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How to promote orderly access to medical care: an empirical analysis based on the Chinese experience.

Front Public Health · 2026 · PMC13083061 · PMID 42007357

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3) The ‘positive triangle' structure of the population's medical demand determines that the population's utilization rate of primary medical institutions should be higher than that of high-level medical institutions, as a result, the overall utilization of the population's medical services should show a decreasing trend from primary medical institutions to high-level medical institutions. 2.2 Data analysis Based on the above the three-dimensional practice model of China's hierarchical diagnosis and treatment system, this study puts forward 2 basic hypotheses: (1) Primary healthcare institutions should be the first-contact facilities and the principal providers of outpatient services for both urban and rural residents; (2) Secondary-level hospitals, which also are county/district hospitals, should be the main providers of inpatient services for urban and rural residents.

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