以医术而非话术留住病人，让分级诊疗落地生根

Core Viewpoint - The phrase "keeping patients is an art" used by a health institution in Anhui has sparked controversy, raising concerns about its implications for patient care and the potential for over-medicalization [1][2] Group 1: Current Challenges in Primary Healthcare - Many primary healthcare institutions face difficulties in retaining patients, often referring cases to higher-level hospitals due to risk aversion and a lack of confidence in handling more complex cases [2] - The financial structure of primary healthcare, heavily reliant on public health funding, diminishes the incentive for doctors to increase patient volume, leading to a reluctance to treat patients [2] - The phenomenon of "easy upward referral and difficult downward referral" complicates the implementation of a tiered healthcare system [2] Group 2: Policy and Structural Responses - Local health departments have established patient visit rate indicators for healthcare institutions below the county level, and insurance policies have been adjusted to increase reimbursement rates for primary care [2] - Despite these measures, the reluctance to retain patients persists in many primary healthcare settings, indicating a need for further encouragement and support for institutions that commit to patient retention [2] Group 3: Importance of Clear Communication and Quality Care - There is a need to correct the flawed promotional language used by healthcare institutions, emphasizing clarity and avoiding ambiguous expressions that could lead to misunderstandings [3] - The primary focus of healthcare institutions should be on improving diagnostic and treatment capabilities rather than on marketing strategies to attract patients [3] - Enhancing the quality of care through better training for general practitioners, improved equipment, and a scientific referral system is essential for the success of tiered healthcare [3]