The mismatch in hierarchical diagnosis and treatment construction and related reasons: a qualitative analysis from ZX City, Hubei Province

This study recommends restoring residents' confidence in the service provision of low-level medical institutions to achieve initial diagnosis at the grassroots level, establishing a positive health resource-allocation pyramid from lower to higher levels to enhance the service capacity of primary health care institutions, and adjusting the policy environment to address and reform deep-seated policy contradictions and rationalize the functional positioning and matching relationship of medical institutions at all levels in HDT.