Objective To explore the impact of policy instruments and innovation on the informatization of rural health service system.Methods Central government policy documents related to the informatization of rural health service system,publicly released between 2009 and 2023,were collected using web crawler tools.Keyword extraction was conducted through word frequency analysis and term frequency-inverse document frequency(TF-IDF)calculation.Content analysis of policy texts was carried out from the dual perspectives of policy instruments and the policy innovation process.An exponential growth model was used to fit the evolutionary trend.Results Among the 45 central policies included,policy instruments were used 178 times in total.The demand-side policy instruments accounted for the highest proportion(71 times,39.89％),reflecting policy responsiveness to the diversified needs of rural healthcare services.The supply side policy instruments have been used a total of 51 times,with the"information system and infrastructure construction"policy instrument being the most frequently(33 times),indicating a national focus on enhancing investment in digital infrastructure and technology.In terms of the policy innovation process,policy instruments were primarily utilized during the adoption stage of policy ideas(55.06％),followed by the implementation stage(38.20％),with the initiation stage being the least influenced(6.74％).The initiation stage was relatively evenly influenced by all 3 types of policy instruments;the adoption stage was mainly influenced by demand-side instruments,while the implementation stage was dominated by supply-side instruments.This trend reflected a policy shift in recent years from value guidance toward practical operability and implementation,demonstrating alignment with the real-world needs of advancing digital technology and improving governance capacity.Conclusion Different policy instruments exhibit stage-specific effectiveness in driving informatization innovation,indicating the need to precisely align instruments with each phase of the policy innovation process to advance informatization in a targeted manner.Top-level policy documents should be refined to clearly define relevant policy concepts.Additionally,execution pathways must be detailed to accelerate infrastructure development in remote and economically disadvantaged regions.

Objective To explore theoretical application of health communication effect evaluation in order to provide support for health communication.Methods Using health communication,health activities,health science popularization,effect evaluation as precise keywords,literature collected by databases from built to May 27,2024 was searched,and literature was screened by removing duplicate literature and reading title and abstract of literature.A total of 121 literatures were selected as research samples.Results Most of literatures did not adopt theoretical framework,and only 33 literatures had theoretical applications,mainly in fields of public health and communication.The most widely used literatures were theory of knowing and believing,Lasswell's 5W mode of communication and theory of persuasion,which were dominated by Western theories and lacked application and innovation of localized theories.Conclusion The future health communication effect evaluation should use more theoretical framework to support research,learn from and integrate theories of different disciplines,and explore localization theory research path.

Objective To explore theoretical application of health communication effect evaluation in order to provide support for health communication.Methods Using health communication,health activities,health science popularization,effect evaluation as precise keywords,literature collected by databases from built to May 27,2024 was searched,and literature was screened by removing duplicate literature and reading title and abstract of literature.A total of 121 literatures were selected as research samples.Results Most of literatures did not adopt theoretical framework,and only 33 literatures had theoretical applications,mainly in fields of public health and communication.The most widely used literatures were theory of knowing and believing,Lasswell's 5W mode of communication and theory of persuasion,which were dominated by Western theories and lacked application and innovation of localized theories.Conclusion The future health communication effect evaluation should use more theoretical framework to support research,learn from and integrate theories of different disciplines,and explore localization theory research path.

Health communication is the most core element in health education and health promotion.This paper summarizes and analyzes the research in China related to the evaluation of health communication effects through different media.It finds that the current evaluation indicators of communication effects are generally focused on changes in awareness rates.Traditional media and new media,as different types of communication mediums with their own advatages and limitations,do not have unified indicators to scientifically evaluate their communication effects in China,Due to the interdisciplinary nature of health communication,qualitative research methods(such as the Delphi method)have not been fully applied by researchers in the field of public health in China.This paper aims to sort out and compare various effects evaluation indicatorsof health communication with different media from current research through a literature review,and to provide evidences for improving a comprehensive and practical effect evaluation system of health communication in the future.

Purpose/Significance Based on the concepts of healthy cities and smart cities,the paper introduces a new concept-smart healthy cities.It explores the definition,scope,function,challenges,and strategic responses associated with the concept.Meth-od/Process Through literature review and case study analysis,the theoretical foundations,characteristics,objectives,and implementa-tion strategies of healthy cities and smart cities are compared,revealing differences and points of convergence,proposing the origins,def-initions,and delineations of smart healthy cities,and exploring the relationships among healthy cities,smart cities,and smart healthy cit-ies.Result/Conclusion Smart healthy cities enhance urban health governance and the well-being of residents through technological in-novation.Effective integration of advanced technologies with urban governance policies is essential,alongside the implementation of di-verse strategies to drive progress.Future urban development should focus more on the theoretical and practical collaborative development within the smart healthy cities framework.

Purpose/Significance To expound the development of the application of new generation intelligent technologies in the medi-cal field in China,and to provide ideas for the future development of intelligent medical technologies in China.Method/Process Literature related to the application of medical intelligence technology from 2000 to 2023 is searched and screened on CNKI,and the knowledge graph is drawn by descriptive statistical analysis and CiteSpace software for visualization analysis.Result/Conclusion The number of papers pub-lished in the application research field of domestic medical intelligence technology shows a trend of steady growth and then leveling off.The hot keywords mainly include smart medical care,health care,health management,etc.,forming 8 main cluster sets.Future research should strengthen cooperation and exchanges between researchers and organizations,and pay more attention to the challenges posed by the applica-tion of technology in terms of security and privacy,technology supervision,talent team construction and technological energy consumption.

Purpose/Significance Based on the digital health community reference architecture,the technical framework for smart and healthy city is constructed to support the research and development of smart and healthy city.Method/Processs According to the ar-chitecture,combined with the needs and practices of the digitalization of the health industry,the"1+1+3+N"technical framework re-presenting the digital infrastructure and smart hub of the smart and healthy city is derived,namely,the one network,unified digital health foundation,three service platforms and N intelligent applications,application analysis is conducted.Result/Conclusion The framework can be used to crack the information interoperability problem,significantly release the value of medical and health data,and support in-dustry users and industry partners to hammer out scenario-based solutions for different business areas,and provide references for the top-level planning,construction and development of smart and healthy cities around the country.

Purpose/Significance To explore the technical key points and implementation paths of relevant policies,and provide ref-erence for the planning and construction of future smart healthy cities.Method/Process It reviews and analyzes domestic and internation-al policy progress in the field of smart healthy cities,deeply analyzes policy documents,reveals the evolution trajectory,core elements,and driving effects on urban health development.Result/Conclusion Establishing a framework for health informatization,resource net-working,intelligent services,and integrated supervision can effectively address urban health challenges,provide efficient health services,and improve residents'quality of life and hygiene level.Policies such as optimizing the allocation of medical resources,promoting coordi-nation and cooperation among medical institutions,and expanding the health industry will jointly promote the sustained progress of urban health ecosystems.

Purpose/Significance Based on international cases,the paper analyzes the application development of artificial intelli-gence(Al)technology in the medical field,and provides references for improving the application of AI technology in the medical field in China.Method/Process The literature is searched on CNKI,and institutions with high influence in the international health technology industry are selected according to the exclusion criteria for further analysis.Result/Conclusion A total of 8 AI medical technologies relat-ed to health technology industries or teams in 7 countries are selected and included,based on the convenience and advantages brought by them,to provide references to explore and improve the research and application of AI in the medical field.

The release of the Measures of Ethical Review of Life Sciences and Medical Research Involving Humans has brought new requirements to the field of ethical review in health management research.Based on the background of new regulations and combining the characteristics of the health management discipline,this paper explored the needs and necessity of ethical review in health management research.In the Measures,the ethical governance of health management research was updated,the concept of exemption from the ethical review was put forward,as well as the importance of protecting the rights and interests of research participants and the protection of personal information were emphasized.This paper also explored the ethical review framework for health management research,including the formulation of operational standards for exemption from ethical review,the refinement of standardized ethical review work systems and processes,and the clarification of information data source verification.These explorations aimed to provide an ethical guarantee for health management research,promote its healthy development,and ensure that the rights and interests of research participants are fully respected and protected.Through research,it is hoped that the ethical level of health management research can be further improved,promoting the development of the discipline and social progress.