Core Viewpoint - The article discusses the exploration and attempts made by Huzhou City in Zhejiang Province to promote county-level medical communities, focusing on how to effectively integrate healthcare services across county, township, and village levels to improve patient care and reduce unnecessary burdens on patients [1] Group 1: Financial Implications - The income of hospitals will not be negatively impacted by a decrease in patient numbers due to the bundled payment mechanism of medical communities, which ties together fiscal input, insurance funds, and personal payments [2] - If patients spend less on healthcare, surplus funds can be retained within the medical community, potentially increasing hospital income through performance incentives for staff [2] Group 2: Policy and System Design - The transition to a health-centered approach in medical community construction is facilitated by three key policy designs: long-term mechanisms for bundled payments, collaborative management across different healthcare levels, and a focus on health outcomes rather than the volume of patients treated [3][4] - The design encourages a shift from treating diseases to managing health, promoting early intervention and preventive care [3][4] Group 3: Personnel Management - Effective personnel deployment is crucial, with policies encouraging county-level staff to work in township and village clinics, including rotation systems and performance incentives [5] - Promotion criteria may require healthcare professionals to serve in grassroots settings for a specified duration before advancing, thereby incentivizing service at lower levels [5] Group 4: Quality Measurement Standards - A comprehensive monitoring and evaluation system is in place to assess the quality of medical community construction across five dimensions: tight integration, service homogeneity, promotion of division of labor, efficiency enhancement, and a focus on health preservation [6][7] - These dimensions ensure that healthcare services are effectively coordinated and that patient burdens are not increased while maintaining quality standards [7]