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]

华夏时报（www.chinatimes.net.cn）记者 陈岩鹏 北京报道 在国家卫健委"力争2025年底全国90%以上的县域建成紧密型医共体"目标下，AI技术正成为撬动基层医疗资源整 合的战略杠杆。 "国家层面应加快完善医共体建设标准体系，地方政府需建立'一把手'负责的跨部门协调机制，而医疗机构应把握 人工智能技术窗口期。"在第七届中国健康县域大会上，国家医疗健康大数据研究院（宁夏）院长史金龙的讲话揭 开了基层医疗数字化转型的深层逻辑，"医疗大模型不是'取代医生'，而是帮助基层医生突破能力边界的重要工 具。当村医能通过AI获得三甲医院水平的决策支持时，分级诊疗才能真正落地。" 2025年4月26日，北京九华山庄的会场内，"AI"成了最频繁的关键词。台上，专家们用"革命性""颠覆性"形容人工 智能对县域医疗的冲击；台下，来自全国近千家县域医疗机构的负责人举着手机，记录屏幕上飞速滚动的技术方 案——这些曾专属于三甲医院的技术，正通过算法模块向2856个县级行政区"下沉"。而这场大会的主题直击痛 点：县域医共体人工智能生态建设。 数坤科技创始人、董事长毛新生展示的苏州案例中，千万级居民健康档案与AI大模型的碰撞 ...