- Cost: There is no cost involved. Simply ask at your local community health center whether they can issue a long-term prescription.
- In plain terms: Individuals whose conditions remain stable and whose medication regimens have not changed can obtain enough medication for 12 weeks from a community health center in one visit. This eliminates the need to travel to a larger hospital each month just to get a prescription and wait in line. Within the same insurance region, reimbursement rates at community-level clinics are typically about 10 percentage points higher than those at higher-tier hospitals.
- Benefit: Patients no longer need to make monthly trips to larger hospitals just to obtain prescriptions. In the same insurance region, reimbursement rates at community clinics are generally roughly 10 percentage points higher than at higher-tier hospitals.
- Evidence grade: A
- Sources:国务院办公厅 (2026). 关于加快建设分级诊疗体系的若干措施. https://www.gov.cn/zhengce/zhengceku/202604/content_7065031.htm:「对于符合条件的慢性病患者,基层医疗卫生机构单次可开具不超过12周用药的长期处方。」;同文「原则上统筹地区内医疗卫生机构住院报销比例逐级拉开10个百分点左右的差距」,并要求上级医院在基层开设高血压、糖尿病、慢性阻塞性肺疾病等常见病慢性病门诊;同文「三级医院要聚焦急危重症和疑难复杂疾病,加强转诊会诊和住院服务,逐步酌减常见病复诊和诊断明确、病情稳定的慢性病等普通门诊」,「并将专家团队普通门诊向基层医疗卫生机构延伸」
- Notes: Whether a patient meets the criteria is determined by the physician; generally, this applies to individuals with a confirmed diagnosis and a stable medication regimen. The actual medication remains the same; what is saved is the time and cost of monthly trips to the hospital and associated fees. If a specific medication is unavailable at a community clinic, patients can inquire about medication shortage registries and delivery services. The same policy also calls for tertiary hospitals to gradually reduce routine outpatient services for such chronic conditions, with those services being transferred to community clinics instead. Relying on larger hospitals solely for prescription refills will become increasingly difficult in the future.
For patients with stable chronic conditions, community clinics can issue up to 12 weeks’ worth of medication at one time
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