Core Viewpoint - The implementation of a unified drug directory in Hainan has significantly improved access to essential medications for chronic disease patients at grassroots healthcare facilities, allowing them to obtain necessary medications closer to home [2][3][4]. Group 1: Policy Changes - Hainan has initiated a policy to unify the drug directories across various levels of medical institutions, which has eliminated previous restrictions on medication access [3]. - The establishment of a tightly-knit county medical community has been a key factor in this change, allowing for better management and coordination among hospitals and grassroots healthcare facilities [3]. Group 2: Impact on Patients - Patients like Wang and Cai have benefited from the new policy, as they can now access commonly used antihypertensive medications at local health centers instead of traveling long distances to higher-level hospitals [2][3]. - The number of antihypertensive medications available at local health facilities has increased from a few to over ten, effectively meeting the diverse needs of patients in the area [3]. Group 3: Healthcare Infrastructure - As of July 4, 30.67 million chronic disease patients in Hainan have accessed necessary medications at grassroots healthcare institutions, indicating a significant improvement in healthcare delivery [4]. - The province is also working on establishing central pharmacies and shared traditional Chinese medicine pharmacies to further enhance medication supply and service accessibility [4].

Core Viewpoint - The article highlights the efforts of Wenchang City in promoting high-quality medical services to reduce the burden on patients, allowing them to receive timely treatment closer to home [1]. Group 1: Medical Service Improvements - Wenchang City has established a tightly-knit county-level medical community, led by Wenchang People's Hospital and Wenchang Traditional Chinese Medicine Hospital, connecting 25 township health centers and 135 village clinics [3][5]. - The initiative aims to address the outdated equipment and limited technology in township health centers by implementing a "one hospital, one policy" support plan, which includes donating essential medical equipment and sending expert teams to provide guidance [3][5]. Group 2: Patient Experiences - A patient named Lao Fu successfully underwent surgery for intestinal polyps at Wenchang People's Hospital after being referred from a local health center, highlighting the efficiency of the medical community's referral system [2][3]. - Another patient, Yan Jie, received immediate hospitalization for diabetes management at a nearby health center, demonstrating the effectiveness of the dual referral system in providing timely care [4][5]. Group 3: Community Health Initiatives - The establishment of family doctor teams in Dongjiao Town has led to the signing of contracts with 26,000 residents, focusing on chronic disease management and personalized health services [5]. - The health teams conduct home visits for screening and treatment of chronic diseases, ensuring that patients receive continuous care without needing to travel to larger hospitals [4][5].

Core Viewpoint - Hunan Province aims to establish a tight-knit county medical community by the end of 2025, with over 90% of counties achieving this goal to ensure that common illnesses are addressed at the grassroots level [1] Group 1: Medical Community Development - Currently, 99 counties and districts in Hunan Province are engaged in the construction of a tight-knit county medical community [1] - By the end of 2025, the goal is to have over 90% of counties and cities built into a tight-knit county medical community [1] Group 2: Health Service Accessibility - Hunan Province is focusing on standardized construction to create a health service circle with a 15-minute access time in urban areas and 30 minutes in rural areas [1] - A total of 1,965 township health centers and community health service centers in the province have met service capability standards [1] Group 3: Healthcare Facility Achievements - Among the health facilities, 554 have been recommended by national standards, 171 have been established as community hospitals, and 43 have been developed into secondary hospitals [1]