近年来，苏州每年新增肿瘤患者约5万人，且呈年轻化趋势。相较一般慢性病的长期隐性危害，癌 症以其"病程进展快、治疗费用高、家庭冲击大"的特点，成为疾病防治亟待集中力量突破的"攻坚战"。 市委、市政府高度重视肿瘤等重大疾病防治工作。今年5月，我市启动了融通"三医"数据的"新三大中 心"建设，邀请国内顶尖专家组建苏州市肿瘤防治学术委员会，借助数智赋能，建立全域肿瘤"防筛诊治 康"协同"一张网"，减少肿瘤患者跨地域就医负担。 家住太仓的张女士罹患乳腺癌，现就诊于太仓市中医医院。昨天（11月21日）上午，该院通过乳腺 肿瘤防治一体化协同体系，与牵头医院——苏州大学附属第二医院发起了一场会诊。过程中，苏州大学 附属第一医院、苏州市立医院的乳腺肿瘤专家也参与进来，形成一场跨院且贯通市县全域的多学科会 诊，共同为张女士探讨精准治疗方案。视病情评估需要，苏大附二院甲乳外科主任蒋国勤教授还会带团 队前往基层，在当地为患者提供线下协作诊治。 苏大附二院副院长张力元介绍，该院目前承担了乳腺、甲状腺、结直肠肿瘤防治一体化协同体系的 建设任务。通过该体系，医院将通过"传、帮、带"的形式，推广规范诊疗，强化上下联动，推进学专科 间的横向协 ...

"以前治脑梗得往西安跑，现在县医院就能做微创介入手术，省心又省钱！"近日，陕西省略阳县人民医院脑卒中患者张先生康复出院时，对医院的技术变 化赞不绝口。这一改变，源于江苏海安"组团式"医疗帮扶团队四年的精准发力。以微创介入技术为突破口，帮扶团队不仅让略阳群众实现"家门口治大 病"，更培育出本土医疗骨干，为县域医疗高质量发展注入持久动力。 体系赋能：四大中心筑牢生命安全防线 介入技术的落地，成为略阳县人民医院四大危急重症中心的"核心引擎"。卒中中心依托神经介入技术，将患者DNT(到院至静脉溶栓时间)从55分钟缩短至 40分钟，实现"从救到治"全程覆盖；胸痛中心以心血管介入为支撑，快速诊断急性心梗，守护患者生命；创伤中心用介入栓塞术替代复杂开腹手术，精准 封堵脏器破裂血管；高危孕产妇救治中心凭借子宫动脉栓塞术，有效控制产后大出血，避免子宫切除。四大中心联动，织密了县域生命防护网。 技术破冰：多领域介入技术破解"看病远"难题 略阳县地处秦巴山区，过去神经、心血管等复杂疾病患者需辗转外地就医。2020年，江苏海安的医疗帮扶团队进驻后，锚定"构建全域介入诊疗平台"目 标，开启技术攻坚。 神经介入领域，海安的医疗专家们接力 ...

Core Insights - The article highlights the successful implementation of a county-level medical community model in Dangtu County, which enhances access to healthcare services for local residents [4][5][6] Group 1: Medical Community Model - The Dangtu County People's Hospital has been recognized as a provincial-level demonstration unit for a tightly-knit county medical community, which integrates management of resources across village and town health institutions [4][5] - The model allows for expert medical services to be provided closer to home, reducing the need for patients to travel to larger hospitals [4][5] - The county hospital's management approach includes optimizing the healthcare system and resource integration to improve service delivery [5] Group 2: Patient Experience and Outcomes - A case study of a patient, Ding Xiaoqin, illustrates the benefits of the model, as she underwent a successful surgery at a local health center without needing to visit a larger hospital [4][5] - The number of inpatient visits at the town health center increased by 19.8% year-on-year in the first three quarters of the year, indicating growing trust and utilization of local healthcare services [5] - Post-surgery, Ding Xiaoqin reported a smooth recovery and a return to work, showcasing the effectiveness of local healthcare delivery [6] Group 3: Future Developments - The Dangtu County Health Commission plans to further develop the medical community model by establishing specialized departments in town health centers and training key personnel [6] - The goal is to increase the local consultation rate to 90%, ensuring that high-quality medical services are more deeply rooted and widely available in the community [6]

Core Viewpoint - The national strategy during the "14th Five-Year Plan" period aims to enhance the accessibility of quality medical resources, ensuring that major illnesses are treated within provinces, general illnesses are addressed at city and county levels, and routine health issues are managed at grassroots levels [1] Group 1: Medical Resource Distribution - The strategy focuses on four extensions: promoting quality medical resources to the central and western regions, extending urban medical resources to county hospitals, enhancing medical talent and services to urban and rural grassroots, and facilitating mutual recognition and sharing of referral and examination results [1] - A total of 114 national regional medical centers have been established, bringing the total to 125, with a focus on specialty construction to reduce the need for patients to seek treatment outside their regions [1] - 114 provincial regional medical centers have been built to address the issue of patient outflow within provinces, aiming to narrow the medical capability gap between cities [1] Group 2: County-Level Medical Community Development - By the end of this year, 90% of county-level administrative units are expected to have established tightly-knit county medical communities, with 2,188 units already completed [1] - The strategy emphasizes support for weaker specialties in regions like Xinjiang and Tibet, particularly those with high referral rates, by pairing supporting hospitals with recipient hospitals to enhance local medical capabilities through information technology and telemedicine [1]

Core Points - The article highlights the inspiring journey of Luo Nawa, a rural doctor in Yunnan, who overcame personal and professional challenges to pass the national medical practitioner qualification exam [1][6] - Luo's story reflects the broader theme of grassroots medical professionals striving for excellence and the importance of quality medical resources in rural revitalization [7] Group 1: Personal Journey - Luo Nawa was born in a remote village in Yunnan and aspired to be a doctor from a young age due to her own health issues [1] - After graduating from a medical school in 2017, she returned to her hometown to work as a rural doctor, facing significant challenges in her practice [2] - Despite her congenital spinal deformity, which made her daily life difficult, she persevered in her studies and work, accumulating over 8,000 kilometers in travel between her clinic and the county [2][5] Group 2: Medical Support and Education - In 2022, Luo received a spinal correction surgery in Wuhan, which significantly improved her health and ability to work [3][5] - During her recovery, she was supported by a dedicated team from her school and the hospital, who provided her with study materials and a tailored rehabilitation plan [6] - Luo's determination and the encouragement from her mentors played a crucial role in her success in passing the medical qualification exam [6] Group 3: Community Impact - Following her qualification, Luo has seen an increase in patients seeking her care, reflecting the trust her community has in her abilities [6] - The local health clinic has improved its services, implementing standardized health management systems for chronic diseases [6] - Luo's journey symbolizes the dedication of countless grassroots medical workers and the positive impact of enhanced medical resources in rural areas [7]

Core Viewpoint - The establishment of a normalized touring medical system aims to enhance healthcare accessibility and resource distribution in under-resourced areas, particularly in rural and remote regions of China [1][2][3]. Group 1: Normalized Touring Medical System - The recent notification on establishing a normalized touring medical system will institutionalize the practice and ensure comprehensive coverage in resource-poor counties [1]. - The touring medical teams provide not only treatment but also education on daily healthcare practices, significantly improving the health of local communities [1]. Group 2: Resource Distribution and Healthcare Improvement - During the "14th Five-Year Plan" period, 114 new national regional medical centers were established, bringing the total to 125, effectively enhancing the diagnostic capabilities for complex diseases in under-resourced provinces [2]. - The integration of county, township, and village medical resources aims to ensure that general illnesses are treated within the county, thereby reducing the burden of cross-regional medical travel [2]. Group 3: Role of Digital Technology - Digital technologies are breaking spatial limitations, allowing for remote surgeries and consultations, thus facilitating the delivery of quality medical resources to grassroots communities [3]. - The future application and upgrade of new technologies will continue to promote the balanced distribution of quality healthcare resources across regions [3].

Core Insights - The Henan provincial government is focusing on enhancing the public health system during the "14th Five-Year Plan" period, aiming for significant improvements in health indicators and healthcare accessibility [1][2]. Group 1: Health Indicators and Achievements - By the end of 2024, the health literacy level in Henan is expected to reach 32.07%, with infant mortality, under-five mortality, and maternal mortality rates at 2.47‰, 3.48‰, and 9.99 per 100,000 respectively, consistently better than the national average [1]. - The province has established 12 national regional medical centers, the highest in the country, and has seen a reduction in patient referrals outside the province for key specialties to 1.57%, down 6 percentage points from 2020 [2]. Group 2: Healthcare Infrastructure Development - Henan has built a multi-tiered healthcare service network, including 15 provincial medical centers and 55 regional medical centers, with 90 county-level hospitals achieving tertiary hospital service standards [3]. - The average township health center and community health service center now have 8 registered general practitioners and 3 senior physicians, enhancing local healthcare service reliability [3]. Group 3: Public Health and Disease Control - The province has established a robust public health defense system with 190 monitoring points for infectious diseases and public health emergencies, achieving full coverage at provincial, municipal, and county levels [4]. - A comprehensive coordination mechanism with various departments has been developed to enhance the monitoring and early warning system for infectious diseases [4]. Group 4: Traditional Chinese Medicine (TCM) Development - During the "14th Five-Year Plan," Henan has established 2,507 TCM clinics in communities, with all secondary and higher-level hospitals and maternal and child health institutions setting up TCM departments [5]. - The province is promoting TCM internationally, with flagship stores opening in countries like Russia and Japan, and over 3,000 overseas trainees participating in TCM training programs [6].

Core Viewpoint - During the "14th Five-Year Plan" period, China has established the world's largest healthcare service system, significantly improving the quality and efficiency of medical services [3][4]. Summary by Sections Healthcare System Development - China has built the largest healthcare service system globally, with enhanced service quality and efficiency [3]. - The National Health Commission has set up 13 categories of 26 national medical centers and 125 regional medical centers, with 114 provincial medical centers under construction or completed [6]. Medical Technology and Innovation - China ranks second globally in new drug research and development, with over 20% of the world's new drugs in development. Several innovative domestic drugs have been approved, filling gaps in the market [4]. - The domestic HPV vaccine has improved accessibility and affordability, with the nine-valent HPV vaccine now in use [4]. - Innovations in medical devices include the photon-counting CT, which offers 2-3 times better spatial resolution and faster scanning speeds, along with reduced radiation doses [4]. Disease Treatment and Management - A new colorectal cancer immunotherapy has increased the treatment effectiveness from 13% to 44%, with a 61% extension in progression-free survival [4]. - The average time for stroke patients to receive thrombolytic treatment has been reduced from 60 minutes to under 30 minutes, significantly improving outcomes [5]. - A personalized treatment model for systemic lupus erythematosus has been developed, achieving international leading levels in disease progression prediction and organ damage assessment [5]. Accessibility of Medical Resources - Starting this year, all tertiary public hospitals in China are mandated to provide mobile medical services, with 82 national mobile medical teams established [6]. - The "15th Five-Year Plan" aims to establish a comprehensive mobile medical system across five levels of governance, ensuring coverage in resource-poor counties [6].

Core Insights - China has established the world's largest healthcare service system, significantly improving service quality and efficiency during the "14th Five-Year Plan" period [1] - The country has made notable advancements in medical technology innovation, particularly in drug and vaccine development, as well as medical equipment [1][2] Group 1: Healthcare System Development - The establishment of a national touring medical team composed of high-level tertiary hospitals and national medical centers aims to further enhance the accessibility of quality medical resources [1][4] - As of now, China has set up 26 national medical centers across 13 categories and is constructing or has built 114 provincial medical centers to provide quality healthcare services [4] Group 2: Drug and Vaccine Innovation - China ranks second globally in new drug development, with over 20% of new drugs in development worldwide, including several innovative drugs that have filled gaps in the domestic market [1][2] - The domestic HPV vaccine has been widely used, improving accessibility and affordability, with the recently launched nine-valent HPV vaccine offering comprehensive immunization options for women [1] Group 3: Medical Equipment Advancements - Innovations in medical devices include the photon-counting CT, which offers 2-3 times better spatial resolution than traditional CT, faster scanning speeds, and significantly reduced radiation doses [2] - The development of domestic high-end medical equipment such as orthopedic surgical robots and ECMO machines has improved surgical precision and patient outcomes [2] Group 4: Disease Treatment and Management - The average time for patients to receive thrombolytic treatment for stroke has been reduced from 60 minutes to under 30 minutes, greatly enhancing treatment efficacy [3] - Research on systemic lupus erythematosus has led to the creation of a personalized treatment model that has achieved international leading levels in disease progression prediction and organ damage assessment [3]

Core Viewpoint - The article highlights the efforts of Linyi Cancer Hospital in enhancing rural healthcare services through cervical cancer prevention training and free medical consultations in Pingyi Fengyang Town, aligning with the city's three-year action plan for improving rural medical and health service capabilities [1][6]. Group 1: Training Activities - The event commenced with a cervical cancer prevention training session led by gynecological experts, focusing on the disease's full chain of prevention and treatment, including the mechanisms of cervical cancer and key pathogenic factors such as high-risk HPV infections [3]. - The training also addressed the specific conditions of rural areas, analyzing factors like hygiene habits and immune status that affect disease progression, and provided targeted preventive measures, including vaccination eligibility and screening protocols [3]. Group 2: Free Medical Consultation - Following the training, a seamless transition to free medical consultations occurred, where specialists from various departments provided guidance on common issues in imaging report writing and clarified imaging examination results for patients [5]. - Gynecological and general surgery experts offered face-to-face health consultations and basic examinations, giving professional medical advice based on individual symptoms, ensuring that local residents received quality healthcare services conveniently [5]. Group 3: Overall Impact - The initiative effectively strengthened the healthcare service capabilities of Fengyang Town Health Center and provided efficient medical services to the local community, exemplifying the hospital's commitment to delivering high-quality medical resources to grassroots levels [6].