By 2030, the basic hierarchical diagnosis and treatment collaboration mechanism will be established.

The General Office of the State Council issued the "Several Measures to Accelerate the Construction of a Graded Diagnosis and Treatment System". This morning, the State Council Information Office held a routine policy briefing to interpret the document. Currently, various regions are promoting the construction of closely coordinated medical alliances, but some places have "loose cooperation and lack of communication." The "Several Measures" introduced this time target these difficulties and propose a series of substantive measures. It clarifies the functional positioning and structural layout of medical and health institutions at all levels that make up the medical alliance, emphasizes the construction requirements for improving quality and expanding coverage of closely coordinated medical alliances, and elaborates on the specific connotations of medical resource sharing in closely coordinated medical alliances. In optimizing the functional positioning and structural layout of medical and health institutions, the policy maintains the continuity and stability with the health infrastructure projects, focusing on dynamically eliminating blank areas in primary healthcare services, stabilizing secondary hospitals and leveraging their role as a bridge between tertiary hospitals and primary healthcare institutions, guiding tertiary hospitals to focus on critical and complex cases and strengthen referral consultations and inpatient services, further clarifying the functional positioning of provincial-level and above hospitals, and establishing a coordinated service mechanism for graded diagnosis and treatment. In promoting the improvement and expansion of closely coordinated medical alliances, the pilot implementation of closely coordinated city medical groups in 81 cities nationwide is ongoing and gradually being promoted. In urban areas, the cooperative model of closely coordinated city medical groups in subdivisions serving the core city and surrounding areas is a focus for promotion, and existing closely coordinated city medical groups are required to further improve their effectiveness. The construction of closely coordinated county medical communities has achieved full coverage in county areas, and within counties, the construction of closely coordinated county medical communities will be promoted with the core city leading the town, the town leading the village, and integrated county-town and town-village constructions. The goal is to establish a coordinated mechanism for graded diagnosis and treatment with closely coordinated medical alliances as the core by 2030. In strengthening the sharing of medical resources in closely coordinated medical alliances, resource sharing centers for medical imaging, electrocardiography, medical tests, disinfection supplies, pathology diagnosis, drug supply, and pharmaceutical services will be established to enhance the level of homogenization of medical and health services within the alliance. The flow of prescriptions within closely coordinated medical alliances will be promoted, and a mechanism for connecting drug supply within closely coordinated medical alliances will be established to meet the medication needs at the grassroots level. Lead hospitals will strengthen their responsibility for medical quality management and provide guidance and supervision on the quality control of primary healthcare institutions.