科技部產學司副司長涂怡君率領下，分屬於疾病快篩，健康醫療檢測，創新醫材等三大智慧醫療領域各4家的共12家新創企業團隊抵波士頓，在9月23日至25日間參加會議，訪問交流，佈置出TAA國家館，在國際間打造台灣的創新形象。

其中疾病快篩類有睿信生醫科技(血液檢測阿茲海默症及癌症)、AHEAD (AI 血癌快篩)、醫守科技 (AI降低醫師開藥錯誤)、律祈醫創 (快速篩查傳染病原的分子檢測系統)。健康醫療檢測類有聿信醫療器材科技 (自動肺音監測系統)、鉅怡智慧 (AI臉部辨識偵測心跳與疲勞)、上頂醫學影像科技 (腦神經年齡檢測服務)、皇芯全球國際股份(AI智慧給藥器+穿戴式 AED) 。創新醫材類有苡樂 (醫療導管與傷口貼片)、光宇生醫科技 (生物可吸收性3D列印產品與材料)、宇康生科 (術後可調式咽喉植入物)，以及綿天科技 (MTAM 綿天膜)。

參會之外，科技部還率領這12家團隊拜會了麻州醫藥中心 (MetroWest Medical Center) 、生醫創投( Carruth Capital)、波士頓科學會(Boston Scientific)、麻州大學醫學院(Mass Medic)、麻州生命科學中心(Massachusetts Life Sciences Center)及麻省總醫院Massachusetts General Hospital）等單位。

9月27日，這參訪團還在位於波士頓市內的劍橋創新中心(CIC)，舉辦了一場”台灣科技創新創業基地展示日(TTA Demo Day)”，安排9家新創團隊向5名應邀出席的5名風險投資基金合夥人，包括Flare資本合夥人蔣沂成(Ian Chiang)，Picket Fence專利創辦人Greg Sieczkiewicz，Alira健康合夥人David Uffer，一企業創投管理合夥人Luis Barros，以及Medtronic的企業發展及牌照主任Geoff DaCosta等人，介紹他們各自研發的產品，給這些團隊爭取資金，拓展市場，加速發展機會。其中的AESOP，由共同創辦人靳嚴博做簡報，已獲選進入哈佛大學iLab。其他由首席策略顧問張紹堯做簡報的鉅怡智慧，由總經理許育舜做簡報的聿信醫療，由營運長張益慈做簡報的皇芯全球，由執行長胡文聰做簡報的睿信生醫科技等，都贏得創投人士深入垂問概況。

Baker-Polito Administration Highlights Housing Choice Bill in Everett

Baker-Polito Administration Highlights Housing Choice Bill in Everett

Local leaders endorse legislation that aims to support communities statewide in their goals to increase new housing production

EVERETT – Today, Governor Charlie Baker, Secretary of Housing and Economic Development Mike Kennealy and Undersecretary of Housing and Community Development Janelle Chan joined Everett Mayor Carlo DeMaria, the Everett Legislative delegation, and local leaders to highlight An Act to Promote Housing Choices, legislation filed by Governor Baker in February that calls for targeted zoning reform to advance new housing production in Massachusetts and support the Administration’s goal to produce 135,000 new housing units by 2025.

          

“Communities as diverse as Everett in Greater Boston and Williamstown in the Berkshires know that Massachusetts has a housing crisis, and the lack of affordable and available housing is a serious problem for the Commonwealth,” said Governor Charlie Baker. “We have filed An Act to Promote Housing Choices to jumpstart the construction of housing in every region of the Commonwealth by empowering communities to build the housing they need where they need it. We will continue to work with our legislative colleagues to swiftly take this crucial first step.”

                     

“While our economy continues to grow, too many families, businesses and communities continue to struggle with Massachusetts’ housing crisis,” said Lt. Governor Karyn Polito. “Governor Baker and I remain committed to leveraging every tool at our disposal to advance the production of housing across the Commonwealth, from funding affordable housing development to pursuing legislative reform through Housing Choice, so more communities like Everett can remain affordable to current and future residents.”

         

Today’s event at The Pioneer celebrated Everett’s commitment to boosting the production of housing viable for a wide range of incomes, with a particular focus on transit-oriented development to leverage the City’s extensive bus network and close proximity to employers in both Everett and Boston. In 2016, Everett became the first community in the Commonwealth outside of Boston to add a dedicated bus lane, leading to a significant reduction in commute times. These efforts earned Everett designation as a Housing Choice community, in recognition for the city’s success in adopting best practices and increasing the housing stock by more than 3% over the last five years.

          

Local community and business leaders including Antonio Amaya Iraheta of La Comunidad, a nonprofit organization supporting Everett’s Latin American community, Marjorie White, President of Everett Co-operative Bank, and Rafael Mares of The Neighborhood Developers, a Chelsea-based community development corporation leading the affordable housing development at St Therese in Everett, joined Mayor DeMaria in endorsing the legislation.

          

The legislative proposal will enable cities and towns to adopt certain zoning best practices related to housing production by a simple majority vote, rather than the current two-thirds supermajority. While this legislation will lower the voting threshold to change zoning for all communities in the Commonwealth, it does not require cities and towns to make any of these changes. With the proposed simple majority threshold, municipalities that pursue rezoning efforts including those enabling transit-oriented or downtown-oriented new housing, would gain approval if they achieve more than 50 percent of the vote, as opposed to the current super majority of more than 66 percent. Massachusetts is currently one of only a few states to require a supermajority to change local zoning.

          

Zoning changes that promote best practices for housing growth that would qualify for the simple majority threshold include:

    

•                 Building mixed-use, multi-family, and starter homes, and adopting 40R “Smart Growth” zoning in town centers and near transit.

•                 Allowing the development of accessory dwelling units, or “in-law” apartments.

•                 Approving Smart Growth or Starter Homes districts that put housing near existing activity centers.

•                 Granting increased density through a special permit process.

•                 Allowing for the transfer of development rights and enacting natural resource protection zoning.

•                 Reducing parking requirements and dimensional requirements, such as minimum lot sizes.

    

This legislation also includes a provision, added by the Joint Committee on Housing last session, that would reduce the voting threshold for a special permit issued by a local permit granting authority to a simple majority vote, for certain multi-family or mixed-use projects with at least 10 percent affordable units in locations near transit or, in centers of commercial activity within a municipality.

    

“The housing crisis facing Massachusetts is the greatest threat to our economic success and it is especially acute in cities like Everett, which make up the inner core of Greater Boston,” said Secretary of Housing and Economic Development Mike Kennealy. “This administration is committed to confronting this crisis and will continue to work closely with our colleagues in the Legislature to pass Housing Choice, in order to empower communities to advance the housing production they need to grow and thrive far into the future.”

           

Today’s show of support built on recent bipartisan endorsements from officials and organizations including former Secretaries of Economic Development from the Romney, Patrick, and Baker administrations. The bill was formally discussed at the May 14^th hearing of the Joint Committee on Housing. The legislation is part of the administration’s Housing Choice Initiative, which provides incentives, technical assistance, and capital grant funding to encourage new housing production that meets the long-term needs of the Commonwealth’s growing, and aging, population.

     

“Our families, seniors, workforce, individuals with disabilities, and vulnerable populations have diverse housing needs, and today’s market is not meeting them. Housing that our residents can afford is a crucial resource and An Act to Promote Housing Choices will create the tools we need to promote new housing development for those across incomes,” said Undersecretary of Housing and Community Development Janelle Chan. “We are proud of the coalition we’ve built in support of this legislation and the investments we’ve made in affordable housing, community development, and public housing to benefit the many communities that contribute to our strong, inclusive Commonwealth.”

    

“People want to live in this great community and I am proud that here in Everett we have issued the third highest number of new multi-family housing permits in the Commonwealth, many of which are transit oriented developments. However, we must do more,” said Mayor Carlo DeMaria. “Governor Baker’s legislation will expedite the construction of ‘in-law’ apartments and accessory dwelling units, increase density through special permits and will cut parking and dimensional requirements. As a result, I believe we can substantially reduce the number of unsafe, overcrowded illegal units, by creating safe and affordable high quality housing for current and future residents.”     

      

“The Housing Choice Initiative is critical for our constituency in the city of Everett,” said Antonio Amaya Iraheta, Executive Director of La Comunidad. “Across the city there are a lot of illegal units. It is very dangerous living 2 or 3 families in one or two bedroom apartments. The Governor’s bill will bring a huge benefit and better condition of living, building more housing units in the City of Everett and across the state.”

    

“While recent development in Everett has been impressive and provided increased housing for the community, too many opportunities have been missed due to outdated zoning provisions,” said President of Everett Co-Operative Bank Marjorie White. “Modification of local zoning ordinances has been a cumbersome and lengthy process. This legislation will enable local officials to assess their communities’ housing needs and enact responsible, thoughtful zoning changes to meet them.”

    

“The need for more affordable housing in the Greater Boston area has reached drastic proportions. Zoning directly impacts how much housing is produced and in turn how much our region is paying for rent,” said Rafael Mares, Executive Director of The Neighborhood Developers. “The Governor's Housing Choice legislation will empower local leaders to develop better policies that will help people in our communities find the home they deserve.”

    

“Housing security has long been a critical concern for Everett residents, and even more so today as our community continues to grow and evolve,” said Senator Sal DiDomenico. “I would like to thank Governor Baker and Lieutenant Governor Polito for making this a top priority issue for their Administration and committing to create more housing options for people of all incomes. I look forward to continue working together along with my legislative colleagues and municipal leaders to craft a bill that will adequately address our Commonwealth’s diverse housing needs.”

      

The event also highlighted Everett’s recent Affordable Rental Housing Award, announced by Governor Baker in Swampscott this July. The award will fund the first of two phases to rehabilitate the former St. Therese Parish into two developments for low-income and formerly homeless seniors featuring onsite services.

     

The Baker-Polito Administration has shown a deep commitment to increasing the production of housing across income levels. Since 2015, the administration has invested more than $1 billion in affordable housing, resulting in the production and preservation of more than 17,000 housing units, including 15,000 affordable units. In 2018, Governor Baker signed the largest housing bond bill in Massachusetts history, committing more than $1.8 billion to the future of affordable housing production and preservation. The Baker-Polito Administration has also advanced the development of more than 11,000 mixed-income housing units through the successful MassWorks Infrastructure Program, reformed the Housing Development Incentive Program, and worked with communities to implement smart-growth development and planning efforts.

中華耆英會白禮頓樓 九月慶生會(圖片)