People's health is an important symbol of national prosperity and strength. How to increase medical resources and optimize regional urban-rural layout while continuing to deepen the reform of the medical and health system? Serious illnesses are solved in our province, general illnesses are solved in cities and counties, and daily headaches and fever are solved in rural areas. This job will start during the 14th Five Year Plan period. Where are the obstacles to reform and continue to explore them based on local conditions Providing accessible and high-quality medical services to billions of people is a global challenge. Enabling grassroots people to seek medical attention and take good care of their illnesses nearby is a necessary answer for China's deepening healthcare reform. At the beginning of the year, my younger brother had difficulty breathing and numbness in his body, and my family was extremely anxious. I went to Beijing for medical treatment as soon as possible, and the doctor told us that the surgery was very risky Mr. Li from Huailai County, Hebei Province recalled that at that time, the mood of the whole family dropped to freezing point. Mr. Li's lover reminded him that the county hospital has been taken over by Peking University People's Hospital and the Huailai campus has been established. It's better to take a closer look at it at his doorstep. This can be said to be a stroke of luck amidst misfortune. Zhou Jingru, Chief Physician of Neurosurgery at Peking University People's Hospital, comes to Huailai Hospital every week for consultations. After a comprehensive examination of the patient, he decided to immediately carry out endovascular treatment of the aneurysm using a clipping microscope. I didn't expect to receive cutting-edge and timely treatment nearby. My younger brother has overcome that hurdle Mr. Li said. County and township hospitals are the "first line of defense" for safeguarding the health of grassroots people. However, due to factors such as insufficient medical resource endowment and limited technological level, it is often the case that "minor illnesses are examined in the county, while major illnesses are sent to large hospitals". We will comprehensively promote the comprehensive reform of public hospitals, cancel all drug markups, promote the construction of a number of "financially strong" public hospitals, and support the development of key specialties such as critical illness, respiratory, infectious diseases, emergency care, nursing, and laboratory testing... A series of reform measures have been introduced one after another. In December 2023, the National Health Commission and 10 other departments jointly issued the "Guiding Opinions on Fully Promoting the Construction of Close County Medical and Health Communities", which requires promoting the integration of cities and townships, townships and villages, counties and townships, and rural areas, and vigorously improving the capacity of grassroots medical and health services. In June 2024, the National Health Commission and other departments jointly issued a notice on further improving mechanisms to promote the sinking of urban medical resources to county-level hospitals and urban-rural grassroots, making new arrangements to deepen the support of urban hospitals for county-level hospitals and further solve the bottleneck problem of imbalanced urban-rural medical resources. Let high-quality medical resources truly sink in, and effectively connect closely knit county-level medical and health communities! The story of Mr. Li's family being successfully rescued is a vivid reflection of China's accelerated promotion of grassroots healthcare reform. From carrying out the construction of medical consortia to promoting county-level medical consortia, relevant departments of the country have issued a series of "prescriptions": tertiary hospitals provide targeted assistance to county hospitals, implement clinical key specialty construction, and carry out county-level hospital capacity enhancement projects... How can targeted assistance help the "points"? How can the construction of key clinical specialties help county-level hospitals become stronger? The people's hope for health needs to be transformed into the benefit of people's livelihoods, and key measures are needed. Once, some patients reported that their children who had a fishbone removed from their throat or had a forehead suture needle removed from the county hospital were pushed to hospitals in Beijing for treatment. They had high fever, chest X-rays, and those who were more seriously ill were mostly referred to large hospitals. In Huailai County, Hebei Province, with a total population of about 370000, after two years of assistance, the county hospital has gone from being deserted and lacking equipment in the past to a current medical treatment rate of 68.28% in the county. High quality medical resources from Peking University People's Hospital have been introduced, and more than 130 experts from 29 professional departments such as ICU and emergency department have been stationed for treatment. This county-level hospital has completed intravenous thrombolysis in 89 cases, treated 419 chest pain patients, and performed coronary intervention related surgeries in 48 cases within two years, including chest pain, stroke, trauma, critically ill pregnant women, and critically ill newborns. Establish a scientifically standardized modern ICU ward; Successfully carried out 76 new projects and technologies such as arthroscopic minimally invasive surgery and colon cancer CME; More than 100 third and fourth level surgeries per month; Provided technical guidance to 17 township health centers and 275 village clinics, and trained more than 1100 grassroots medical personnel... This "small" hospital, located over 100 kilometers from the center of Beijing, has undergone a "transformation" with the help of assistance. Behind the surprising changes is the practical innovation of tertiary hospitals providing targeted assistance to county hospitals, the deep integration of closely knit county-level medical communities, and an effective exploration to enhance people's sense of health "gain". Every step forward in healthcare reform can benefit an additional group of patients and save some lives Wang Jun, an academician of the CAE Member and president of the People's Hospital of Peking University, said that with the original mission of "People's Hospital for the People", large hospitals should have great responsibility. We need to integrate "blood transfusion" and "hematopoiesis" to form a systematic assistance system, placing equal emphasis on technology transmission and cultural integration. Peking University People's Hospital provides sincere assistance, Huailai Hospital cooperates sincerely, and Huailai County Party Committee and Government provide sincere support. This will give us more confidence and determination to tackle the challenges of building a county-level medical community. Reform is a relay race. From the tremendous changes at Shiye Town Health Center in Zhenjiang, Jiangsu to the deepening of healthcare reform in Sanming, "quality improvement" and "balance" have become key words. According to the information from the National Health Commission, China has launched pilot projects for the construction of compact urban medical groups in 81 cities, comprehensively promoted the construction of compact county-level medical communities at the county level, and supported the construction of 11000 key clinical specialties at the city and county levels. Many regions across the country are expanding and enriching the connotation of Sanming's medical reform in practice, and promoting new experiences in medical reform according to local conditions. The next step of county-level medical community healthcare reform will focus on key areas and critical links, and increase efforts to tackle them. By using genuine emotions, genuine assistance, and practicing genuine skills, we can make the people take good care of their illnesses at their doorstep and implement them effectively Wang Jun stated that the Huailai campus of Peking University People's Hospital currently adopts a trusteeship cooperation model, with the leading institution of the county-level medical community as the link, to form a "family" of high-quality medical resources from tertiary hospitals with county-level medical institutions and township health centers within the county. Jia Bing, the Secretary of Huailai County Committee in Hebei Province, stated that in the face of the new health needs of the masses, we must find ways to be good health "gatekeepers" and make hospitals at our doorstep the first choice for grassroots people. 'True assistance and practical support' have elevated the overall level of medical services in the county, strengthened grassroots medical capabilities, and benefited more people. The construction of a closely knit county-level medical community is a systematic reshaping of China's county-level medical and health system. According to the guidance, by the end of 2025, we aim to establish close county-level medical communities in over 90% of counties and cities; By the end of 2027, the closely knit county-level medical community will have basically achieved full coverage. Practical measures and innovative strategies are making it a tangible welfare for the people to take good care of their illnesses at their doorstep. (New Society)