关键词: 分级诊疗, 社区卫生服务, 医生病人关系

Abstract: Under the vigorous implementation of the hierarchical medical system，grassroots medical institutions are generally responsible for providing healthcare（especially initial care） for common diseases and frequently-occurring diseases.As these settings designed to offer primary care including continued care for specific populations，building good and trustworthy relationships between patients and primary care physicians is of great significance in improving the service efficiency，enhancing the accessibility of primary care as well as promoting social stability.We analyzed the patient flow for seeking healthcare during the implementation of the hierarchical medical system，as well as the feasibility of building trustworthy relationships between patients receiving continued care and primary care physicians.Furthermore，we intensively evaluated the physician-patient relationship in primary care，analyzed the impact exerted by the implementation of hierarchical medical system on it，and put forward measures for building good and trustworthy physician-patient relationships in primary care using theory of repeated games.

Key words: Hierarchical medical system, Community health services, Physician-patient relations