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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
               第5期 总第136期                           南                                                         ·
                 2026年10月                     Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences）  · 493
                                              Journal
                   （1）：5-7                                      ［12］ 任平平，陈勇，赵允伍，等. 异地就医对 DRG/DIP 支付
              ［11］ 钱丽娟，方熙茹，肖瑶，等. 广州市分级诊疗制度实施                          方式的影响及对策分析［J］. 南京医科大学学报（社会
                    效果评价及对策［J］. 现代医药卫生，2024，40（4）：                    科学版），2025，25（1）：16-20
                    704-707                                                                    （本文编辑：姜 鑫）





                  The Jinzhai practice of county⁃level hierarchical healthcare system

                                                       construction

                                                  1           2           1          1
                                         Yuan Zhen ，Li Shanzhu ，Li Zhiguang ，Xie Ruijin
               1. School of Medical Economics and Management，Anhui University of Chinese Medicine，Hefei 230012；2. Finance Department，
                                  Jinzhai County Traditional Chinese Medicine Hospital，Jinzhai 237300，China
                   Abstract：The hierarchical healthcare system plays a vital role in guiding residents to seek healthcare in an
               orderly manner and achieving the effective allocation of healthcare resources. Jinzhai County has promoted the
               construction of a hierarchical healthcare system through a series of measures，including strengthening Party
               leadership over medical reform，effectively implementing the referral system，building a new integrated medical⁃
               preventive framework，facilitating the downward deployment of healthcare professionals to primary care facilities
               with talent development，increasing financial support and incentives，and accelerating the digitization of the
               healthcare service network. These practices in Jinzhai County are highly representative and offer valuable
               insights for other counties. To address existing challenges in the implementation of the hierarchical healthcare
               system，improvements should focus on the following areas，including clarifying the functional roles of medical
               institutions at all levels，refining coordination mechanisms between tertiary hospitals and county⁃level hospitals，
               enhancing the service capacity of primary healthcare facilities， leveraging the guiding role of medical
               insurance，and expanding the scope of health services.
                   Key words：hierarchical diagnosis and treatment；medical community；primary healthcare；county；Jinzhai
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