Promoting the expansion and balanced distribution of high-quality medical resources is a powerful means to solve the problem of insufficient total medical resources and unbalanced regional distribution. The report of the Twentieth National Congress of the Communist Party of China proposed to "improve the ability of grass-roots prevention and treatment of diseases and health management". In recent years, through the establishment of a medical community at the county level, China has further supplemented the weak points of medical and health care in rural areas and improved the capacity of medical and health services at the grass-roots level. The county medical community refers to the county medical service system with county hospitals as the leader, township hospitals as the hub, and village clinics as the foundation, and three level medical and health institutions at the county and village levels as the division of labor, cooperation, and linkage. Promoting the construction of the county medical community and meeting the needs of the people to "see a good disease" is an important part of deepening the medical reform and promoting the construction of the hierarchical diagnosis and treatment system. Through sustained efforts, the number of county medical communities in China has grown rapidly. According to the data released by the National Health Commission, at present, more than 4000 county medical communities have been established in China, with more than 90% of the cases of common and frequently occurring diseases in the county. More than 800 counties and cities have carried out pilot projects to build close county medical communities, and more than 90% of the pilot areas have achieved mutual recognition of inspection and testing results within the medical community. Practice shows that continuous promotion of the construction of county medical community is an effective way to optimize the allocation of medical resources. Continuously promoting the construction of county medical community is conducive to improving the overall medical service level of the county. In the past, there was a certain gap between urban and rural medical service capacity in China. High quality medical resources were mainly concentrated in large cities and hospitals. The grass-roots medical service capacity in counties, especially in remote areas, was weak. Some grassroots people faced the problem of "difficult and expensive medical services". The purpose of promoting the construction of county medical community is to complement the short board of medical services in the county, so that people can enjoy high-quality medical services without leaving the county. For county-level hospitals, in the process of promoting the construction of county-level medical community, the ability of county-level hospitals to diagnose and treat common diseases, frequently occurring diseases, rescue critical patients and upward referral services for difficult and complicated diseases can be effectively improved by strengthening the construction of specialized capacity, introducing high-quality specialized personnel, and remote consultation; For township hospitals and village clinics, by introducing expert resources and medical technology from county-level hospitals, we can obtain better medical resources and improve the service capacity and efficiency at the grass-roots level. Continuously promoting the construction of county medical community is also conducive to providing all-round and full cycle health services for grassroots people. In recent years, China has adhered to the principle of prevention first, furthered the Healthy China Initiative, and promoted the development of health and wellness from the focus on disease treatment to the focus on people's health. The construction of county medical community adheres to the principle of "one game" of medical resources in the whole county, and pays more attention to health management and health promotion on the basis of good medical services. For example, Sanming City, Fujian Province, has explored the establishment of a close county medical community, implemented the package payment of medical insurance funds, "the total amount is lump sum, overspending is not supplemented, and the balance is retained". The masses see fewer doctors, and the balance of medical insurance can be included in medical income, guiding medical institutions and medical personnel to pay more attention to "treating the disease before it is cured". Today, the people not only demand that they be able to treat their illness well, but also hope that they will not get sick or get sick less often. Only by promoting the construction of county medical community can we better meet the health needs of grassroots people. Health is linked to the happiness of thousands of families and relates to the future of the nation. Xi Jinping
Edit：qihang Responsible editor：xinglan
Source：http://paper.people.com.cn/rmrb/html/2022-12/19/nw.D110000renmrb_20221219_5-05.htm
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