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\"\"<\/figure>\n\n\n\n

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\uff08\u4e00\uff09\u5404\u56fd\u666e\u904d\u5efa\u7acb\u57fa\u5c42\u9996\u8bca\u548c\u8f6c\u8bca\u5236\u5ea6<\/h3>\n\n\n\n

\u5728\u82f1\u56fd\u3001\u8377\u5170\u3001\u4e39\u9ea6\u7b49\u56fd\u5bb6\uff0c\u5bb6\u5ead\u533b\u751f\uff08General Practitioner\uff0cGP\uff09\u627f\u62c5\u533b\u7597\u670d\u52a1\u201c\u5b88\u95e8\u4eba\u201d\uff08gatekeeper\uff09\u7684\u89d2\u8272\u3002\u60a3\u8005\u901a\u5e38\u9996\u5148\u63a5\u53d7\u5bb6\u5ead\u533b\u751f\u8bca\u7597\uff0c\u53ea\u6709\u5728\u9700\u8981\u8fdb\u4e00\u6b65\u68c0\u67e5\u6216\u4e13\u79d1\u6cbb\u7597\u65f6\uff0c\u624d\u80fd\u8f6c\u8bca\u81f3\u533b\u9662\u4e13\u79d1\u533b\u751f\u3002\u8f6c\u8bca\u4e0d\u4ec5\u662f\u533b\u7597\u8d44\u6e90\u914d\u7f6e\u7684\u91cd\u8981\u5de5\u5177\uff0c\u4e5f\u662f\u63a7\u5236\u533b\u7597\u8d39\u7528\u589e\u957f\u3001\u4fdd\u969c\u533b\u7597\u670d\u52a1\u8fde\u7eed\u6027\u7684\u91cd\u8981\u5236\u5ea6\u5b89\u6392\u3002<\/p>\n\n\n\n

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\uff08\u4e8c\uff09\u62e5\u6709\u9ad8\u8d28\u91cf\u5168\u79d1\u533b\u751f\u961f\u4f0d<\/h3>\n\n\n\n

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\u8fd9\u79cd\u80fd\u529b\u5efa\u7acb\u5728\u6210\u719f\u7684\u5168\u79d1\u533b\u5b66\u6559\u80b2\u548c\u57f9\u517b\u4f53\u7cfb\u57fa\u7840\u4e4b\u4e0a\u3002\u82f1\u56fd\u3001\u6fb3\u5927\u5229\u4e9a\u3001\u8377\u5170\u7b49\u56fd\u5bb6\u5747\u5c06\u5168\u79d1\u533b\u5b66\uff08General Practice\uff09\u4f5c\u4e3a\u72ec\u7acb\u533b\u5b66\u4e13\u79d1\u8fdb\u884c\u57f9\u517b\u3002\u533b\u5b66\u751f\u5b8c\u6210\u533b\u5b66\u6559\u80b2\u540e\uff0c\u9700\u8981\u63a5\u53d7\u7cfb\u7edf\u5316\u7684\u5168\u79d1\u533b\u5b66\u4f4f\u9662\u533b\u5e08\u57f9\u8bad\uff0c\u5e76\u901a\u8fc7\u4e25\u683c\u8003\u6838\u540e\u65b9\u53ef\u72ec\u7acb\u6267\u4e1a\u3002\u5168\u79d1\u533b\u751f\u4e0d\u4ec5\u9700\u8981\u638c\u63e1\u5e38\u89c1\u75c5\u3001\u591a\u53d1\u75c5\u548c\u6162\u6027\u75c5\u8bca\u7597\u80fd\u529b\uff0c\u8fd8\u9700\u8981\u5177\u5907\u9884\u9632\u4fdd\u5065\u3001\u5065\u5eb7\u7ba1\u7406\u3001\u5fc3\u7406\u5065\u5eb7\u4ee5\u53ca\u8001\u5e74\u533b\u5b66\u7b49\u7efc\u5408\u670d\u52a1\u80fd\u529b\u3002<\/p>\n\n\n\n

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\u4e94\u3001\u7ed3\u8bed<\/h2>\n\n\n\n

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\n\n\n\n

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<\/p>\n","protected":false},"excerpt":{"rendered":"

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Abstract
\nSince China formally introduced the hierarchical medical system in 2015, substantial efforts have been made to strengthen primary healthcare capacity, expand family doctor services, promote medical alliances and integrated healthcare networks, and reform health insurance payment mechanisms. As a result, the institutional framework for hierarchical healthcare delivery has largely been established. In recent years, further progress has been achieved through the development of tightly integrated medical consortia and county-level integrated healthcare systems. However, from the perspective of healthcare utilization, patients continue to concentrate in large hospitals, while primary care institutions face challenges in fulfilling their gatekeeping role and referral mechanisms remain insufficiently effective. Consequently, the overall outcomes of the reform still fall short of policy expectations.
\nThis paper reviews the development and current status of China’s hierarchical medical system reform, analyzes the major challenges related to primary healthcare capacity, workforce development, referral mechanisms, payment incentives, and healthcare resource allocation, and compares China’s experience with international practices. The study argues that future reforms should place greater emphasis on strengthening primary healthcare capacity, improving workforce development, optimizing incentive mechanisms, enhancing coordination among healthcare institutions, and developing and implementing a referral system adapted to China’s healthcare context in order to achieve more efficient performance of the Chinese healthcare system.<\/p>\n","protected":false},"featured_media":17637,"template":"","class_list":["post-17631","hprg-pub","type-hprg-pub","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/globalhealth.dukekunshan.edu.cn\/zh-hans\/wp-json\/wp\/v2\/hprg-pub\/17631","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/globalhealth.dukekunshan.edu.cn\/zh-hans\/wp-json\/wp\/v2\/hprg-pub"}],"about":[{"href":"https:\/\/globalhealth.dukekunshan.edu.cn\/zh-hans\/wp-json\/wp\/v2\/types\/hprg-pub"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/globalhealth.dukekunshan.edu.cn\/zh-hans\/wp-json\/wp\/v2\/media\/17637"}],"wp:attachment":[{"href":"https:\/\/globalhealth.dukekunshan.edu.cn\/zh-hans\/wp-json\/wp\/v2\/media?parent=17631"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}