清远连州：三维提升实现“大病不出县”，优质医疗可感可及

Core Viewpoint - The article highlights the significant advancements in healthcare services in Lianzhou, Qingyuan, emphasizing the successful implementation of a healthcare reform model that enables residents to access high-quality medical services locally, thereby achieving the goal of "serious illnesses not leaving the county" [2][10][91]. Group 1: Healthcare Reform and Achievements - Since becoming a pilot for the national integrated county medical community in 2019, Lianzhou has effectively integrated resources and improved service delivery, resulting in a notable enhancement of healthcare capabilities [2][3]. - The county's hospitalization rate has consistently exceeded 90% for ten years, reaching 92.0% in the first half of 2025, ranking third in the province [8][10]. - Lianzhou's DRG capability index ranks 9th among 57 counties in Guangdong, with a CMI value at the top, indicating a strong improvement in medical service quality [25][26]. Group 2: Infrastructure and Resource Sharing - The "334" model focuses on enhancing medical service capabilities across county, township, and village levels, facilitating the sharing of medical resources such as large equipment and diagnostic data [5][6][60]. - By November 2025, the shared medical equipment service model has provided cross-hospital diagnostic services to 9,025 patients, significantly improving resource utilization [58][59]. - The establishment of a remote consultation system allows patients in rural areas to receive expert guidance from the main hospital, enhancing access to specialized care [61][72]. Group 3: Preventive Healthcare Initiatives - Lianzhou has implemented a comprehensive chronic disease management program, achieving over 40,000 screenings in 2024 and identifying 1,716 cases of chronic obstructive pulmonary disease [78][86]. - The integration of preventive and treatment services has led to the establishment of a chronic disease management center, benefiting over 811,500 patients through free medication programs [82][86]. - The innovative peritoneal dialysis service model allows for better management of end-stage renal disease patients, with local health centers taking on follow-up responsibilities [87][90]. Group 4: Patient Experience and Accessibility - Patients now experience improved access to diagnostic services, as they can receive CT scans and other tests at local health centers instead of traveling long distances [44][46]. - The implementation of a shared service model has reduced patient costs, with outpatient expenses decreasing by 11.07% and medication costs by 10.02% compared to previous years [65][66]. - The use of internet technology for remote consultations has provided timely and accurate medical services to 1,164 patients, enhancing overall patient satisfaction [70][72].