国家卫健委：基层医生四年增加54万

Core Viewpoint - The article discusses the significant improvements in grassroots healthcare services in China, particularly addressing the "lack of doctors and medicines" issue, with grassroots medical institutions now accounting for over 50% of the national medical treatment volume since the 14th Five-Year Plan began [3][5]. Summary by Sections Grassroots Healthcare Institutions - Grassroots healthcare institutions, including community health service centers and township hospitals, have seen a consistent treatment volume share of over 50% nationally [3]. - The average number of drug varieties available in township hospitals and community health service centers has reached around 300 [3]. Drug Accessibility and Management - The National Health Commission has been working to expand the types of drugs available at grassroots levels and improve the coordination between grassroots and higher-level medical institutions [3]. - Nearly half of the counties have established centralized pharmacies, with the number of drug varieties in county medical communities generally reaching between 800 and 1200 [4]. Medical Personnel and Training - As of the end of 2024, there are 2.078 million licensed physicians in grassroots healthcare institutions, an increase of 542,000 since 2020 [5]. - The proportion of healthcare personnel with college degrees or higher in township hospitals and community health service centers has risen significantly, from 65% and 81.4% in 2020 to 77.4% and 88.2% in 2024, respectively [5]. Healthcare System Structure - The graded diagnosis and treatment system is a fundamental part of China's healthcare system, with 3,099 tightly-knit county medical communities established, covering a population of 924 million [5]. - The National Health Commission has been promoting the "downward transfer of personnel" to enhance grassroots medical capabilities, including sending urban hospital staff to assist county hospitals [6]. Specialized Services and Initiatives - The National Health Commission has initiated the "Hundred-Thousand-Ten Thousand Project" to improve clinical specialty services in over 10,000 city and county hospitals, enhancing previously weak specialties like oncology and psychiatry [6]. - A three-year action plan for pediatric and mental health services has been launched, with over 93% of grassroots healthcare institutions now able to provide pediatric services, exceeding the initial target [6].