Objective:To analyze the impact of the construction of county medical community led by a traditional Chinese medicine (TCM)hospital on the service capacity of township hospitals, in order to provide empirical evidence for deepening the reform of medical communities, improving the service capacity of township hospitals, and promoting the development of TCM services.Methods:Taking the county medical community led by the TCM Hospital in Mengcheng County, Anhui Province as the research object, and using the structure-process-outcome model to analyze the organizational conditions and the key measures for improving the service capacity of township hospitals, and evaluate the changes in service capacity of township hospitals before and after the construction of the medical community. In August 2023, a semi-structured in-depth interview method was used to interview six key informants on the implementation process, mechanism, and impact of the construction of county medical community on the service capacity improvement of township hospitals. The interview data was analyzed using a thematic framework method. At the same time, based on the Service Capacity of Township Health Centers (2022 Edition), a survey questionnaire was designed and 4 township hospitals was randomly selected to investigate their service capacity in 2015 (before the construction of the county medical community) and 2022 (after the construction of the county medical community), and descriptive analysis was conducted on the questionnaire data. Results:Mengcheng County has established a leading group and council for the construction of the county medical community, which was responsible for coordinating and promoting the construction of the medical community. The county-level leading hospital has gained greater autonomy to promote the optimal allocation of medical resources. Through the analysis of interview data, five key themes for enhancing the service capabilities of township hospitals have been identified: resource allocation and unified management, service integration and path optimization, technical assistance and capacity training, institutional construction and quality control, continuous improvement and regular assessment. The average qualification rate of the service capacity of each township hospital has increased from 71.50% in 2015 to 90.50% in 2022, and the average excellence rate has increased from 46.50% to 72.50%. In 2015, the three indicators related to TCM services, including TCM medical services, TCM health management, and TCM management, did not reach level A in all township hospitals. In 2022, they all reached level A.Conclusions:Through structural optimization and process improvement in the construction of county medical communities, the service capabilities of township hospitals can be enhanced, and TCM hospitals as leading units can effectively improve the chronic disease prevention and health management capabilities of township hospitals.

Objective:To explore the construction of county medical community in Suixi County,Anhui Province,and to understand the improvement of health service capacity and key mechanisms of county medical community construction. Methods:The combination of questionnaire survey method and interview method was used to develop evaluation indexes and prepare questionnaires to obtain the changes in the service capacity of township health centers by using the"Township Health Center Service Capacity Standard Version 2022"issued by the National Health Commission. By interviewing the person in charge and participants of each township health center of county medical community construction in Suixi County,the improvement of health service capacity of township health centers by county medical community and its key mechanism were investigated and discussed. Results:The county medical community significantly improves the health service capacity of township health centers through rational allocation of medical resources,service mode optimization,and financial and technical assistance. Among them,the county medical community provides funds,experts and technical support for township health centers,strengthens the cooperation and contact between township health centers and county-level hospitals,and improves the quality of medical technical personnel,diagnosis and treatment level and service quality of township health centers. At the same time,based on establishing intelligent control platforms and information sharing centers,the county medical community also promoted the management innovation and mechanism construction of township health centers,and improved the comprehensive service capacity and management level of health centers. Conclusion:The county medical community could significantly improve the health service capacity of township health centers.

Objective:To explore the construction of county medical community in Suixi County,Anhui Province,and to understand the improvement of health service capacity and key mechanisms of county medical community construction. Methods:The combination of questionnaire survey method and interview method was used to develop evaluation indexes and prepare questionnaires to obtain the changes in the service capacity of township health centers by using the"Township Health Center Service Capacity Standard Version 2022"issued by the National Health Commission. By interviewing the person in charge and participants of each township health center of county medical community construction in Suixi County,the improvement of health service capacity of township health centers by county medical community and its key mechanism were investigated and discussed. Results:The county medical community significantly improves the health service capacity of township health centers through rational allocation of medical resources,service mode optimization,and financial and technical assistance. Among them,the county medical community provides funds,experts and technical support for township health centers,strengthens the cooperation and contact between township health centers and county-level hospitals,and improves the quality of medical technical personnel,diagnosis and treatment level and service quality of township health centers. At the same time,based on establishing intelligent control platforms and information sharing centers,the county medical community also promoted the management innovation and mechanism construction of township health centers,and improved the comprehensive service capacity and management level of health centers. Conclusion:The county medical community could significantly improve the health service capacity of township health centers.