International Journal of Frontiers in Sociology, 2026, 8(2); doi: 10.25236/IJFS.2026.080208.
Teng Ge'er
School of Public Administration, Hubei University, Wuhan, Hubei, 430062, China
This paper focuses on the two-way referral mechanism within county-level medical consortia, elucidating its core concepts and operational principles. It analyzes the primary obstacles to this mechanism in terms of primary healthcare resource allocation, referral flow patterns, interest coordination, patient trust, and information dissemination. The paper proposes optimization measures, including balanced resource allocation, standardized process management, collaborative interest alignment, trust-building at the primary level, and enhanced information interoperability. The effectiveness of these measures is validated through a case study from Yong'an City, Fujian Province, providing practical references for improving the county-level hierarchical diagnosis and treatment system and ensuring the efficient operation of the two-way referral mechanism.
County-level medical consortium; Two-way referral; Institutional barriers; Optimization measures; Hierarchical diagnosis and treatment
Teng Ge'er. Main Obstacles and Optimization Measures in the Operation of the Two-Way Referral Mechanism within County-Level Healthcare Communities. International Journal of Frontiers in Sociology (2026), Vol. 8, Issue 2: 64-70. https://doi.org/10.25236/IJFS.2026.080208.
[1] Song Y . Integration of Medical Resources under the Provincial Hospital Trusteeship Model in County-Level Medical Communities: A Case Study of X County, China[J].Academic Journal of Humanities & Social Sciences,2025,8(5):DOI:10.25236/AJHSS.2025.080513.
[2] Kong Y ,Cai D . The Realistic Dilemma and Optimization Strategies of Policy Implementation in County Medical Communities—Analysis Based on Smith's Policy Implementation Process Model[J]. Social Security and Administration Management,2024,5(3):DOI:10.23977/SOCSAM.2024.050307.
[3] Shen Changzhi. Building a Close-Knit County-Level Medical Community [J]. Contemporary Guizhou, 2024, (46):23.
[4] Guidelines on Comprehensively Promoting the Construction of Close-Knit County-Level Medical and Health Communities [J]. Bulletin of the National Health Commission of the People's Republic of China, 2023, (12):27–30.
[5] Ge Kunquan. Comprehensive Promotion of Close-Knit County-Level Medical and Health Community Construction in Yong' an City, Fujian Province [J]. Population and Health, 2023, (09):39–40.