超四成县级中医院牵头组建医共体，国家卫健委：带来三大改变

Core Viewpoint - The National Health Commission plans to implement a Traditional Chinese Medicine (TCM) action plan to enhance the quality of TCM services at the grassroots level, focusing on strengthening the foundation and ensuring basic healthcare during the 14th Five-Year Plan period [3]. Group 1: Action Plan and Goals - The action plan aims to achieve upgrades in five areas: service capacity, personnel allocation, promotion of appropriate technologies, and health culture dissemination in county-level TCM hospitals and grassroots healthcare institutions [3]. - Currently, the coverage rate of county-level TCM medical institutions has reached over 96%, with 97% of grassroots healthcare institutions having TCM facilities, and 99% of township hospitals and community health service centers providing TCM services [3]. Group 2: Development of County Medical Communities - The National Health Commission encourages county-level TCM hospitals to lead the establishment of county medical communities to enhance TCM service capabilities [3]. - There are currently 3,099 tightly-knit county medical communities established across 2,199 counties and urban districts, with over 40% of county-level TCM hospitals taking the lead in forming these communities [3]. Group 3: Regional Examples and Data - In Anhui Province, 58 counties are operated by public TCM hospitals, covering 41.7% of the county population. The proportion of inpatient visits at county-level TCM hospitals increased from 30% to 37% from 2024 to 2025, with a 42% growth in TCM prescriptions and a 6% reduction in medical insurance fund expenditures [4]. - In Sanming City, Fujian Province, new fees for TCM services have been introduced, with full reimbursement for certain TCM treatments, and a focus on integrating TCM and Western medicine in treatment pricing [4]. Group 4: Changes in Service Delivery - The establishment of county medical communities led by TCM hospitals has resulted in three significant changes: a shift in development philosophy towards a dual leadership model, an enhancement in diagnostic capabilities through the recognition of TCM's holistic approach, and a transformation in service delivery models that integrate prevention, treatment, and rehabilitation [5]. - The National Health Commission plans to summarize and promote successful local experiences to create a number of national demonstration cities (counties) for grassroots TCM work [6].