合理的医疗机构组成应该由基层医疗机构、二级医院和三级医院构成,实现分级诊疗,就是让首诊医生在病人初诊时进行病情判断,然后根据各级各类医疗机构进行合理分流。要真正实现分级诊疗、双向转诊,在现阶段不宜仅靠政策、付费方式等强制规定患者就医模式,更重要的是提高基层医疗机构全科医生的服务能力,完成“守门人”使命。全科医生的“守门人”角色应该包括三个方面的守门:首先是作为社区居民的健康 Reasonable medical institutions should be composed of grass-roots medical institutions, secondary hospitals and tertiary hospitals to achieve grading diagnosis and treatment, that is, so that first-time doctors in the patient’s first visit to determine the condition, and then according to the various types of medical institutions at all levels to conduct a reasonable diversion. To truly achieve the classification of treatment, two-way referral, at this stage should not rely solely on policies, payment methods and other mandatory medical treatment patterns, more importantly, to improve the grassroots medical services, general practitioners, to complete the “gatekeeper” mission . The GP’s “gatekeeper” role should include three aspects of gatekeepers: first, the health of the community residents