'Pushing the door to see a doctor' highlights the warmth of people's livelihood
2025-06-27
In Jiang'an District, Wuhan, Hubei Province, citizens can complete blood pressure monitoring and medication consultation within 5 minutes at community health stations; At the "Medical Corner" of the Shenzhen Science and Technology Park office building in Guangdong, people have detailed follow-up appointments with experts from tertiary hospitals through remote systems; In Pudong New Area, Shanghai, many authoritative medical experts serve as leaders, using artificial intelligence as a technological breakthrough to accelerate the construction of a "doorstep" medical circle... High quality medical resources continue to sink, and when "opening doors to see doctors" becomes a reality, new paths for people's livelihood development are more clearly visible. Recently, the General Office of the Communist Party of China and the General Office of the State Council issued the "Opinions on Further Ensuring and Improving People's Livelihood and Focusing on Solving the Urgent Difficulties and Worries of the Masses", which clearly proposed to "promote the sharing of high-quality medical and health resources", support high-level hospital personnel, services, technology, management, etc. to sink to grassroots medical and health institutions, and promote the construction of urban medical consortia. According to statistics, as of the end of 2023, there are 1.02 million primary healthcare institutions in China, accounting for 94.9% of the total number of healthcare institutions; More than 18000 medical consortia of various forms have been established nationwide, with approximately 30.32 million two-way referrals. The treatment rate for common and frequently occurring diseases in counties has reached over 90%. These achievements in grassroots medical construction witness the gradual implementation of the new medical order of "primary diagnosis and two-way referral".? Through? Institutional innovation breaks down barriers, cultivates talents to build a solid foundation, and integrates digital technology to extend services? Is it sinking resources? Accessibility advantage? Effectively transforming into residents? Real sense of happiness and achievement? For what? Can we provide strong support for building a resilient health service system that prioritizes prevention and synergizes prevention and treatment?. Connect the "meridians" of the system and make the flow of resources "come alive". Through continuous optimization? Management mechanisms and strengthened institutional innovation can better promote the rational flow of medical resources. Institutional innovation is to systematically 'break down barriers and loosen restrictions'. Deepen the construction of medical consortia or medical communities, clarify the responsibilities and rights of leading hospitals and grassroots institutions, explore the reform of medical insurance payment methods such as "total prepayment, surplus retention, and reasonable overspending sharing", so that large hospitals have the motivation to transfer patients downwards, and grassroots have the motivation to accept and provide good services. In addition, exploring the establishment of an interconnected information platform, breaking down data silos, and promoting the coordinated utilization and orderly flow of medical resources through unified appointment, referral, and payment settlement rules. As the first visit rate in the community continues to rise due to the sinking of resources, the value of institutional innovation becomes vividly demonstrated.? Improving primary healthcare, talent cultivation is the key. Only by improving the "hematopoietic mechanism" of professional identity and development channels can community doctors truly shift from "unwilling to stay" to "competing to come". The solution requires a combination of both "blood transfusion" and "hematopoiesis", as well as a combination of short-term and long-term mechanisms. In the short term, flexible talent introduction methods such as the "Silver Age Plan" can quickly supplement high-quality resources and drive the improvement of grassroots medical level. In the long run, the key lies in building an attractive career development ecosystem: expanding career development channels, such as establishing community chief doctors and special positions, tilting towards grassroots in professional title promotion policies, and recognizing their professional contributions in health management and chronic disease prevention and control; Significantly enhance job competence, through "order oriented" training, strengthening standardized training and continuous education for general practitioners, ensuring that they master core competencies such as common disease diagnosis and treatment, health management, and basic public health services; Improve the professional environment and working conditions, reasonably determine salary and benefits, and establish a dynamic growth mechanism, clarifying its legal status and social value recognition as the "gatekeeper" of residents' health. Only in this way can the grassroots truly bid farewell to the talent pool and build a talent reservoir. The Internet of Things and artificial intelligence not only extend the radius of medical services, but also weave a closed-loop network of "prevention, treatment, and management".? Digital technology is a powerful engine for cracking the uneven distribution of grassroots resources, improving service efficiency and accessibility. Its value is reflected in multiple aspects: telemedicine (remote consultation, imaging diagnosis, electrocardiogram interpretation, etc.) allows high-quality expert resources to break through geographical limitations, directly empower grassroots diagnosis and treatment, and narrow the gap between urban and rural areas. The combination of wearable devices and home monitoring tools with artificial intelligence analysis has achieved dynamic and continuous management of chronic disease patients, transforming passive response into active intervention, greatly improving management efficiency and accuracy. The big data platform integrates residents' health records, diagnosis and treatment records, and public health data to provide a panoramic health portrait for family doctors, supporting the development of personalized and precise health management plans. Intelligent appointment booking, examination result push, online consultation and other convenient applications have greatly improved the medical experience. The inspection vehicles in Gansu and the "cloud clinics" in Jiangsu have extended basic medical services to rural areas and remote villages with inconvenient transportation through mobile technology and remote platforms, effectively solving the "last mile" problem. In the future, we should pay more attention to the aging adaptation of technology and information security protection, eliminate the digital divide, and ensure that everyone shares the benefits of technology.? Pushing the door to see a doctor "shortens the physical distance, brings closer emotional trust, and demonstrates the people-oriented people's livelihood temperature. Author: Zhang Yongzhong (Associate Professor, School of Medicine, Tianjin University)
Edit:JIAYING XIAO Responsible editor:XINYU CHEN
Source:GMW.cn
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