Core Viewpoint - The implementation of the "Medical and Health Strengthening Project" aims to enhance the capacity of grassroots medical services in China, addressing the uneven development and insufficient capabilities of the healthcare system at the grassroots level [2][3]. Summary by Sections Implementation Plan Overview - The State Council officially released the "Implementation Plan for Strengthening Medical and Health Services" on September 10, which was jointly drafted by the National Health Commission and the National Development and Reform Commission [2]. - The plan aims to improve the layout of grassroots medical institutions by 2027, ensuring that residents can reach the nearest medical service point within 15 minutes [3]. Key Goals and Tasks - By 2030, the grassroots medical service system is expected to be further improved, with a significant increase in the service volume of county-level and lower medical institutions [3]. - The plan outlines 12 key tasks focusing on system improvement, service optimization, and strengthening disease control and traditional Chinese medicine [3]. Strengthening Grassroots Medical Services - The plan emphasizes the need for continuous service for key populations, aiming for a 70% management rate for hypertension and type 2 diabetes patients at the grassroots level by 2030 [3][4]. - It also aims to enhance the capabilities of grassroots medical institutions to perform specific medical procedures, such as cataract surgery and dialysis, by 2030 [4]. Resource Allocation and Incentives - The plan encourages the allocation of resources from higher-level hospitals to grassroots institutions, including reserving appointment slots for local healthcare facilities [6]. - It proposes a multi-channel income mechanism for grassroots healthcare institutions, with a reported increase of 15% in medical service revenue for government-run grassroots institutions in 2023, totaling over 140 billion yuan [6][7]. Healthcare Financing and Payment Reforms - The plan includes reforms in medical service pricing and payment methods, promoting a multi-faceted payment system that favors grassroots healthcare institutions [7]. - It emphasizes the need for increased fiscal support for public health institutions and basic public health services, ensuring that government funding is directed towards grassroots healthcare [7].