关键词: 分级诊疗, 全科医生, 区域信息化平台

Abstract: Hierarchical medical system is a key part of the new round of healthcare system reform.At present，its development is not standardized and very effective，and far from perfect.In 2014，Sir Run Run Shaw Hospital，Zhejiang University School of Medicine established and started to run a healthcare cloud platform，then it has launched hierarchical diagnosis and treatment delivered by the general practitioner team based on this platform.The procedure of this healthcare delivery model is as follows：general practitioners（GPs） in primary care provide first consultation for patients.When encountering difficult and complicated cases，after gaining patient consent，these GPs contact those GPs in higher-level general hospitals via the APP for the doctor side for help，then the latter offer suggestions for further treatment and examinations，as well as consultations from specialist panel or referrals if necessary.Furthermore，the operation of this model was presented.Using this model is beneficial to the closer cooperation between GPs in medical institutions at all levels participating in the platform as well as the cooperation between these institutions，ensuring that the healthcare delivered by these institutions be homogenized to certain extent，and also is contributive to the development of hierarchical medical system，offering a reference for informatization construction concerning hierarchical medical system for other regions of China.

Key words: Hierarchical diagnosis and treatment, General practitioners, Regional informatization platform