齐鲁晚报·齐鲁壹点 褚思雨 11月26日，市政府新闻办组织召开"实干绘就'十四五'答卷 凝心续写发展新篇"主题系列新闻发布会第8 场，介绍济宁市"十四五"卫生健康事业高质量发展情况。 "十四五"以来，济宁市卫生健康系统认真贯彻落实新时代党的卫生与健康工作方针，把保障人民健康放 在优先发展的战略位置，纵深推进健康济宁建设，卫生健康服务能力和水平得到了持续改善和提 升。"十四五"期间，济宁获批了国家区域医疗中心建设项目、中央财政支持普惠托育服务发展示范项 目、中央财政支持公立医院改革与高质量发展示范项目，入选了全国深化医改成效明显的地方、全国婴 幼儿照护服务示范城市、国家基层中医药工作先进市，普惠托育服务、医养工作、心理健康服务、"互 联网+医疗健康"等经验做法全国推广。 加强服务供给 完善医疗卫生服务体系 "十四五"以来，济宁市注重优质资源扩容提质、均衡布局，不断加强医疗服务供给。目前，全市已经拥 有了7271家医疗机构，这其中包括10家三级医院、64家二级医院，卫生人员数量达到9.5万人，拥有床 位6.3万余张。 这5年间，济宁从群众身边事着手，积极将心理健康服务体系建设、中医药参与高血压防控、"两癌筛 查" ...

东南大学附属中大医院、江苏省教育科学研究院，鼓楼区政府、区教育局、区卫生健康委、区教师发展 中心等领导，相关部门负责人和区中小学校长、教师、家长代表共同参加了活动。 签约聘任仪式结束后，中大医院的临床医学专家带来了精彩的科普讲座。同时，专家团队围绕儿童生长 发育、临床营养、心理健康等热点问题，在校园内开展现场义诊，热情为师生及家长提供一对一健康咨 询服务，让大家近距离享受优质医疗资源。 为扎实推进"医教协同"工作落地落实，鼓楼区教育局为第二批试点学校聘任健康副校长，南京市田家炳 高级中学、南京市第八中学、南京市第五十中学、南京民办育英外国语学校、南京市三牌楼小学教育集 团、南京市赤壁路小学教育集团、南京市天正小学教育集团、南京市第三幼儿园，作为南京市鼓楼 区"医教协同"第二批试点学校，他们将通过建立定期沟通平台、完善资源共享清单、健全效果评估体系 等形成制度化、长效化的医教合作模式，不断积累可复制推广的典型经验。 中大医院党委副书记、心血管内科李拥军主任医师，心身医学科主任袁勇贵主任医师、普外科主任石欣 主任医师、骨科主任陆军主任医师、临床营养科主任金晖主任医师、儿科主任乔立兴主任医师、妇产科 主任贾瑞喆主任 ...

Core Insights - The volume of remote medical imaging diagnostic services in county areas has exceeded 68 million this year, supported by the integration of "artificial intelligence+" in healthcare [1] - Over 80% of counties (cities, districts) have established resource-sharing centers for imaging, electrocardiograms, and laboratory tests, enhancing access to healthcare in remote areas [1] - More than 90% of residents can access nearby medical services within 15 minutes, with the proportion of diagnostic visits from grassroots medical institutions expected to reach 63.4% of the national total in 2024, an increase of 0.5 percentage points from the previous year [1] Group 1 - Since 2021, 12 counties have been selected to develop comprehensive pilot zones for grassroots health, with a government leader overseeing medical, insurance, and pharmaceutical sectors [1] - The evaluation of these pilot zones indicates that by 2024, the diagnostic volume from grassroots health institutions in these areas will account for 69.1%, surpassing the national average [1] Group 2 - In Guangxi, while supporting the construction of the national comprehensive pilot zone in Suqian County, the region is also establishing one autonomous regional-level grassroots health comprehensive pilot zone in each of the 14 districts and cities [2] - The Guangxi Health Commission is implementing AI-assisted diagnosis and chronic disease management, with a goal for over 50% of grassroots institutions to deploy these systems by 2026 [2] - The integration of AI in healthcare is expected to significantly improve the identification accuracy of common diseases and support early screening for local diseases such as nasopharyngeal carcinoma and thalassemia [2]

Core Insights - The National Health Commission reported that since the beginning of the 14th Five-Year Plan, the proportion of medical treatments provided by grassroots healthcare institutions has consistently remained above 50% [1] - Over 90% of residents can access nearby healthcare services within 15 minutes [1] Group 1: Healthcare Infrastructure - The number of grassroots healthcare institutions has increased from 970,000 to 1,040,000 during the 14th Five-Year Plan [1] - Every township in rural areas now has a health clinic, and every administrative village has a village health room [1] - In urban areas, every street has a community health service center, and every community has a community health service station [1] Group 2: Healthcare Networks - A total of 3,099 tightly-knit county medical communities have been established, covering a population of 924 million [1]

Core Viewpoint - The construction of the grassroots medical and health service system in China has significantly improved, with over 90% of residents able to access medical services within 15 minutes, highlighting the effectiveness of the "14th Five-Year Plan" [1] Group 1: Increase in Grassroots Medical Institutions - The number of grassroots medical and health institutions has increased from 970,000 to 1,040,000 during the "14th Five-Year Plan" [2] - In 2024, the proportion of outpatient visits at grassroots medical institutions in counties is projected to reach 63.4%, an increase of 0.5 percentage points from the previous year [2] - In Guangxi, the county-level consultation rate remains above 90%, with 33,300 grassroots medical institutions, a growth of 2.09% since the beginning of the "14th Five-Year Plan" [2] Group 2: Expansion of Grassroots Health Workforce - By the end of 2024, the grassroots health workforce is expected to reach 5.257 million, an increase of 920,000 since 2020 [3] - The recruitment of rural order-oriented medical students in central and western regions has reached 97,000, while over 775,000 grassroots medical personnel have received training in the past eight years [3] - The number of general practitioners has increased to 638,700, with a growth of nearly 230,000 since 2020, and the proportion of licensed (assistant) physicians in rural areas has risen to 47.4%, up 9 percentage points since 2020 [3] Group 3: Chronic Disease Management - Currently, 95% of community health service centers and township hospitals can provide long-term prescription services for chronic disease patients for up to three months [4] - In Guangxi's Qixing District, family doctor contract services have become a key health management tool, offering 24-hour online consultations and regular health lectures [4] - In the pilot area of Guangxi, the average medical insurance fund expenditure for chronic diseases has been reduced by 14.1%, with outpatient and inpatient costs for six chronic diseases decreasing by 8% and 8.5% respectively by October 2025 [4]

Core Insights - The National Health Commission reported that since the beginning of the 14th Five-Year Plan, the proportion of medical treatments provided by grassroots healthcare institutions has consistently remained above 50% of the national total [1] - Over 90% of residents can access convenient healthcare services within 15 minutes [1] Group 1: Healthcare Infrastructure - The number of grassroots healthcare institutions has increased from 970,000 to 1,040,000 during the 14th Five-Year Plan [1] - Rural areas now have health clinics in every township and village, while urban areas have community health service centers in every street and community [1] Group 2: Healthcare Coverage - A total of 3,099 tightly-knit county medical communities have been established, covering a population of 924 million [1]

Core Viewpoint - The article discusses the significant improvements in grassroots healthcare services in China, particularly addressing the "lack of doctors and medicines" issue, with grassroots medical institutions now accounting for over 50% of the national medical treatment volume since the 14th Five-Year Plan began [3][5]. Summary by Sections Grassroots Healthcare Institutions - Grassroots healthcare institutions, including community health service centers and township hospitals, have seen a consistent treatment volume share of over 50% nationally [3]. - The average number of drug varieties available in township hospitals and community health service centers has reached around 300 [3]. Drug Accessibility and Management - The National Health Commission has been working to expand the types of drugs available at grassroots levels and improve the coordination between grassroots and higher-level medical institutions [3]. - Nearly half of the counties have established centralized pharmacies, with the number of drug varieties in county medical communities generally reaching between 800 and 1200 [4]. Medical Personnel and Training - As of the end of 2024, there are 2.078 million licensed physicians in grassroots healthcare institutions, an increase of 542,000 since 2020 [5]. - The proportion of healthcare personnel with college degrees or higher in township hospitals and community health service centers has risen significantly, from 65% and 81.4% in 2020 to 77.4% and 88.2% in 2024, respectively [5]. Healthcare System Structure - The graded diagnosis and treatment system is a fundamental part of China's healthcare system, with 3,099 tightly-knit county medical communities established, covering a population of 924 million [5]. - The National Health Commission has been promoting the "downward transfer of personnel" to enhance grassroots medical capabilities, including sending urban hospital staff to assist county hospitals [6]. Specialized Services and Initiatives - The National Health Commission has initiated the "Hundred-Thousand-Ten Thousand Project" to improve clinical specialty services in over 10,000 city and county hospitals, enhancing previously weak specialties like oncology and psychiatry [6]. - A three-year action plan for pediatric and mental health services has been launched, with over 93% of grassroots healthcare institutions now able to provide pediatric services, exceeding the initial target [6].

Core Viewpoint - The National Health Commission emphasizes the continuous improvement of grassroots medical and health services, highlighting significant progress in service accessibility and capacity since the start of the 14th Five-Year Plan. Group 1: Service System Improvement - The number of grassroots medical institutions has increased from 970,000 to 1,040,000, including 33,300 health centers, 570,400 village clinics, 10,200 community health service centers, and 27,100 community health service stations [1] - Over 90% of residents can reach the nearest medical service point within 15 minutes, ensuring comprehensive coverage in both urban and rural areas [1] Group 2: Service Capacity Enhancement - By the end of 2024, there will be 2.078 million practicing (assistant) physicians in grassroots institutions, an increase of 542,000 since 2020 [2] - The proportion of health technicians with college degrees or higher in township health centers and community health service centers has risen to 77.4% and 88.2%, respectively [2] - Over 90% of township health centers and community health service centers meet service capacity standards, with 93% providing pediatric services [2] Group 3: Service Model Optimization - 95% of community health service centers and township health centers can provide long-term prescriptions for chronic diseases [3] - 95% of urban community health service centers offer extended outpatient services or holiday clinics, while 85% provide weekend vaccination services [3] - Beijing has implemented weekend vaccination services and disseminated vaccination information through multiple channels, while Shanghai has expanded family bed services and included medical service pricing in insurance reimbursement [3]

Core Insights - The article highlights the significant improvement in life expectancy in China, which has risen from approximately 35 years at the founding of the People's Republic to an expected 79 years by 2024, indicating substantial advancements in health and social conditions [2] - The "14th Five-Year Plan" has established a comprehensive health protection network for over 1.4 billion people, with a focus on building the largest disease prevention and control system and healthcare service system globally [2] - The "15th Five-Year Plan" aims for an average life expectancy of 80 years, marking a transition of major health indicators into the high-income country category, emphasizing a shift from disease treatment to a health-centered approach [2][3] Group 1 - The "15th Five-Year Plan" proposes a health priority development strategy, integrating health into all policies and ensuring comprehensive health services throughout the life cycle [3] - There is a pressing need to enhance chronic disease prevention and management, as evidenced by the 330 million cardiovascular disease patients in China, with over 80% of total deaths attributed to chronic diseases [3] - The plan emphasizes the importance of public hospitals in the healthcare system, addressing issues such as debt and the need for price adjustments to meet the evolving healthcare landscape [4] Group 2 - The article stresses the necessity of a balanced and equitable healthcare service system, enhancing the operational support for county and grassroots medical institutions to improve public hospital services [4] - It advocates for a holistic approach to health, promoting a healthy environment and lifestyle, and encouraging individuals to take responsibility for their health [4]

Core Viewpoint - The meeting held by the National Health Commission emphasizes the progress and achievements in the construction of grassroots health and wellness comprehensive pilot zones since 2021, focusing on the implementation of the spirit of the 20th National Congress of the Communist Party of China [1] Group 1: Meeting Highlights - The meeting took place in Luzhou, Sichuan Province, to exchange experiences and promote typical practices in the construction of pilot zones [1] - It was noted that there has been significant progress and positive outcomes due to coordinated efforts between national and local levels [1] - The meeting stressed the importance of understanding the strategic tasks and major initiatives for the 14th Five-Year Plan period, aiming to accelerate the construction of a healthy China [1] Group 2: Key Actions and Responsibilities - Pilot zones are urged to strengthen leadership, embrace reform and innovation, and effectively summarize and promote successful experiences [1] - The meeting highlighted the need to construct a new pattern of hierarchical diagnosis and treatment in conjunction with the implementation of the healthcare foundation project [1] - Relevant officials from the pilot zones, along with experts, participated in the meeting, indicating a collaborative approach to health initiatives [1]