《通知》按照"居民15分钟可达最近的医疗服务点"原则，统筹考虑城乡融合发展、人口结构变化、群众 健康需求、医疗资源规划编制实施等因素，从分类设置乡镇卫生院、合理设置村卫生室和医疗（巡回） 服务点、规范设置社区卫生服务机构等方面明确目标任务，以更好满足全区各族群众日益增长的健康需 求，努力实现"日常疾病在基层解决"的目标。 本报乌鲁木齐讯（全媒体记者 郑娅莉） 日前，自治区卫生健康委员会等11个部门联合印发《关于印发 自治区优化基层医疗卫生机构布局建设的实施方案的通知》（简称《通知》），明确到2027年，自治区 乡镇、街道建制基层医疗卫生机构全覆盖，行政村和社区基本医疗卫生服务全覆盖，基层医疗卫生机构 基础设施条件明显改善；到2030年，基层医疗卫生机构布局更加均衡合理，基层医疗卫生服务更加便利 可及。 为指导各地因地制宜进行动态调整，实现基层医疗卫生机构布局优化目标，《通知》要求各地要加强组 织领导，强化部门协作，深化政策协同，促进分级诊疗体系建设；加强财政保障，压实地县两级基层医 疗卫生机构布局建设主体责任，统筹多种资金渠道加强基层医疗卫生机构建设。 ...

Core Insights - The "lack of doctors and medicines" issue in grassroots healthcare institutions, which account for over 50% of national medical services, has been effectively alleviated [1] - The National Health Commission (NHC) has reported that the proportion of medical services provided by grassroots healthcare institutions has consistently remained above 50% since the start of the 14th Five-Year Plan [1] Summary by Sections Grassroots Healthcare Development - The NHC has expanded the variety of medicines available at grassroots healthcare institutions, with an average of around 300 types of medicines now equipped in township hospitals and community health service centers [1] - A recent policy reform aims to enhance the accessibility of essential medicines for chronic and common diseases by improving the coordination of drug supply between different levels of healthcare [1] County-Level Medical Community - Nearly half of the counties have established centralized pharmacies, with the number of medicines available in county medical communities generally reaching between 800 to 1200 types, significantly improving grassroots medication access [2] - Over 97% of administrative villages with village clinics are now covered by medical insurance, facilitating medication access and reimbursement for rural residents [2] Workforce and Capability Enhancement - As of the end of 2024, there are 2.078 million licensed physicians in grassroots healthcare institutions, an increase of 542,000 since 2020 [2] - The proportion of healthcare personnel with college degrees or higher in township hospitals and community health service centers has risen from 65% and 81.4% in 2020 to 77.4% and 88.2% respectively by 2024 [2] Support and Resource Allocation - The NHC has dispatched approximately 180,000 personnel to support 1,750 counties, with over 70,000 personnel stationed in grassroots facilities for more than six months this year [3] - The "Hundred-Thousand-Ten Thousand Project" aims to enhance clinical specialties in over 10,000 county-level hospitals, improving service capabilities in previously weak specialties such as oncology and psychiatry [3] Pediatric and Mental Health Services - The NHC has initiated a three-year action plan for pediatric and mental health services, with a goal for over 90% of grassroots healthcare institutions to provide pediatric services by the end of this year, which has already been exceeded with 93% now offering such services [3]

0:00 11月27日，国家卫生健康委召开新闻发布会，介绍"基层医疗卫生服务发展"有关情况，并回答媒体 提问。国家卫生健康委医政司司长焦雅辉表示，目前全国超过90%的居民可以在15分钟内获得就近就便 的医疗卫生服务。 新华社音视频部制作 ...

Core Points - The National Health Commission of China released guidelines to enhance the capacity of grassroots chronic disease health management services, promoting a "one-stop" integrated service model [1][2] Group 1: Guidelines Overview - The guidelines outline five key areas for development, including chronic disease prevention, diagnosis, health management services, referral processes, and information flow [1] - It emphasizes the need for clear functional zoning in health service areas and treatment zones, ensuring smooth personnel movement and clear directional signage [1] - The guidelines call for the staffing of general practitioners, traditional Chinese medicine practitioners, public health doctors, pharmacists, and nurses to support chronic disease management [1] Group 2: Service Implementation - Grassroots chronic disease health management will focus on consultation, screening, diagnosis, treatment, follow-up, and health guidance [1] - Specific services include health consultations, appointment scheduling, health self-checks, collection of health information, family doctor contracts, tiered health management, referrals, follow-ups, health guidance, and data analysis [1] Group 3: Quality Management - The guidelines require grassroots medical institutions to strictly adhere to chronic disease health management service protocols, standardizing service processes and content [2] - Leading hospitals in tightly-knit medical alliances should enhance guidance and quality control for grassroots health institutions, continuously improving the quality of chronic disease management services [2]

Core Viewpoint - The article highlights the transformation of grassroots medical and health institutions in Chongqing, emphasizing the importance of delivering healthcare services directly to the community, thereby improving accessibility and patient engagement [1][2]. Group 1: Service Delivery Improvements - In Chongqing, family doctors are actively providing home visits for health check-ups, which has led to early detection of medical issues, such as abnormal uterine bleeding in patients [1]. - The establishment of a performance evaluation system based on service delivery has incentivized healthcare workers, allowing them to earn different points based on the quantity and quality of services provided [2]. Group 2: Community Engagement - There are nine family doctor service teams in Wuxia Town that engage with the community daily, fostering familiarity and trust between healthcare providers and residents [2]. - The implementation of additional value-added services, such as pediatric massage and postnatal rehabilitation, has been approved to meet the specific needs of the community [4]. Group 3: Performance Metrics - The average monthly performance income for healthcare workers who excel in family doctor services can increase by over 1,000 yuan, reflecting a system of performance-based compensation [4]. - The proportion of total medical consultations conducted by grassroots healthcare institutions in Chongqing is expected to rise from 52.5% in 2021 to approximately 56% this year [6].