【一线调研】家门口的医改

Core Viewpoint - The healthcare reform in Jinzhai County has significantly improved local medical services, reducing patient outflow and enhancing access to healthcare for residents [1][3]. Group 1: Healthcare Reform Implementation - Jinzhai County has transitioned from a situation where one-third of patients sought treatment outside the county to a model where healthcare is accessible at their doorstep [1]. - The county became a pilot for a tightly-knit county medical community in 2019, restructuring its medical system to facilitate better patient care and resource allocation [5]. Group 2: Patient Experience Improvement - A local resident, Hu Detian, previously faced high costs and long travel for dialysis, but now pays only 10 yuan per session due to the establishment of a blood dialysis center at the local health clinic [3]. - The local health clinic has expanded its capabilities to perform over 20 secondary surgeries, a significant improvement from its previous limitations [5]. Group 3: Expert Resource Allocation - Jinzhai County has implemented a policy to reimburse costs for surgeries and consultations with external experts, resulting in 90% of patients receiving care within the county [7]. - From 2019 to 2024, over 3,000 expert visits were facilitated at the county hospital, enhancing the quality of care available locally [7]. Group 4: Financial Health of the Medical System - The county's healthcare system has transformed from a deficit of nearly 80 million yuan before reforms to a surplus of 33.16 million yuan by the end of 2024 [7].