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“In the past, we need to go to the county hospital for medical treatment and prescriptions, but now doctors regularly visit our village. They not only provide medical services and health checks for us, but also allow us to reimburse expenses in real-time using our medical insurance cards. It's incredibly convenient.” Recently, in the natural village of Fenglinkou, Ziran Village, Biaoxi Township, Jingning She Autonomous County, a red and white “Smart Mobile Hospital” clinic vehicle was parked at the entrance of the village. Ma Shangping, 72, and his spouse, after having their blood pressure measured, praised this service that benefits the people’s livelihood.
For several days, this “Smart Mobile Hospital” clinic vehicle has been traveling through remote mountainous villages in Jingning County, delivering warm-hearted services to the local elderly. It is reported that Jingning County has equipped four clinic vehicles capable of medical examinations, medication reimbursement, remote consultations, and chronic disease follow-ups. These vehicles provide bi-monthly mobile medical services to 73 remote administrative villages without medical institutions and with aging village doctors.
Lishui is located in the southwestern mountainous area of Zhejiang, with 73.3% of its administrative villages in remote mountainous areas. As the standard of living for residents improves, the demand for high-quality public services is growing. The supply model based on administrative divisions has issues such as high costs, low efficiency, and low sharing, which cannot meet the new trends of population mobility and the new demands of the people.
Based on the actual situation of the mountainous area, Lishui focuses on the key public service fields that mountainous people care about the most, such as education, healthcare, and elderly care. It plans the integrated reform of mountainous public services across the mountains, exploring the establishment of an efficient allocation method for public service resources oriented by the permanent population. This approach aims to systematically solve the problem of imbalance, address the issue of inaccessibility with mobility, and solve the problem of non-high quality with a community approach. It establishes a new work pattern of “Six Integrations” (integrated planning, integrated industrial layout, integrated infrastructure, integrated ecological governance, integrated public services, and integrated resource allocation) to promote layout following trends, resources following demands, and services following the people.
To achieve a more balanced urban-rural layout for public services, Lishui focuses on population aggregation and coordinated layout, continuing to implement the “Cross-Mountain Coordination for Wealth and Housing” three-year action, encouraging farmers to settle in cities and well-prepare for the “second half of the article” for relocated people. It is reported that this year, 6,580 people have been relocated across the city.
Education, elderly care, and healthcare are “essential questions for people’s livelihood”. Lishui takes the lead in exploring the optimization and adjustment of small-scale schools, with 42 small-scale schools having completed the optimization this year. This ensures that children who are eligible for compulsory education and whose parents have a permanent residence can enroll in school 100%. The three-level elderly care system in counties, villages, and the “1+X+N” county medical system (led by a core hospital and supported by multiple grassroots medical institutions to provide comprehensive medical and health services) are more mature, giving elderly people in mountainous areas more medical and supportive reliance.
To make the mobile supply of public services more accessible, Lishui City, in line with the actual situation of mountainous rural areas, creates a “fixed + mobile” supply model, integrating various “mobile convenience and wealth vehicles” across the city, and systematically building a “mobile ten assists” service system that includes meal assistance, medical assistance, and transportation assistance. 1,394 “mobile convenience and wealth vehicles” are operating amidst the green mountains and clear waters, bringing perceptible and accessible warm services to people in remote mountainous areas.
Among them, the “Smart Mobile Hospital” clinic vehicles cover 648 administrative villages without village health clinics across the city, serving a total of 1.16 million people. The elderly meal assistance points in the mountainous areas have provided meal services for a total of 4.1627 million people, and the urban-rural passenger and freight post integration routes can serve 30 million people in mountainous areas annually.
To ensure a higher quality of public service guarantees, Lishui also explores new models for the intensive use of public service resources, such as medical and educational joint bodies, childcare and education integration communities, and health and wellness alliances, and promotes the continuous inclination of resources to grassroots, rural, and remote areas. Currently, the proportion of shared schools in the city’s educational communities exceeds 97%, the enrollment proportion of integrated vocational education long-term programs reaches 47.8%, and the “In Zhejiang, Ready to Create” wealth service community provides employment and entrepreneurship services for 42,300 people, with entrepreneurial financing support of 1.416 billion yuan, driving nearly 30,000 people to start businesses and find employment.
The people’s expectations are the direction of the government. Good measures continue to be implemented, and good services are accurately delivered, continuously enhancing the sense of gain and satisfaction of the people in the mountainous areas. The path to common prosperity for the people in the old revolutionary areas is becoming wider, and a new chapter of common prosperity in Lishui is being brilliantly written.