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十部门联合发文,促进社会办医持续健康规范发展

    近日,国家卫生健康委、国家发展改革委、科技部、财政部、人力资源社会保障部、自然资源部、住房城乡建设部、市场监管总局、国家医保局、中国银保监会等十部门联合发布《关于促进社会办医持续健康规范发展的意见》。以下为全文:社会办医疗机构(以下简称社会办医)是我国医疗卫生服务体系的重要组成部分,是满足不同人群医疗卫生服务需求并为全社会提供更多医疗服务供给的重要力量。党中央、国务院高度重视发展社会办医,近年来出台了一系列政策措施,不断深化改革、改善办医环境,取得了积极成效,但政策落实不到位、监管不完善、社会整体信任度不高等问题依然存在。为深化“放管服”改革,推动“非禁即入”、审批应减尽减和清理妨碍公平竞争各种规定做法的落实,解决重点难点问题,进一步促进社会办医持续健康规范发展,经国务院同意,现提出以下意见。一、加大政府支持社会办医力度(一)拓展社会办医空间。落实“十三五”期间医疗服务体系规划要求,严格控制公立医院数量和规模,为社会办医留足发展空间。各地在新增或调整医疗卫生资源时,要首先考虑由社会力量举办或运营有关医疗机构。社会力量在医疗资源薄弱区域和康复、护理、精神卫生等短缺专科领域举办的非营利性医疗机构,当地政府可与公立医疗机构同等提供场地或租金补贴和其他支持政策。规范和引导社会力量举办康复医疗中心、护理中心、健康体检中心、眼科医院、妇儿医院等医疗机构和连锁化、集团化经营的医学检验实验室、病理诊断中心、医学影像中心、血液透析中心等独立设置医疗机构,加强规范化管理和质量控制,提高同质化水平。(国家发展改革委、财政部、国家卫生健康委等部门会同各地负责落实)(二)扩大用地供给。各地在安排国有建设用地年度供应计划时,本地区医疗设施不足的,要在供地计划中落实并优先保障医疗卫生用地。社会力量可以通过政府划拨、协议出让、租赁等方式取得医疗卫生用地使用权,新供医疗卫生用地在出让信息公开披露的合理期限内只有一个意向用地者的,依法可按协议方式供应。经土地和房屋所有法定权利人及其他产权人同意后,对闲置商业、办公、工业等用房作必要改造用于举办医疗机构的,可适用过渡期政策,在5年内继续按原用途和权利类型使用土地,但原土地有偿使用合同约定或划拨决定书规定不得改变土地用途或改变用途由政府收回土地使用权的除外。(自然资源部、国家卫生健康委、住房城乡建设部等部门会同各地负责落实)(三)推广政府购买服务。创新政府提供公共卫生服务方式,进一步加大政府购买服务力度。各地要于2019年底前制定政府购买医疗卫生服务实施办法,明确购买服务的主体、内容、方式、程序和监督管理等细则。按照公平竞争择优的原则,支持向社会办基层医疗机构购买服务,为社区居民提供家庭医生签约和有关公共卫生服务,通过开展养老照护、家庭病床、上门诊疗等服务方便居民。(国家卫生健康委、财政部等部门会同各地负责落实)(四)落实税收优惠政策。营利性社会办医,包括诊所等小型医疗机构,可按规定享受小微企业税收优惠政策。社会办医可按规定申请认定高新技术企业,享受相应税收优惠。(科技部、财政部、税务总局等部门会同各地负责落实)二、推进“放管服”,简化准入审批服务(五)提高准入审批效率。各地要按照党中央、国务院深化“放管服”改革要求,于2019年底前出台省、市、县优化社会办医跨部门联动审批实施办法,明确跨部门医疗机构设置申请审批首家受理窗口负责工作机制,明确各审批环节时限要求。加强运用信息化手段,推动部门审批信息共享联动,减轻行政管理相对人负担。设置20张床位以下或环境影响很小、不需要进行环境影响评价的医疗机构,可实行环境影响登记表备案管理。2020年6月底前,各?。ㄇ?、市)要出台简化不同类型医疗机构设施消防设计审查验收的相关配套政策。(国家发展改革委、国家卫生健康委、生态环境部、住房城乡建设部、市场监管总局等部门会同各地负责落实)(六)规范审核评价。各级卫生健康行政部门(含中医药主管部门,下同)依法实时受理医疗机构级别、诊疗科目变更申请,在法定时间内办结,提高审批效率。审批过程相关信息要依法公开,新办医疗机构专家审核结果要同时送审批部门和申请人。支持和鼓励社会办医参加医院等级评审,卫生健康行政部门应当及时受理相关申请,在3个月内反馈评审结果,并及时认定。将社会办医纳入医疗服务和医疗质量管理控制及评价体系,促进社会办医医疗质量安全水平不断提高。(国家卫生健康委等部门会同各地负责落实)(七)进一步放宽规划限制。政府对社会办医区域总量和空间布局不作规划限制。乙类大型医用设备配置实行告知承诺制,取消床位规模要求。(国家卫生健康委等部门会同各地负责落实)(八)试点诊所备案管理。2019—2020年,在北京、上海、沈阳、南京、杭州、武汉、广州、深圳、成都、西安等10个城市开展诊所备案管理试点。试点城市跨行政区域经营的连锁化、集团化诊所由上一级卫生健康行政部门统一备案,跨省级行政区划经营的,由所在省份卫生健康行政部门分别备案。(国家卫生健康委、国家中医药局等部门会同各地负责落实)三、公立医疗机构与社会办医分工合作(九)发挥三级公立医院带动作用。各地要完善医联体网格化布局,社会办医可以选择加入,综合力量或者专科服务能力较强的社会办医可牵头组建医联体,鼓励适度竞争。支持公办和社会办医按照平等自愿原则组建专科联盟。支持社会办医参加远程医疗协作网,提高诊疗服务能力。支持社会办医优先承接三级公立医院下转康复、护理、安宁疗护等业务,促进降低三级医院的平均住院日和运营成本,提高医疗服务效率,使其聚焦三级医院医疗主业,建立医疗机构间合理的社会分工。对在社区提供康复、护理服务的机构,各地要依法给予税费减免、资金支持、水电气热价格优惠等扶持。支持三级公立医院与社会办医共享医学影像、医学检验、病理诊断等服务,形成全社会医疗合作管理体系,有关服务协议可以作为社会办医相关诊疗科目登记依据。(国家卫生健康委、国家发展改革委、财政部、税务总局等部门会同各地负责落实)(十)探索医疗机构多种合作模式。支持社会办医与公立医院开展医疗业务、学科建设、人才培养等合作,倡导开展各类医疗机构广泛协作、联动、支持模式试点,并建立合理的分工与分配机制,各地要出台规范合作的具体办法,国务院有关部门要加强指导。引导和规范社会力量通过多种形式参与公立医院改制重组,完善改制重组过程中涉及的资产招拍挂、人员身份转换、无形资产评估等配套政策。(国家卫生健康委、财政部、人力资源社会保障部、自然资源部、住房城乡建设部、国务院国资委等部门会同各地负责落实)(十一)拓展人才服务。全面实行医师、护士执业电子化注册制度。全面实施医师区域注册制度,推进护士区域注册管理。制定多机构执业医师与主要执业医疗机构聘用(劳动)合同参考范本和其他医疗机构的劳务协议参考范本,合理约定执业期限、时间安排、工作任务、医疗责任、薪酬、相关保险等,明确双方人事(劳动)关系和权利义务,支持和规范医师多机构执业。允许符合条件的在职、停薪留职医务人员申请设置医疗机构。完善“互联网+护理”服务标准,扩大优质医疗护理服务供给。(国家卫生健康委、人力资源社会保障部等部门会同各地负责落实)四、优化运营管理服务(十二)优化校验服务。卫生健康行政部门依法依规校验医疗机构,重点审查医疗服务能力和医疗质量。在保证医疗质量安全的前提下,多机构执业医师可以按实际执业情况纳入所执业医疗机构校验的医师基数。鼓励有条件的地方探索实行三级医院分阶段执业登记,并制定具体实施办法,在医疗机构设置批准书有效期内,允许先行登记不少于基本标准60%的床位并执业运行,在医疗机构设置批准书有效期满前,应当完成所有核准床位数的登记。推动医疗机构校验工作重点聚焦医疗质量安全等关键要素。(国家卫生健康委等部门负责落实)(十三)优化职称评审。优化医学类专业技术职称评审制度,医师申报临床类高级职称时,对外语成绩不作统一要求,对论文、科研等不作硬性规定,侧重评价临床工作能力和服务质量。各地社会办医专业技术人员与公立医疗机构专业技术人员一样同等参与职称评审,且不受岗位比例限制。面向社会组建的卫生系列高级职称评审委员会和医疗机构评审委员会中要有一定比例的社会办医行业组织和社会办医人员。(国家卫生健康委、人力资源社会保障部等部门会同各地负责落实)(十四)提升临床服务和学术水平。各地从2019年开始,在遴选住院医师规范化培训基地、医学院校临床教学基地以及推进临床服务能力建设时,对符合条件的医疗机构同等对待,并向社会办医适当倾斜。医学类科研项目承担单位的选择坚持公开平等择优原则,一律不得对拟作为项目承担单位医疗机构的性质进行限制。(国家卫生健康委、财政部、教育部、科技部等部门会同各地负责落实)(十五)加大培训力度。各地政府使用财政性资金开展或以各级卫生健康行政部门名义组织的相关业务和人才培训,要为符合条件的各类医疗机构平等提供名额,并作为培训项目评价的重要内容。(国家卫生健康委、财政部等部门会同各地负责落实)五、完善医疗保险支持政策(十六)优化医保管理服务?;疽搅票O?、工伤保险、生育保险、医疗救助等社会保障的定点医疗机构实行动态化管理,将更多符合条件的社会办医纳入定点,进一步扩大社会办医纳入医保定点的覆盖面,社会办医正式运营3个月后即可提出定点申请,定点评估完成时限不得超过3个月时间。医保部门要加强指导,为医疗机构改造信息系统提供支持和便利,方便定点医疗机构尽快为参保人提供服务。未能通过申请的,必须在3个月的评估期限结束后告知其缘由和整改内容,以方便其再次申请。鼓励医保定点社会办医在省级药品集中采购平台带量采购药品,自主议价,医保部门按不高于集中采购平台价格制定支付标准进行支付。依法设立的各类医疗机构均可自愿提出基本医疗保险和跨省异地就医直接结算定点申请,不得将医疗机构的举办主体、经营性质、规模和等级作为定点的前置条件,与医保管理和基金使用无关的处罚一律不得与定点申请挂钩。营利性医疗机构使用符合规定的发票,可作为医疗保险基金支付凭证。医保部门要研究加强监督执法的政策和管理措施,不断完善总额控制管理,提高总额控制指标的科学性、合理性,保障基金安全。各地要对基本医疗保险定点医疗机构管理政策开展全面规范清理,按照公立医疗机构与社会办医一视同仁要求调整完善政策,优化医保定点前置条件,缩短申请等待和审核时间。(国家医保局会同各地负责落实)(十七)支持社会办医发展“互联网+医疗健康”。?2019年9月底前,制定出台互联网诊疗收费政策和医保支付政策,形成合理的利益分配机制。鼓励公立医院与社会办医按规定合作开展远程医疗服务。支持社会办医之间通过“互联网+”开展跨区域医疗协作,与医联体开展横向资源共享、信息互通。鼓励医疗机构应用互联网等信息技术拓展医疗服务空间,构建一体化医疗服务模式。支持医疗卫生机构、符合条件的第三方机构搭建互联网信息平台,开展远程医疗、健康咨询、健康管理服务。(国家医保局、国家卫生健康委等部门会同各地负责落实)(十八)支持商业健康保险发展。鼓励商业保险机构与社会办医联合开发多样化、个性化健康保险产品,与基本医疗保险形成互补。鼓励商业保险机构参与基本医疗保险经办服务,做好城乡居民大病保险承办服务工作,提高基金使用效率。支持商业保险机构信息系统与社会办医信息系统对接,方便为商业保险患者就医提供一站式直付结算服务。鼓励商业保险机构投资社会办医。(银保监会、国家医保局、国家卫生健康委等部门负责落实)六、完善综合监管体系(十九)落实部门监管责任。切实贯彻“谁审批、谁监管,谁主管、谁监管”和“双随机、一公开”原则,卫生健康行政部门和有关部门要根据医疗卫生行业综合监管部门职责分工,严格落实部门监管责任。各级卫生健康行政部门要做好对社会办医的行业监管工作与服务,加强医疗卫生服务投诉举报平台建设,加大对举报违法行为的奖励力度,提高行业服务和监管水平,促进社会办医健康规范发展。严厉打击医疗机构价格违法行为。强化定点医疗机构协议管理,医保经办机构对违反协议的医疗机构实行退出机制。严厉打击欺诈骗取医?;鹦形?。发挥医疗保险对医疗行为制约监督作用。加大医疗行业违规行为处罚力度,要让严重违规者付出沉重代价,真正形成震慑。对发现问题多、社会反映强烈、监管效果不明显的地方和人员严肃问责。(国家卫生健康委、市场监管总局、国家医保局等部门会同各地负责落实)(二十)加强医疗质量安全管理。综合运用日常监督管理、医疗机构校验、医师定期考核、不良执业行为记分管理等手段,加强对医疗执业活动的评估和监管。卫生健康行政部门要将社会办医纳入医疗质量监测体系,建设完善医疗服务监管信息平台,建立医疗服务全程实时监管机制,监管结果及时反馈医疗机构,并以适当方式向社会公布。医疗机构要建立医疗信息系统,并按照规定及标准要求,将诊疗信息上传至医疗服务监管信息系统。加强医疗健康信息安全防护,保障个人隐私,对非法买卖、泄露个人信息行为依法依规严厉惩处。(国家卫生健康委等部门会同各地负责落实)(二十一)建立健全信用体系。卫生健康行政部门要按照国务院有关规定公开区域内医疗机构、医务人员处罚等信息。建立医疗机构医疗保障信用评价体系和信息披露制度。各部门相关处罚信息统一纳入全国信用信息共享平台,形成可免费公开查阅的公共信用记录。其中,在市场监管部门登记设立的医疗机构,各相关部门应当将对其作出的行政处罚信息按规定统一归集至国家企业信用信息公示系统并依法向社会公示。制定实施联合惩戒备忘录,对严重失信主体依法实施行业终身禁入。(国家卫生健康委、国家发展改革委、市场监管总局、国家医保局等部门按职责负责落实)(二十二)发挥行业组织自律作用。中华医学会等行业组织要协助主管部门做好相关工作,完善行业标准,开展医疗机构医疗质量、服务能力等评价,评价结果向社会公开,维护行业信誉。全国性和地方性医学相关社会团体要同等吸纳社会办医及其医务人员,做到一视同仁??股缁岚煲绞痉缎卸?。(国家卫生健康委、民政部等部门按职责负责落实)各地区、各部门要高度重视,把发展社会办医摆在重要位置,加强沟通协调,密切协作配合,及时制定或完善配套措施,细化工作举措,确保政策全面兑现。鼓励各地加大社会办医政策改革探索,国家发展改革委、国家卫生健康委发布地方实践经验典型案例。国家卫生健康委、国家发展改革委等部门要对各地负责落实情况进行督导检查和跟踪分析,确保各项政策措施取得实效。来源:国家卫生健康委员会官网

jin ri, guo jia wei sheng jian kang wei guo jia fa zhan gai ge wei ke ji bu cai zheng bu ren li zi yuan she hui bao zhang bu zi ran zi yuan bu zhu fang cheng xiang jian she bu shi chang jian guan zong ju guo jia yi bao ju zhong guo yin bao jian hui deng shi bu men lian he fa bu guan yu cu jin she hui ban yi chi xu jian kang gui fan fa zhan de yi jian. yi xia wei quan wen: she hui ban yi liao ji gou yi xia jian cheng she hui ban yi shi wo guo yi liao wei sheng fu wu ti xi de zhong yao zu cheng bu fen, shi man zu bu tong ren qun yi liao wei sheng fu wu xu qiu bing wei quan she hui ti gong geng duo yi liao fu wu gong ji de zhong yao li liang. dang zhong yang guo wu yuan gao du zhong shi fa zhan she hui ban yi, jin nian lai chu tai le yi xi lie zheng ce cuo shi, bu duan shen hua gai ge gai shan ban yi huan jing, qu de le ji ji cheng xiao, dan zheng ce luo shi bu dao wei jian guan bu wan shan she hui zheng ti xin ren du bu gao deng wen ti yi ran cun zai. wei shen hua" fang guan fu" gai ge, tui dong" fei jin ji ru" shen pi ying jian jin jian he qing li fang ai gong ping jing zheng ge zhong gui ding zuo fa de luo shi, jie jue zhong dian nan dian wen ti, jin yi bu cu jin she hui ban yi chi xu jian kang gui fan fa zhan, jing guo wu yuan tong yi, xian ti chu yi xia yi jian. yi jia da zheng fu zhi chi she hui ban yi li du yi tuo zhan she hui ban yi kong jian. luo shi" shi san wu" qi jian yi liao fu wu ti xi gui hua yao qiu, yan ge kong zhi gong li yi yuan shu liang he gui mo, wei she hui ban yi liu zu fa zhan kong jian. ge di zai xin zeng huo tiao zheng yi liao wei sheng zi yuan shi, yao shou xian kao lv you she hui li liang ju ban huo yun ying you guan yi liao ji gou. she hui li liang zai yi liao zi yuan bo ruo qu yu he kang fu hu li jing shen wei sheng deng duan que zhuan ke ling yu ju ban de fei ying li xing yi liao ji gou, dang di zheng fu ke yu gong li yi liao ji gou tong deng ti gong chang di huo zu jin bu tie he qi ta zhi chi zheng ce. gui fan he yin dao she hui li liang ju ban kang fu yi liao zhong xin hu li zhong xin jian kang ti jian zhong xin yan ke yi yuan fu er yi yuan deng yi liao ji gou he lian suo hua ji tuan hua jing ying de yi xue jian yan shi yan shi bing li zhen duan zhong xin yi xue ying xiang zhong xin xue ye tou xi zhong xin deng du li she zhi yi liao ji gou, jia qiang gui fan hua guan li he zhi liang kong zhi, ti gao tong zhi hua shui ping. guo jia fa zhan gai ge wei cai zheng bu guo jia wei sheng jian kang wei deng bu men hui tong ge di fu ze luo shi er kuo da yong di gong ji. ge di zai an pai guo you jian she yong di nian du gong ying ji hua shi, ben di qu yi liao she shi bu zu de, yao zai gong di ji hua zhong luo shi bing you xian bao zhang yi liao wei sheng yong di. she hui li liang ke yi tong guo zheng fu hua bo xie yi chu rang zu lin deng fang shi qu de yi liao wei sheng yong di shi yong quan, xin gong yi liao wei sheng yong di zai chu rang xin xi gong kai pi lu de he li qi xian nei zhi you yi ge yi xiang yong di zhe de, yi fa ke an xie yi fang shi gong ying. jing tu di he fang wu suo you fa ding quan li ren ji qi ta chan quan ren tong yi hou, dui xian zhi shang ye ban gong gong ye deng yong fang zuo bi yao gai zao yong yu ju ban yi liao ji gou de, ke shi yong guo du qi zheng ce, zai 5 nian nei ji xu an yuan yong tu he quan li lei xing shi yong tu di, dan yuan tu di you chang shi yong he tong yue ding huo hua bo jue ding shu gui ding bu de gai bian tu di yong tu huo gai bian yong tu you zheng fu shou hui tu di shi yong quan de chu wai. zi ran zi yuan bu guo jia wei sheng jian kang wei zhu fang cheng xiang jian she bu deng bu men hui tong ge di fu ze luo shi san tui guang zheng fu gou mai fu wu. chuang xin zheng fu ti gong gong gong wei sheng fu wu fang shi, jin yi bu jia da zheng fu gou mai fu wu li du. ge di yao yu 2019 nian di qian zhi ding zheng fu gou mai yi liao wei sheng fu wu shi shi ban fa, ming que gou mai fu wu de zhu ti nei rong fang shi cheng xu he jian du guan li deng xi ze. an zhao gong ping jing zheng ze you de yuan ze, zhi chi xiang she hui ban ji ceng yi liao ji gou gou mai fu wu, wei she qu ju min ti gong jia ting yi sheng qian yue he you guan gong gong wei sheng fu wu, tong guo kai zhan yang lao zhao hu jia ting bing chuang shang men zhen liao deng fu wu fang bian ju min. guo jia wei sheng jian kang wei cai zheng bu deng bu men hui tong ge di fu ze luo shi si luo shi shui shou you hui zheng ce. ying li xing she hui ban yi, bao kuo zhen suo deng xiao xing yi liao ji gou, ke an gui ding xiang shou xiao wei qi ye shui shou you hui zheng ce. she hui ban yi ke an gui ding shen qing ren ding gao xin ji shu qi ye, xiang shou xiang ying shui shou you hui. ke ji bu cai zheng bu shui wu zong ju deng bu men hui tong ge di fu ze luo shi er tui jin" fang guan fu", jian hua zhun ru shen pi fu wu wu ti gao zhun ru shen pi xiao lv. ge di yao an zhao dang zhong yang guo wu yuan shen hua" fang guan fu" gai ge yao qiu, yu 2019 nian di qian chu tai sheng shi xian you hua she hui ban yi kua bu men lian dong shen pi shi shi ban fa, ming que kua bu men yi liao ji gou she zhi shen qing shen pi shou jia shou li chuang kou fu ze gong zuo ji zhi, ming que ge shen pi huan jie shi xian yao qiu. jia qiang yun yong xin xi hua shou duan, tui dong bu men shen pi xin xi gong xiang lian dong, jian qing xing zheng guan li xiang dui ren fu dan. she zhi 20 zhang chuang wei yi xia huo huan jing ying xiang hen xiao bu xu yao jin xing huan jing ying xiang ping jia de yi liao ji gou, ke shi xing huan jing ying xiang deng ji biao bei an guan li. 2020 nian 6 yue di qian, ge sheng qu shi yao chu tai jian hua bu tong lei xing yi liao ji gou she shi xiao fang she ji shen zha yan shou de xiang guan pei tao zheng ce. guo jia fa zhan gai ge wei guo jia wei sheng jian kang wei sheng tai huan jing bu zhu fang cheng xiang jian she bu shi chang jian guan zong ju deng bu men hui tong ge di fu ze luo shi liu gui fan shen he ping jia. ge ji wei sheng jian kang xing zheng bu men han zhong yi yao zhu guan bu men, xia tong yi fa shi shi shou li yi liao ji gou ji bie zhen liao ke mu bian geng shen qing, zai fa ding shi jian nei ban jie, ti gao shen pi xiao lv. shen pi guo cheng xiang guan xin xi yao yi fa gong kai, xin ban yi liao ji gou zhuan jia shen he jie guo yao tong shi song shen pi bu men he shen qing ren. zhi chi he gu li she hui ban yi can jia yi yuan deng ji ping shen, wei sheng jian kang xing zheng bu men ying dang ji shi shou li xiang guan shen qing, zai 3 ge yue nei fan kui ping shen jie guo, bing ji shi ren ding. jiang she hui ban yi na ru yi liao fu wu he yi liao zhi liang guan li kong zhi ji ping jia ti xi, cu jin she hui ban yi yi liao zhi liang an quan shui ping bu duan ti gao. guo jia wei sheng jian kang wei deng bu men hui tong ge di fu ze luo shi qi jin yi bu fang kuan gui hua xian zhi. zheng fu dui she hui ban yi qu yu zong liang he kong jian bu ju bu zuo gui hua xian zhi. yi lei da xing yi yong she bei pei zhi shi xing gao zhi cheng nuo zhi, qu xiao chuang wei gui mo yao qiu. guo jia wei sheng jian kang wei deng bu men hui tong ge di fu ze luo shi ba shi dian zhen suo bei an guan li. 2019 2020 nian, zai bei jing shang hai shen yang nan jing hang zhou wu han guang zhou shen zhen cheng du xi an deng 10 ge cheng shi kai zhan zhen suo bei an guan li shi dian. shi dian cheng shi kua xing zheng qu yu jing ying de lian suo hua ji tuan hua zhen suo you shang yi ji wei sheng jian kang xing zheng bu men tong yi bei an, kua sheng ji xing zheng qu hua jing ying de, you suo zai sheng fen wei sheng jian kang xing zheng bu men fen bie bei an. guo jia wei sheng jian kang wei guo jia zhong yi yao ju deng bu men hui tong ge di fu ze luo shi san gong li yi liao ji gou yu she hui ban yi fen gong he zuo jiu fa hui san ji gong li yi yuan dai dong zuo yong. ge di yao wan shan yi lian ti wang ge hua bu ju, she hui ban yi ke yi xuan ze jia ru, zong he li liang huo zhe zhuan ke fu wu neng li jiao qiang de she hui ban yi ke qian tou zu jian yi lian ti, gu li shi du jing zheng. zhi chi gong ban he she hui ban yi an zhao ping deng zi yuan yuan ze zu jian zhuan ke lian meng. zhi chi she hui ban yi can jia yuan cheng yi liao xie zuo wang, ti gao zhen liao fu wu neng li. zhi chi she hui ban yi you xian cheng jie san ji gong li yi yuan xia zhuan kang fu hu li an ning liao hu deng ye wu, cu jin jiang di san ji yi yuan de ping jun zhu yuan ri he yun ying cheng ben, ti gao yi liao fu wu xiao lv, shi qi ju jiao san ji yi yuan yi liao zhu ye, jian li yi liao ji gou jian he li de she hui fen gong. dui zai she qu ti gong kang fu hu li fu wu de ji gou, ge di yao yi fa ji yu shui fei jian mian zi jin zhi chi shui dian qi re jia ge you hui deng fu chi. zhi chi san ji gong li yi yuan yu she hui ban yi gong xiang yi xue ying xiang yi xue jian yan bing li zhen duan deng fu wu, xing cheng quan she hui yi liao he zuo guan li ti xi, you guan fu wu xie yi ke yi zuo wei she hui ban yi xiang guan zhen liao ke mu deng ji yi ju. guo jia wei sheng jian kang wei guo jia fa zhan gai ge wei cai zheng bu shui wu zong ju deng bu men hui tong ge di fu ze luo shi shi tan suo yi liao ji gou duo zhong he zuo mo shi. zhi chi she hui ban yi yu gong li yi yuan kai zhan yi liao ye wu xue ke jian she ren cai pei yang deng he zuo, chang dao kai zhan ge lei yi liao ji gou guang fan xie zuo lian dong zhi chi mo shi shi dian, bing jian li he li de fen gong yu fen pei ji zhi, ge di yao chu tai gui fan he zuo de ju ti ban fa, guo wu yuan you guan bu men yao jia qiang zhi dao. yin dao he gui fan she hui li liang tong guo duo zhong xing shi can yu gong li yi yuan gai zhi chong zu, wan shan gai zhi chong zu guo cheng zhong she ji de zi chan zhao pai gua ren yuan shen fen zhuan huan wu xing zi chan ping gu deng pei tao zheng ce. guo jia wei sheng jian kang wei cai zheng bu ren li zi yuan she hui bao zhang bu zi ran zi yuan bu zhu fang cheng xiang jian she bu guo wu yuan guo zi wei deng bu men hui tong ge di fu ze luo shi shi yi tuo zhan ren cai fu wu. quan mian shi xing yi shi hu shi zhi ye dian zi hua zhu ce zhi du. quan mian shi shi yi shi qu yu zhu ce zhi du, tui jin hu shi qu yu zhu ce guan li. zhi ding duo ji gou zhi ye yi shi yu zhu yao zhi ye yi liao ji gou pin yong lao dong he tong can kao fan ben he qi ta yi liao ji gou de lao wu xie yi can kao fan ben, he li yue ding zhi ye qi xian shi jian an pai gong zuo ren wu yi liao ze ren xin chou xiang guan bao xian deng, ming que shuang fang ren shi lao dong guan xi he quan li yi wu, zhi chi he gui fan yi shi duo ji gou zhi ye. yun xu fu he tiao jian de zai zhi ting xin liu zhi yi wu ren yuan shen qing she zhi yi liao ji gou. wan shan" hu lian wang hu li" fu wu biao zhun, kuo da you zhi yi liao hu li fu wu gong ji. guo jia wei sheng jian kang wei ren li zi yuan she hui bao zhang bu deng bu men hui tong ge di fu ze luo shi si you hua yun ying guan li fu wu shi er you hua jiao yan fu wu. wei sheng jian kang xing zheng bu men yi fa yi gui jiao yan yi liao ji gou, zhong dian shen zha yi liao fu wu neng li he yi liao zhi liang. zai bao zheng yi liao zhi liang an quan de qian ti xia, duo ji gou zhi ye yi shi ke yi an shi ji zhi ye qing kuang na ru suo zhi ye yi liao ji gou jiao yan de yi shi ji shu. gu li you tiao jian de di fang tan suo shi xing san ji yi yuan fen jie duan zhi ye deng ji, bing zhi ding ju ti shi shi ban fa, zai yi liao ji gou she zhi pi zhun shu you xiao qi nei, yun xu xian xing deng ji bu shao yu ji ben biao zhun 60 de chuang wei bing zhi ye yun xing, zai yi liao ji gou she zhi pi zhun shu you xiao qi man qian, ying dang wan cheng suo you he zhun chuang wei shu de deng ji. tui dong yi liao ji gou jiao yan gong zuo zhong dian ju jiao yi liao zhi liang an quan deng guan jian yao su. guo jia wei sheng jian kang wei deng bu men fu ze luo shi shi san you hua zhi cheng ping shen. you hua yi xue lei zhuan ye ji shu zhi cheng ping shen zhi du, yi shi shen bao lin chuang lei gao ji zhi cheng shi, dui wai yu cheng ji bu zuo tong yi yao qiu, dui lun wen ke yan deng bu zuo ying xing gui ding, ce chong ping jia lin chuang gong zuo neng li he fu wu zhi liang. ge di she hui ban yi zhuan ye ji shu ren yuan yu gong li yi liao ji gou zhuan ye ji shu ren yuan yi yang tong deng can yu zhi cheng ping shen, qie bu shou gang wei bi li xian zhi. mian xiang she hui zu jian de wei sheng xi lie gao ji zhi cheng ping shen wei yuan hui he yi liao ji gou ping shen wei yuan hui zhong yao you yi ding bi li de she hui ban yi hang ye zu zhi he she hui ban yi ren yuan. guo jia wei sheng jian kang wei ren li zi yuan she hui bao zhang bu deng bu men hui tong ge di fu ze luo shi shi si ti sheng lin chuang fu wu he xue shu shui ping. ge di cong 2019 nian kai shi, zai lin xuan zhu yuan yi shi gui fan hua pei xun ji di yi xue yuan xiao lin chuang jiao xue ji di yi ji tui jin lin chuang fu wu neng li jian she shi, dui fu he tiao jian de yi liao ji gou tong deng dui dai, bing xiang she hui ban yi shi dang qing xie. yi xue lei ke yan xiang mu cheng dan dan wei de xuan ze jian chi gong kai ping deng ze you yuan ze, yi lv bu de dui ni zuo wei xiang mu cheng dan dan wei yi liao ji gou de xing zhi jin xing xian zhi. guo jia wei sheng jian kang wei cai zheng bu jiao yu bu ke ji bu deng bu men hui tong ge di fu ze luo shi shi wu jia da pei xun li du. ge di zheng fu shi yong cai zheng xing zi jin kai zhan huo yi ge ji wei sheng jian kang xing zheng bu men ming yi zu zhi de xiang guan ye wu he ren cai pei xun, yao wei fu he tiao jian de ge lei yi liao ji gou ping deng ti gong ming e, bing zuo wei pei xun xiang mu ping jia de zhong yao nei rong. guo jia wei sheng jian kang wei cai zheng bu deng bu men hui tong ge di fu ze luo shi wu wan shan yi liao bao xian zhi chi zheng ce shi liu you hua yi bao guan li fu wu. ji ben yi liao bao xian gong shang bao xian sheng yu bao xian yi liao jiu zhu deng she hui bao zhang de ding dian yi liao ji gou shi xing dong tai hua guan li, jiang geng duo fu he tiao jian de she hui ban yi na ru ding dian, jin yi bu kuo da she hui ban yi na ru yi bao ding dian de fu gai mian, she hui ban yi zheng shi yun ying 3 ge yue hou ji ke ti chu ding dian shen qing, ding dian ping gu wan cheng shi xian bu de chao guo 3 ge yue shi jian. yi bao bu men yao jia qiang zhi dao, wei yi liao ji gou gai zao xin xi xi tong ti gong zhi chi he bian li, fang bian ding dian yi liao ji gou jin kuai wei can bao ren ti gong fu wu. wei neng tong guo shen qing de, bi xu zai 3 ge yue de ping gu qi xian jie shu hou gao zhi qi yuan you he zheng gai nei rong, yi fang bian qi zai ci shen qing. gu li yi bao ding dian she hui ban yi zai sheng ji yao pin ji zhong cai gou ping tai dai liang cai gou yao pin, zi zhu yi jia, yi bao bu men an bu gao yu ji zhong cai gou ping tai jia ge zhi ding zhi fu biao zhun jin xing zhi fu. yi fa she li de ge lei yi liao ji gou jun ke zi yuan ti chu ji ben yi liao bao xian he kua sheng yi di jiu yi zhi jie jie suan ding dian shen qing, bu de jiang yi liao ji gou de ju ban zhu ti jing ying xing zhi gui mo he deng ji zuo wei ding dian de qian zhi tiao jian, yu yi bao guan li he ji jin shi yong wu guan de chu fa yi lv bu de yu ding dian shen qing gua gou. ying li xing yi liao ji gou shi yong fu he gui ding de fa piao, ke zuo wei yi liao bao xian ji jin zhi fu ping zheng. yi bao bu men yao yan jiu jia qiang jian du zhi fa de zheng ce he guan li cuo shi, bu duan wan shan zong e kong zhi guan li, ti gao zong e kong zhi zhi biao di ke xue xing he li xing, bao zhang ji jin an quan. ge di yao dui ji ben yi liao bao xian ding dian yi liao ji gou guan li zheng ce kai zhan quan mian gui fan qing li, an zhao gong li yi liao ji gou yu she hui ban yi yi shi tong ren yao qiu tiao zheng wan shan zheng ce, you hua yi bao ding dian qian zhi tiao jian, suo duan shen qing deng dai he shen he shi jian. guo jia yi bao ju hui tong ge di fu ze luo shi shi qi zhi chi she hui ban yi fa zhan" hu lian wang yi liao jian kang".? 2019 nian 9 yue di qian, zhi ding chu tai hu lian wang zhen liao shou fei zheng ce he yi bao zhi fu zheng ce, xing cheng he li de li yi fen pei ji zhi. gu li gong li yi yuan yu she hui ban yi an gui ding he zuo kai zhan yuan cheng yi liao fu wu. zhi chi she hui ban yi zhi jian tong guo" hu lian wang" kai zhan kua qu yu yi liao xie zuo, yu yi lian ti kai zhan heng xiang zi yuan gong xiang xin xi hu tong. gu li yi liao ji gou ying yong hu lian wang deng xin xi ji shu tuo zhan yi liao fu wu kong jian, gou jian yi ti hua yi liao fu wu mo shi. zhi chi yi liao wei sheng ji gou fu he tiao jian de di san fang ji gou da jian hu lian wang xin xi ping tai, kai zhan yuan cheng yi liao jian kang zi xun jian kang guan li fu wu. guo jia yi bao ju guo jia wei sheng jian kang wei deng bu men hui tong ge di fu ze luo shi shi ba zhi chi shang ye jian kang bao xian fa zhan. gu li shang ye bao xian ji gou yu she hui ban yi lian he kai fa duo yang hua ge xing hua jian kang bao xian chan pin, yu ji ben yi liao bao xian xing cheng hu bu. gu li shang ye bao xian ji gou can yu ji ben yi liao bao xian jing ban fu wu, zuo hao cheng xiang ju min da bing bao xian cheng ban fu wu gong zuo, ti gao ji jin shi yong xiao lv. zhi chi shang ye bao xian ji gou xin xi xi tong yu she hui ban yi xin xi xi tong dui jie, fang bian wei shang ye bao xian huan zhe jiu yi ti gong yi zhan shi zhi fu jie suan fu wu. gu li shang ye bao xian ji gou tou zi she hui ban yi. yin bao jian hui guo jia yi bao ju guo jia wei sheng jian kang wei deng bu men fu ze luo shi liu wan shan zong he jian guan ti xi shi jiu luo shi bu men jian guan ze ren. qie shi guan che" shui shen pi shui jian guan, shui zhu guan shui jian guan" he" shuang sui ji yi gong kai" yuan ze, wei sheng jian kang xing zheng bu men he you guan bu men yao gen ju yi liao wei sheng hang ye zong he jian guan bu men zhi ze fen gong, yan ge luo shi bu men jian guan ze ren. ge ji wei sheng jian kang xing zheng bu men yao zuo hao dui she hui ban yi de hang ye jian guan gong zuo yu fu wu, jia qiang yi liao wei sheng fu wu tou su ju bao ping tai jian she, jia da dui ju bao wei fa xing wei de jiang li li du, ti gao hang ye fu wu he jian guan shui ping, cu jin she hui ban yi jian kang gui fan fa zhan. yan li da ji yi liao ji gou jia ge wei fa xing wei. qiang hua ding dian yi liao ji gou xie yi guan li, yi bao jing ban ji gou dui wei fan xie yi de yi liao ji gou shi xing tui chu ji zhi. yan li da ji qi zha pian qu yi bao ji jin xing wei. fa hui yi liao bao xian dui yi liao xing wei zhi yue jian du zuo yong. jia da yi liao hang ye wei gui xing wei chu fa li du, yao rang yan zhong wei gui zhe fu chu chen zhong dai jia, zhen zheng xing cheng zhen she. dui fa xian wen ti duo she hui fan ying qiang lie jian guan xiao guo bu ming xian de di fang he ren yuan yan su wen ze. guo jia wei sheng jian kang wei shi chang jian guan zong ju guo jia yi bao ju deng bu men hui tong ge di fu ze luo shi er shi jia qiang yi liao zhi liang an quan guan li. zong he yun yong ri chang jian du guan li yi liao ji gou jiao yan yi shi ding qi kao he bu liang zhi ye xing wei ji fen guan li deng shou duan, jia qiang dui yi liao zhi ye huo dong de ping gu he jian guan. wei sheng jian kang xing zheng bu men yao jiang she hui ban yi na ru yi liao zhi liang jian ce ti xi, jian she wan shan yi liao fu wu jian guan xin xi ping tai, jian li yi liao fu wu quan cheng shi shi jian guan ji zhi, jian guan jie guo ji shi fan kui yi liao ji gou, bing yi shi dang fang shi xiang she hui gong bu. yi liao ji gou yao jian li yi liao xin xi xi tong, bing an zhao gui ding ji biao zhun yao qiu, jiang zhen liao xin xi shang chuan zhi yi liao fu wu jian guan xin xi xi tong. jia qiang yi liao jian kang xin xi an quan fang hu, bao zhang ge ren yin si, dui fei fa mai mai xie lou ge ren xin xi xing wei yi fa yi gui yan li cheng chu. guo jia wei sheng jian kang wei deng bu men hui tong ge di fu ze luo shi er shi yi jian li jian quan xin yong ti xi. wei sheng jian kang xing zheng bu men yao an zhao guo wu yuan you guan gui ding gong kai qu yu nei yi liao ji gou yi wu ren yuan chu fa deng xin xi. jian li yi liao ji gou yi liao bao zhang xin yong ping jia ti xi he xin xi pi lu zhi du. ge bu men xiang guan chu fa xin xi tong yi na ru quan guo xin yong xin xi gong xiang ping tai, xing cheng ke mian fei gong kai cha yue de gong gong xin yong ji lu. qi zhong, zai shi chang jian guan bu men deng ji she li de yi liao ji gou, ge xiang guan bu men ying dang jiang dui qi zuo chu de xing zheng chu fa xin xi an gui ding tong yi gui ji zhi guo jia qi ye xin yong xin xi gong shi xi tong bing yi fa xiang she hui gong shi. zhi ding shi shi lian he cheng jie bei wang lu, dui yan zhong shi xin zhu ti yi fa shi shi hang ye zhong shen jin ru. guo jia wei sheng jian kang wei guo jia fa zhan gai ge wei shi chang jian guan zong ju guo jia yi bao ju deng bu men an zhi ze fu ze luo shi er shi er fa hui hang ye zu zhi zi lv zuo yong. zhong hua yi xue hui deng hang ye zu zhi yao xie zhu zhu guan bu men zuo hao xiang guan gong zuo, wan shan hang ye biao zhun, kai zhan yi liao ji gou yi liao zhi liang fu wu neng li deng ping jia, ping jia jie guo xiang she hui gong kai, wei hu hang ye xin yu. quan guo xing he di fang xing yi xue xiang guan she hui tuan ti yao tong deng xi na she hui ban yi ji qi yi wu ren yuan, zuo dao yi shi tong ren. kai zhan she hui ban yi shi fan xing dong. guo jia wei sheng jian kang wei min zheng bu deng bu men an zhi ze fu ze luo shi ge di qu ge bu men yao gao du zhong shi, ba fa zhan she hui ban yi bai zai zhong yao wei zhi, jia qiang gou tong xie tiao, mi qie xie zuo pei he, ji shi zhi ding huo wan shan pei tao cuo shi, xi hua gong zuo ju cuo, que bao zheng ce quan mian dui xian. gu li ge di jia da she hui ban yi zheng ce gai ge tan suo, guo jia fa zhan gai ge wei guo jia wei sheng jian kang wei fa bu di fang shi jian jing yan dian xing an li. guo jia wei sheng jian kang wei guo jia fa zhan gai ge wei deng bu men yao dui ge di fu ze luo shi qing kuang jin xing du dao jian cha he gen zong fen xi, que bao ge xiang zheng ce cuo shi qu de shi xiao. lai yuan: guo jia wei sheng jian kang wei yuan hui guan wang

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回到P的一秒钟:Adobe发布了“反向PS”武器

    奥飞寺栗子

 &nb无痛分娩一针多少钱_资讯网sp;  量子比特报告公共Qbitai

    每个人都很难被拆散。

    Photoshop是由Adobe发明的,与PS的斗争取决于Adobe:

    官方发布的新杀手都是恶意的,一个可以识别出哪张照片已经修复,两个可以看到哪里修复,三个可以恢复原来的外观:

    狭小的下颌骨,完全隐藏在人工智能的前面。

    人工智能还发现并没收了手举的嘴角。

&nbs0岁宝宝保险_资讯网p;   然后将人工智能恢复的照片与未修复的原始照片进行比较。

    然而,“恢复”并不一定是“丑陋”。

    例如,我姐姐的眼睛被人修过,而且两边都露了出来。她看起来有点刻薄。

    修理前后

    此时,对人工智能进行恢复,眼角会恢复平静的样子,几乎与原图相同:

    这是一部电影。

    这个优秀的算法是由Adobe与加州伯克利联合开发的,代码即将开放源代码。

    让它判断照片是否已修复,精度高达99.4%。

    相比之下,肉眼判断的准确率仅为53.5%,几乎是随机猜测的结果。

    那么,从承认到恢复,怎么做呢?

    如何拉伸,如何恢复

    首先,将真假地图的数据反馈给人工智能。

    该团队为photoshop编写了一个脚本,该脚本允许系统根据输入的真图像自动世界七大奇迹_资讯网生成人脸各个部分的假拉伸图像:

    然后,计算了真、假图像之间的光流场。

    这样,假图像在哪里,数据就可以被自动标记(如上图所示)。

    然后,利用真实地图和标记的伪地图对扩容后的Resnet网络进行304不锈钢销钉_资讯网训练。

    培训结束后,向网络输入假图像,可以自行预测光流?。?/p>

    它又变薄了。)

    当获得光流场时,人工智能知道图像是如何拉伸/扭曲的。

    然后,您可以使用一个相反的过程来扭转P-交叉图。

    是时候看看效果了。

    测试图片由专业制图员手工处理。人工智能需要找出图像的样子。

    被人工智能看穿后,这个人的笑声并没有消失,但他的脸被放大了好几次。

    然后,将人工智能恢复的图像与专业制图师处理的原始图像进行比较。

    人工智能恢复后的面部形状与原始照片非常接近。

    不可阻挡的真相是显而易见的。

    你也要去玩。

    现在,代码的状态是“即将到来”。

    但是等待开源,你也可以训练一个反向的ps工件。

    当没什么可做的时候,浏览一下朋友圈,让人工智能帮助你看到里面的自拍器。它是什么样子的冲孔板网价格_资讯网?

    纸张入口:

    网址:https://arxiv.org/abs/1906.05856

    Github门户:

    https://github.com/peterwang512/fal探测器

    作者是网易新闻的签约作者。网易的“每一种态度”

    -结束-

    人工智能社区

    小项目所有类别人工智能学习课程

    如果你喜欢,就点“好看”的吧。

 &nb生活百科妙招_资讯网sp;  免责声明:本文是来自腾讯新闻客户端的媒体,并不代表腾讯的观点和立场。

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