Core Viewpoint - The article emphasizes the importance of community hospitals in providing accessible healthcare services, highlighting the initiative in Shanghai to establish standardized community outpatient surgical rooms to enhance local healthcare capabilities [1][18]. Group 1: Community Hospital Development - Community hospitals are positioned as the first line of defense for public health, directly impacting residents' access to quality medical services [1]. - Shanghai plans to build 40 standardized community outpatient surgical rooms to expand the surgical capabilities of community hospitals [1][5]. - The integration of specialized surgical services in community hospitals aims to address common health issues and reduce the burden on higher-tier hospitals [12][14]. Group 2: Surgical Services in Community Hospitals - Community hospitals in Shanghai are now equipped with clean surgical rooms and necessary medical equipment, allowing them to perform minor surgeries [3][5]. - The types of surgeries being performed include superficial tumor excisions and other minor procedures, which are essential for community health needs [11][12]. - The initiative has led to a significant increase in outpatient surgical visits, with one community center reporting over 4,000 visits in 2024, a 40% increase from the previous year [15]. Group 3: Patient Trust and Accessibility - Patients express concerns about the capabilities of community hospitals for surgical procedures, but trust in family doctors and the support from higher-tier hospitals help alleviate these fears [8][12]. - The proximity of community hospitals reduces travel time and costs for patients, making healthcare more accessible [12]. - The article highlights the positive impact of community surgical services on early disease detection and management, improving overall public health outcomes [14][19]. Group 4: Policy and Future Directions - The national health authority is promoting the decentralization of quality medical resources and the establishment of a tiered healthcare system, which includes community hospitals [18][19]. - Future plans involve enhancing the range of services offered at community hospitals, including mental health and dental procedures, to further meet local healthcare needs [15][22]. - The ongoing collaboration between community hospitals and higher-tier medical institutions is expected to improve the overall healthcare delivery system [19][22].