On the occasion of celebrating the 110th anniversary of the Chinese Medical Association, the authors take the Chinese Journal of Digestive Surgery, a leading Chinese journal under the excellent action plan for Chinese scientific and technological journals, as the research subject to systematically analyze practices in academic exchange and scientific innovation develop-ment models advocated by the Chinese Medical Association. Through establishing a pyramid-shaped academic ecosystem, implementing strategic guidance with standard outputs, and building collabo-rative empowerment mechanisms, the journal has achieved breakthrough improvements in academic influence and communication efficacy. The study reveals that Chinese scientific journals can effec-tively overcome traditional development constraints by deeply integrating with national strategies, reconstructing academic value chains, and innovating knowledge service models, thereby providing China-specific solutions for constructing world-class scientific journals.

With the acceleration of aging society in China, acute obstructive suppurative cholangitis (AOSC) in the extremely elderly (≥80 years) patients has become a common and frequent acute abdominal disease, which seriously threatens national strategy of "healthy aging" in China. Endoscopic retrograde cholangiopancreatography (ERCP) is currently the mainstream treatment for AOSC, but emergency ERCP treatment for elderly patients with AOSC is limited. In recent years, laparoscopic surgery targeting laparoscopic transcystic common bile duct exploration (LTCBDE) has been an ideal treatment method, but it has a high surgical risk. The authors′ team has conducted in-depth exploration into the advantages and disadvantages of ERCP treatment, strategies for repairing Oddi sphincter function, selection of laparoscopic surgical methods, and formulation of safety guarantee measures, and has carried out the technical improvements on LTCBDE, aiming to enhance the feasibility and safety of this surgical method in the treatment of AOSC in extremely elderly patients.

On the occasion of the 110th Anniversary of the establishment of the Chinese Medical Association, the third conference of the Fourth Editorial Board of Chinese Journal of Digestive Surgery, and the Second Elite Group of Chinese Journal of Digestive Surgery, was successfully held in Kunming on July 4, 2025. This conference systematically summarizes the development experience of the journal over the past 20 years from three aspects: the role of ecological construction of thought in the discipline construction of digestive surgery, the display of the latest academic achievements in the field of digestive surgery, the development difficulties, and breakthrough paths of the discipline, and strategically plans the path of discipline construction in the new era.

On the occasion of celebrating the 110th anniversary of the Chinese Medical Association, the authors take the Chinese Journal of Digestive Surgery, a leading Chinese journal under the excellent action plan for Chinese scientific and technological journals, as the research subject to systematically analyze practices in academic exchange and scientific innovation develop-ment models advocated by the Chinese Medical Association. Through establishing a pyramid-shaped academic ecosystem, implementing strategic guidance with standard outputs, and building collabo-rative empowerment mechanisms, the journal has achieved breakthrough improvements in academic influence and communication efficacy. The study reveals that Chinese scientific journals can effec-tively overcome traditional development constraints by deeply integrating with national strategies, reconstructing academic value chains, and innovating knowledge service models, thereby providing China-specific solutions for constructing world-class scientific journals.

With the acceleration of aging society in China, acute obstructive suppurative cholangitis (AOSC) in the extremely elderly (≥80 years) patients has become a common and frequent acute abdominal disease, which seriously threatens national strategy of "healthy aging" in China. Endoscopic retrograde cholangiopancreatography (ERCP) is currently the mainstream treatment for AOSC, but emergency ERCP treatment for elderly patients with AOSC is limited. In recent years, laparoscopic surgery targeting laparoscopic transcystic common bile duct exploration (LTCBDE) has been an ideal treatment method, but it has a high surgical risk. The authors′ team has conducted in-depth exploration into the advantages and disadvantages of ERCP treatment, strategies for repairing Oddi sphincter function, selection of laparoscopic surgical methods, and formulation of safety guarantee measures, and has carried out the technical improvements on LTCBDE, aiming to enhance the feasibility and safety of this surgical method in the treatment of AOSC in extremely elderly patients.

On the occasion of the 110th Anniversary of the establishment of the Chinese Medical Association, the third conference of the Fourth Editorial Board of Chinese Journal of Digestive Surgery, and the Second Elite Group of Chinese Journal of Digestive Surgery, was successfully held in Kunming on July 4, 2025. This conference systematically summarizes the development experience of the journal over the past 20 years from three aspects: the role of ecological construction of thought in the discipline construction of digestive surgery, the display of the latest academic achievements in the field of digestive surgery, the development difficulties, and breakthrough paths of the discipline, and strategically plans the path of discipline construction in the new era.

It provides a concise overview of the special rectification and daily supervision policies and measures of medical insurance since the establishment of the National Healthcare Security Administration,studies changes in medical insurance supervision fields,supervision methods,and supervision contents,and focuses on analyzing the impact of new changes in medical insurance supervision on the internal management of hospitals.Based on the practice of Union Hospital of Tongji Medical College of Huazhong University of Science and Technology,it introduces the hospital from the key areas,key departments and key mechanisms to actively respond to the above new changes in supervision,standardize the use of medical insurance fund internal management measures and their effectiveness.

Objective To analyze the current research status and hotspot issues of performance assessment in tertia-ry public hospitals in China,providing reference for subsequent research and practice.Methods Using"performance assessment of tertiary public hospitals"as the main keyword,a total of 520 articles were retrieved from the CNKI ac-ademic journal database from January 30,2019,to January 30,2024.After further screening of literature based on the inclusion and exclusion criteria,a total of 364 eligible articles were obtained.Visual analysis was conducted using the VOSviewer tool.Results The number of publications increased annually from 2019 to 2021,with a decline ob-served in 2022-2023."Chinese Journal of Health"published the most articles on performance assessment in tertiary public hospitals.Research institutions mainly focused on universities,health administrative departments,and hospi-tals.The hotspot clusters of research included performance assessment,public hospitals,target management,high-quality development,tertiary hospitals,and operational efficiency.Conclusion Performance assessment in tertia-ry public hospitals has received widespread attention,with rich connotations and obvious guiding effects,but further research is needed to deepen and explore related topics.

The performance evaluation of tertiary public hospitals is a major measure to promote the high-quality development of public hospitals and contribute to the construction of Healthy China.In advancing performance evalua-tion,public hospitals face various challenges,including differing policies and economic levels across provinces,a need to optimize the indicator system,and internal issues such as varied discipline structures,uneven emphasis on different factors,untimely internal performance linkage,and lagging informatization.Based on a systematic perspec-tive,it proposes countermeasures and suggestions such as strengthening policy coordination,optimizing the indica-tor system,enhancing top-level design,increasing employee awareness,intensifying compensation guidance,and accelerating informatization construction.