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Editor’s Note:
There is nothing trivial about people’s livelihood, every detail bears on their well-being. At the beginning of each year, the Zhejiang Provincial Government and the Lishui Municipal Government both proposed to do a good job in ten aspects of people’s livelihood, which is not only an important measure to deeply practice the people-centered development idea, but also an important grasp to focus on solving the urgent difficulties and worries of the people and promoting the construction of a common prosperity demonstration zone. In order to conscientiously implement the list of practical responsibilities for people’s livelihood in the province and municipal governments, the city's party committees, governments and relevant functional departments at all levels in the city have taken the initiative to take responsibility and work hard to promote the high-standard implementation, high-quality construction and high-quality operation of provincial and municipal practical projects, which has won the wide praise of the people of Lishui Mountain. Starting today, this newspaper launches a special series titled “Lishui’s Heartwarming Report Card: How the Government Delivers on Its Promises for the People.” Through in-depth interviews and on-the-ground reporting, we will showcase the vibrant progress and tangible outcomes of livelihood initiatives across Lishui. With vivid stories and case studies, this series highlights how provincial and municipal projects have translated into “Lishui’s Heartwarming Report Card” for its residents.
“The doctors are coming! Everyone line up first and consult one by one.” At about 8:30 on June 13, the “Smart Mobile Hospital” patrol car of the Dayuan Town Health Center in Jinyun County slowly drove into Longkeng Village against the heavy rain. More than 80 villagers were looking forward to the entrance of the cultural auditorium. General practitioner’s diagnosis and treatment, traditional Chinese medicine’s operation of ear acupuncture and bean pressing, specialist fundus examination... It has become the norm in this remote mountain village to see a doctor and dispense medicine at the door of the house.
Longkeng Village, with a resident population of more than 240, is at the junction of Anling Township, Xianju County. It is one of the most remote villages in Jinyun. The village is currently in charge of 50 people with chronic diseases. “Going to the county hospital used to mean a 50-kilometer trip—a whole day wasted on the roundtrip, costing nearly 100 yuan extra, not to mention the motion sickness. Now, the ‘Mobile Smart Hospital’ comes to our village at least four times a month with doctors and equipment, offering on-the-spot consultations, tests, and medicine. It’s incredibly convenient!” Zheng Guiye, a villager with hypertension who requires regular medication, says the mobile medical service has effectively solved the long-standing challenge of inaccessible healthcare.
“For elderly residents like Zheng Guiye who suffer from chronic diseases, traveling outside the village for medical care has long been a major hardship. To address this, we launched mobile medical services in 2016 for the nine administrative villages in our town without local clinics. In 2018, we upgraded the program by introducing mobile medical vehicles, and by 2025, we had refined it into a comprehensive ‘five-in-one’ mobile healthcare system that integrates diagnosis and treatment, basic public health services, doorstep medicine delivery, specialist consultations, and traditional Chinese medicine practices. This system has effectively resolved the challenges of inaccessible and distant healthcare in remote villages, now serving nearly 10,000 residents annually,” explained Zhou Baoqing, director of Dayuan Town Health Center.
Healthcare is a vital livelihood issue that directly impacts people’s wellbeing. This is especially true for remote, sparsely populated mountainous areas with limited transportation. Bridging the gap in medical resources and addressing urgent healthcare needs are critical priorities. In the provincial government’s 2025 Ten Key Livelihood Initiatives, the provision of “‘fixed + mobile’ mobile healthcare service for residents in mountainous and island areas” has been listed as a key livelihood project.
In recent years, guided by the principle of “bringing healthcare services to the people”, Lishui has innovatively developed a “fixed + mobile” healthcare model tailored to local conditions. This approach effectively bridges gaps in primary care resources, reduces medical costs, enhances healthcare quality and service capacity in mountainous areas, and achieves flexible resource allocation—ultimately delivering lifelong health services to remote communities and overcoming the “last mile” challenge in healthcare accessibility.
On the “fixed” front, the city has implemented seven major initiatives to strengthen county-level hospitals, empowering them as regional healthcare hubs. Promoted the reform of “zoneization”, strengthened the classification construction and management of township health centers, and improved service capacity; Strengthened the standardized construction of village health rooms, and 41.94% of village health rooms met the national service capacity evaluation standards. In terms of “flow”, through 64 “smart mobile hospital” touring diagnosis and treatment vehicles equipped with 23 types of medical diagnosis and treatment equipment such as portable B-ultrasound, urine analyzer, electrocardiogram machine, blood cell analyzer centrifuge, etc., at least once a week to carry out to realize the “one-one-car” top ten types of diagnosis and treatment services such as routine diagnosis and treatment, remote consultation, medical insurance settlement, etc.
“Previously we could only provide basic services like blood pressure and glucose measurements when visiting villages. Now through the professional equipment of the mobile medical vehicles, we can offer villagers more diverse medical services, and can even conduct remote consultations with experts from higher-level hospitals, greatly conveniencing local residents.” Dr. Mao Yanyan from Jingning Wutong Township Health Center explained that they now arrange 8 days each month to conduct mobile medical services in remote villages like Jiao'erwan Village and Gaoyan Village, allowing villagers who have difficulty traveling to access convenient medical care.
Facing issues of inaccessible, uneven and low-quality medical services in mountainous areas, the “fixed + mobile” medical service model has explored a new path that shifts focus from complete institutional coverage to comprehensive service coverage. The “Smart Mobile Hospital” vehicles that come right to people’s “doorsteps” utilize 5G technology to achieve real-time data exchange, and through the MDT multi-disciplinary consultation platform, arrange experts to conduct remote consultations according to people’s needs, realizing the “downward transfer” of quality medical resources to villages, saving approximately 233 million yuan in construction costs and nearly 70 million yuan in annual operational costs.
As of the end of May 2025, the city’s 64 “Smart Mobile Hospital” mobile medical vehicles have made 40,300 total trips, traveled 1.76 million kilometers, served 1.77 million person-times in total, and processed nearly 27.8 million yuan in online medical insurance settlements.
To address people’s urgent medical needs, this model relies on the “Zhe-li Management” platform to provide “on-demand” medical services, and through smart vehicle systems, Garden Cloud (City Brain) and other digital means, provides “whole-process” emergency services, achieving “multiple uses for one vehicle” and allowing limited resources to deliver maximum quality and efficiency. In May this year, Lishui’s mountainous area medical reform practices were also showcased at the 78th World Health Assembly, promoting the Lishui experience in solving the problems of “uneven and low-quality medical service resources” to the global community.
“Going forward, we will follow the task requirements of the provincial government’s livelihood projects, persist in starting from what people need, do well in resource coordination, accelerate the completion of 400 provincial-level mobile medical service sites citywide, improve the accessibility and balance of public services, and allow more mountain area residents to enjoy higher quality, more convenient medical services,” said the relevant person in charge of the Municipal Health Commission.