当好健康“守门人”——从一组数据看基层医卫服务体系建设成效

Core Viewpoint - The construction of the grassroots medical and health service system in China has significantly improved, with over 90% of residents able to access medical services within 15 minutes, highlighting the effectiveness of the "14th Five-Year Plan" [1] Group 1: Increase in Grassroots Medical Institutions - The number of grassroots medical and health institutions has increased from 970,000 to 1,040,000 during the "14th Five-Year Plan" [2] - In 2024, the proportion of outpatient visits at grassroots medical institutions in counties is projected to reach 63.4%, an increase of 0.5 percentage points from the previous year [2] - In Guangxi, the county-level consultation rate remains above 90%, with 33,300 grassroots medical institutions, a growth of 2.09% since the beginning of the "14th Five-Year Plan" [2] Group 2: Expansion of Grassroots Health Workforce - By the end of 2024, the grassroots health workforce is expected to reach 5.257 million, an increase of 920,000 since 2020 [3] - The recruitment of rural order-oriented medical students in central and western regions has reached 97,000, while over 775,000 grassroots medical personnel have received training in the past eight years [3] - The number of general practitioners has increased to 638,700, with a growth of nearly 230,000 since 2020, and the proportion of licensed (assistant) physicians in rural areas has risen to 47.4%, up 9 percentage points since 2020 [3] Group 3: Chronic Disease Management - Currently, 95% of community health service centers and township hospitals can provide long-term prescription services for chronic disease patients for up to three months [4] - In Guangxi's Qixing District, family doctor contract services have become a key health management tool, offering 24-hour online consultations and regular health lectures [4] - In the pilot area of Guangxi, the average medical insurance fund expenditure for chronic diseases has been reduced by 14.1%, with outpatient and inpatient costs for six chronic diseases decreasing by 8% and 8.5% respectively by October 2025 [4]