Objective:To comparative analyze the role and effectiveness of different healthcare consortium support models in enhancing the capacity of community health centers.Methods:Using community health service centers under the loose medical association support mode and the close medical association support mode as research subjects,the data on medical service capacity were quantitatively analyzed using DID(Difference-in-Difference).Results:Both close medical association and the loose medical association support models have increased the number of outpatient and emergency room visits,Chinese medicine consultations,and referrals to community health centers.The close medical association support model also increased the number of discharges from the community health centers.Conclusion:Close medical consortium can enhance the capacity of community health centers,and the effect is better than loose medical consortium.

Objective:To comparative analyze the role and effectiveness of different healthcare consortium support models in enhancing the capacity of community health centers.Methods:Using community health service centers under the loose medical association support mode and the close medical association support mode as research subjects,the data on medical service capacity were quantitatively analyzed using DID(Difference-in-Difference).Results:Both close medical association and the loose medical association support models have increased the number of outpatient and emergency room visits,Chinese medicine consultations,and referrals to community health centers.The close medical association support model also increased the number of discharges from the community health centers.Conclusion:Close medical consortium can enhance the capacity of community health centers,and the effect is better than loose medical consortium.

Objective:To comparative analyze the role and effectiveness of different healthcare consortium support models in enhancing the capacity of community health centers.Methods:Using community health service centers under the loose medical association support mode and the close medical association support mode as research subjects,the data on medical service capacity were quantitatively analyzed using DID(Difference-in-Difference).Results:Both close medical association and the loose medical association support models have increased the number of outpatient and emergency room visits,Chinese medicine consultations,and referrals to community health centers.The close medical association support model also increased the number of discharges from the community health centers.Conclusion:Close medical consortium can enhance the capacity of community health centers,and the effect is better than loose medical consortium.

Objective:To comparative analyze the role and effectiveness of different healthcare consortium support models in enhancing the capacity of community health centers.Methods:Using community health service centers under the loose medical association support mode and the close medical association support mode as research subjects,the data on medical service capacity were quantitatively analyzed using DID(Difference-in-Difference).Results:Both close medical association and the loose medical association support models have increased the number of outpatient and emergency room visits,Chinese medicine consultations,and referrals to community health centers.The close medical association support model also increased the number of discharges from the community health centers.Conclusion:Close medical consortium can enhance the capacity of community health centers,and the effect is better than loose medical consortium.

Objective:To comparative analyze the role and effectiveness of different healthcare consortium support models in enhancing the capacity of community health centers.Methods:Using community health service centers under the loose medical association support mode and the close medical association support mode as research subjects,the data on medical service capacity were quantitatively analyzed using DID(Difference-in-Difference).Results:Both close medical association and the loose medical association support models have increased the number of outpatient and emergency room visits,Chinese medicine consultations,and referrals to community health centers.The close medical association support model also increased the number of discharges from the community health centers.Conclusion:Close medical consortium can enhance the capacity of community health centers,and the effect is better than loose medical consortium.

Objective:To comparative analyze the role and effectiveness of different healthcare consortium support models in enhancing the capacity of community health centers.Methods:Using community health service centers under the loose medical association support mode and the close medical association support mode as research subjects,the data on medical service capacity were quantitatively analyzed using DID(Difference-in-Difference).Results:Both close medical association and the loose medical association support models have increased the number of outpatient and emergency room visits,Chinese medicine consultations,and referrals to community health centers.The close medical association support model also increased the number of discharges from the community health centers.Conclusion:Close medical consortium can enhance the capacity of community health centers,and the effect is better than loose medical consortium.

Objective:To comparative analyze the role and effectiveness of different healthcare consortium support models in enhancing the capacity of community health centers.Methods:Using community health service centers under the loose medical association support mode and the close medical association support mode as research subjects,the data on medical service capacity were quantitatively analyzed using DID(Difference-in-Difference).Results:Both close medical association and the loose medical association support models have increased the number of outpatient and emergency room visits,Chinese medicine consultations,and referrals to community health centers.The close medical association support model also increased the number of discharges from the community health centers.Conclusion:Close medical consortium can enhance the capacity of community health centers,and the effect is better than loose medical consortium.

Objective:To comparative analyze the role and effectiveness of different healthcare consortium support models in enhancing the capacity of community health centers.Methods:Using community health service centers under the loose medical association support mode and the close medical association support mode as research subjects,the data on medical service capacity were quantitatively analyzed using DID(Difference-in-Difference).Results:Both close medical association and the loose medical association support models have increased the number of outpatient and emergency room visits,Chinese medicine consultations,and referrals to community health centers.The close medical association support model also increased the number of discharges from the community health centers.Conclusion:Close medical consortium can enhance the capacity of community health centers,and the effect is better than loose medical consortium.

Objective:To compare the difference of chemical compositions of single decoction and mixed decoction of Gypsum Fibrosum - Anemarrhenae Rhizoma medicinal pair with different proportion.Methods:The Ultra Performance Liquid Chromatography (UPLC) and Ion Chromatography (IC) fingerprints of each sample were collected, and the independent sample t-test on the ratio of "peak area/weight" value of common peaks which was from the single decoction and mixed decoction samples was performed through SPSS 26.0.Results:In the UPLC fingerprint, there was significant difference in the "peak area/weight" values of peak 1, peak 2, peak 3, peak 6 and peak 13 between mixed decoction and single decoction with different compatibility ratios (1:1, 3:2, 2:1, 5:2, 3:1)( P<0.05), while peak 5 and peak 11 were without significant difference ( P>0.05). When the compatibility ratio of Gypsum Fibrosum and Anemarrhenae Rhizoma was 1:1, 3:2, 5:2, 3:1, there was significant difference in the "peak area/weight" values of peak 7 (neomangiferin) ( P<0.05). In the IC fingerprint, there was significant difference in the "peak area/weight" values of peak 1 between mixed decoction and single decoction with different compatibility ratios (1:1, 3:2, 2:1, 5:2, 3:1) ( P<0.05), while there was no significant difference in peak 5 (calcium ion) ( P>0.05). Conclusion:There are differences in the chemical component content of Gypsum Fibrosum-Anemarrhenae Rhizoma medicinal pair for single decoction and mixed decoction.

For wild natural medicine, unanticipated biodiversity as species or varieties with similar morphological characteristics and sympatric distribution may co-exist in a single batch of medical materials, which affects the efficacy and safety of clinical medication. DNA barcoding as an effective species identification tool is limited by its low sample throughput nature. In this study, combining DNA mini-barcode, DNA metabarcoding and species delimitation method, a novel biological sources consistency evaluation strategy was proposed, and high level of interspecific and intraspecific variations were observed and validated among 5376 Amynthas samples from 19 sampling points regarded as "Guang Dilong" and 25 batches of proprietary Chinese medicines. Besides Amynthas aspergillum as the authentic source, 8 other Molecular Operational Taxonomic Units (MOTUs) were elucidated. Significantly, even the subgroups within A. aspergillum revealed here differ significantly on chemical compositions and biological activity. Fortunately, this biodiversity could be controlled when the collection was limited to designated areas, as proved by 2796 "decoction pieces" samples. This batch biological identification method should be introduced as a novel concept regarding natural medicine quality control, and to offer guidelines for in-situ conservation and breeding bases construction of wild natural medicine.