据了解，除主论坛外，第七届基医会还设置了3大案例专场，共展示了超80个兼具代表性、创新性和推 广价值的基层好案例。 此外，大会主题分享环节聚焦"强基工程"与基层卫生高质量发展，五位专家从宏观政策、地方实践、城 市探索与学界研究等角度分享经验。 国家卫生健康委基层卫生健康司运行评价处处长胡同宇指出，高质量发展是基层卫生事业必须把握的主 线。下一步，全国将通过加强紧密型县域医共体建设、优化基层机构布局、加强人才队伍建设等举措， 围绕"县级强、乡级活、村级稳、上下联、信息通"，推动分级诊疗体系建设，促进形成合理有序诊疗格 局。 作为大会东道主代表，姜仑在《强基固本 创新发展》的主题报告中系统介绍了江苏的基层卫生改革实 践。截至2024年底，江苏基层卫生人员数突破35万人，占全省卫生人员总数的37.47%，基层诊疗量占 比提升至57.41%，全省989家基层机构达到国家服务能力推荐标准。在紧密型县域医共体建设方面，江 苏已在69个县区全面推开，组建136个医共体，并在21个县区推动实施医保总额打包付费改革。2023 年，江苏率先出台并施行《江苏省基层卫生条例》，保障和推动基层卫生工作向更可持续、更加均衡、 更高水平的 ...

Core Viewpoint - The recent measures issued by the National Health Commission and other departments emphasize enhancing the "perceived quality" of family doctor contract services as a key metric for evaluation [1] Group 1: Service Quality and Coverage - The quality of family doctor contract services in China has been improving, with an expanding coverage of the signed population and a continuous enrichment of service content [1] - The transition from merely signing contracts to providing tangible services is a new challenge for the family doctor system, aiming to transform "paper contracts" into "daily experiences" for residents [1] Group 2: Accessibility and Convenience - Improving the accessibility and convenience of contract services is fundamental to enhancing residents' perceived quality [2] - Localities are encouraged to implement "Internet+" contract services and explore family-based signing approaches, ensuring timely referrals and information sharing between hospitals and grassroots health institutions [2] Group 3: Focus on Key Populations - Emphasizing contract services for key populations is crucial for improving residents' perceived quality [2] - There is a need to expand the variety of medications available at grassroots health institutions and enhance medication delivery to meet the reasonable needs of signed residents [2] Group 4: Long-term Mechanism Establishment - Establishing a long-term mechanism for contract services is essential for improving residents' perceived quality [3] - The involvement of various medical institutions and their physicians in providing contract services is encouraged, along with a compensation mechanism for their participation [3] Group 5: Community Engagement and Health Management - Encouraging residents to actively participate in health management is necessary to alleviate supply-demand conflicts in family doctor services [3] - Initiatives such as electronic health records access and health behavior points systems are proposed to engage residents in health education and management [3] Group 6: Importance of Family Doctor System - The family doctor contract service is a vital component of the hierarchical medical system, and its sustainability relies on residents' recognition and satisfaction [4] - There is a call for localities to enhance the quality and warmth of family doctor services to increase residents' sense of gain and promote high-quality development [4]

Core Viewpoint - The recent measures issued by the National Health Commission and other departments emphasize enhancing the "perceived quality" of family doctor contract services as a key metric for evaluation [1] Group 1: Service Quality and Accessibility - The quality of family doctor contract services has improved over the years, with an expanding coverage of the signed population and a richer service content [1] - There is a shift from merely pursuing the quantity of contracts to focusing on the actual service experience of residents, addressing the issue of "signing without service" [1] - Improving the accessibility and convenience of contract services is fundamental to enhancing residents' perception [2] Group 2: Targeted Services for Key Populations - Emphasis on providing contract services for key populations, such as chronic disease patients, is crucial for improving residents' experience [2] - Family doctors are encouraged to offer long-term prescriptions for chronic disease patients and to monitor medication use effectively [2] - Personalized contracts for elderly individuals with disabilities or dementia are encouraged to increase service frequency and enrich service content [2] Group 3: Long-term Mechanisms and Participation - Establishing a long-term mechanism for contract services is essential, with a focus on involving various healthcare providers, including those from higher-level hospitals [3] - There is a need to implement a compensation mechanism for healthcare providers participating in contract services [3] - Encouraging residents to engage in health management and providing access to electronic health records can enhance their participation and self-management [3] Group 4: Importance of Family Doctor System - The family doctor contract service is a vital component of the hierarchical medical system, and its sustainability depends on residents' recognition and satisfaction [4] - The goal is to improve the quality and warmth of family doctor services, thereby enhancing the sense of gain among signed residents and promoting high-quality development of these services [4]

Core Viewpoint - The National Health Commission of China has announced measures to enhance the experience of family doctor contract services, emphasizing the importance of accessibility and community engagement in healthcare delivery [1] Group 1: Measures to Enhance Family Doctor Services - Improve the accessibility and convenience of contract services [1] - Establish a long-term mechanism for grassroots doctors to participate in contract services [1] - Regularly push health information to the public [1] - Implement effective appointment and referral services [1] - Promote community-based contract services [1] - Provide convenient medication services [1] - Optimize health management services [1] - Support personalized contract services [1] - Encourage signed residents to enhance health management [1] - Strengthen the promotion of family doctor contract services [1] Group 2: Expansion of Family Doctor Contract Services - The family doctor contract service is a crucial link between the health sector and the public [1] - The service has expanded in six key areas: from general to specialized services, from grassroots healthcare institutions to secondary and tertiary hospitals, from public to private healthcare institutions, from team contracts to individual doctor contracts, from fixed annual contracts to flexible contract periods, and from chronic disease management to the management of both chronic and infectious diseases [1] - These expansions have led to increased supply of family doctor contract services, enriched service content, and optimized service methods, yielding positive results [1]

Core Insights - The central government has announced a list of cities selected for the 2025 Central Financial Support for Public Hospital Reform and High-Quality Development Demonstration Projects, with Nanjing being one of the selected cities [1][2] - The demonstration project aims to enhance the capacity of municipal and county-level public hospitals, control unreasonable growth in medical costs, and promote the construction of smart hospitals [1][2] Group 1 - The project will leverage central financial support to stimulate local reform efforts, focusing on public hospital reform guided by public welfare [1] - Nanjing has been recognized for its commitment to health-first development, having undertaken 18 national medical reform pilot tasks and receiving accolades from the State Council and provincial government [2] - Nanjing is one of only two provincial capital cities selected among the final 20 cities for the demonstration project [2] Group 2 - The city aims to establish a high-quality integrated healthcare service system by 2027, with a focus on five major projects, including the expansion of quality medical resources and the construction of a tiered diagnosis and treatment system [2] - The implementation plan includes 18 key tasks to achieve the goal of becoming a health hub in the Yangtze River Delta region [2] - The project emphasizes the importance of regional balance in healthcare resource distribution to meet the public's demand for accessible medical services [1][2]