□新华社记者 陈浚武 （来源：内蒙古日报） 江西省全南县龙源坝镇炉坑村村民刘槐秀不再为血液透析就医而发愁。过去，她在当地县里的医院排长 队等候血透，常要熬到深夜；如今在新扩建的全南县总医院血透中心，治疗高效便捷，每次都能当日往 返。"空间大了，费用降了，每个月能省下五六百元。"刘槐秀说。 转自：内蒙古日报 常住人口不足17万的全南县，如何让群众在"家门口"就能看好病？全南县人民医院、妇幼保健院、中西 医结合医院打破壁垒，"三院合一"组建总医院，将14家乡镇卫生院、68所村卫生室全面纳入统一管理， 构建起紧密型县域医共体。 改革的核心，是"聚合"。全南县总医院党委书记陈永昌形容，过去资源分散如同"指头"，现在握成 了"拳头"，"正在推进的县域医共体改革，不仅能有效做强县级医院，更带动全县医疗服务能力的整体 提升"。 在龙源坝镇卫生院，当地村民曾海权带着咳嗽发烧的孩子拍完胸片，等待10多分钟就收到县里医生审核 的胸片影像和诊断结果，"这下放心多了，不像过去骑摩托车跑30多公里去县城拍片检查，来回一整天 孩子也遭罪"。 借助远程系统，将乡镇卫生院的X光影像、心电图诊断及时上传，由县总医院医生集中审签诊断。全南 县总 ...

Core Viewpoint - The healthcare reform in Jinzhai County has significantly improved local medical services, reducing patient outflow and enhancing access to healthcare for residents [1][3]. Group 1: Healthcare Reform Implementation - Jinzhai County has transitioned from a situation where one-third of patients sought treatment outside the county to a model where healthcare is accessible at their doorstep [1]. - The county became a pilot for a tightly-knit county medical community in 2019, restructuring its medical system to facilitate better patient care and resource allocation [5]. Group 2: Patient Experience Improvement - A local resident, Hu Detian, previously faced high costs and long travel for dialysis, but now pays only 10 yuan per session due to the establishment of a blood dialysis center at the local health clinic [3]. - The local health clinic has expanded its capabilities to perform over 20 secondary surgeries, a significant improvement from its previous limitations [5]. Group 3: Expert Resource Allocation - Jinzhai County has implemented a policy to reimburse costs for surgeries and consultations with external experts, resulting in 90% of patients receiving care within the county [7]. - From 2019 to 2024, over 3,000 expert visits were facilitated at the county hospital, enhancing the quality of care available locally [7]. Group 4: Financial Health of the Medical System - The county's healthcare system has transformed from a deficit of nearly 80 million yuan before reforms to a surplus of 33.16 million yuan by the end of 2024 [7].

Core Insights - The article highlights the significant improvement in the medical service capabilities of county hospitals in China, with over 63% achieving tertiary hospital standards by the end of 2024 [2] - The implementation of county medical community systems has led to increased accessibility and efficiency in healthcare services, benefiting local populations [8][9] Group 1: County Hospital Capabilities - As of the end of 2024, 1,309 out of 2,059 evaluated county hospitals have reached tertiary hospital capabilities, representing 63.57% [2] - The proportion of county hospitals achieving secondary hospital capabilities has risen to 93.35% [2] - Over 98% of county hospitals can manage common diseases such as respiratory, digestive, cardiovascular, and pediatric conditions [2] Group 2: County Medical Community System - The county medical community system has resulted in a 10% decrease in outpatient and inpatient volumes at leading county hospitals, while grassroots diagnosis and treatment volumes have increased by 20% [8] - The system allows for a tiered referral model, with county hospitals dispatching experts to support grassroots medical institutions [6] Group 3: Financial Management and Cost Reduction - The use of surplus medical insurance funds in Jinzhai County has allowed for the hiring of external experts, reducing patient travel and keeping funds within the county [9][10] - Jinzhai County's hospital has invited 3,585 expert visits over four years, transforming a previous deficit of nearly 80 million into a surplus of 33.16 million [10] Group 4: Emergency Medical Services - The establishment of five major emergency centers in Renxiu County has improved the treatment of critical conditions, with the mortality rate for heart attacks dropping from 10% to 3.1% [15] - The county has invested 196 million yuan in infrastructure to enhance emergency medical capabilities [15] Group 5: Challenges in Grassroots Healthcare - Despite the increase in the number of grassroots medical institutions from 882,000 in 2009 to 1,040,000 in 2024 (a 17.9% increase), the proportion of diagnoses at these institutions has decreased from 61.8% to 51.7% [16][18] - Factors contributing to this decline include a lack of professional talent and outdated equipment in some grassroots facilities [18] Group 6: Community Health Services in Urban Areas - In Shenzhen, the establishment of community health service centers has facilitated the transfer of quality medical resources to grassroots levels [19] - Community health service centers offer various traditional Chinese medicine services and have extended their operating hours to accommodate urban workers [24]