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In recent years, more and more people in Tianjin will not consider the priority of disease and choose to go to large scale polyclinic for medical treatment, so there is a phenomenon that large scale polyclinic are overcrowded while community hospitals are empty. The aim of this study was to solve the problem of difficult medical services in Tianjin. We obtained data through survey and used EXCEL software for data summary, and then used SPSS 20.0 software to perform frequency analysis and chi-square test. The results we obtained demonstrate that the main factors affecting Tianjin residents' recognition of the principle of "first-treatment in the community hospital" include three aspects: policy system, medical level and psychological factors of residents. The innovation of this paper is to investigate the factors affecting residents' recognition of "firsttreatment in the community hospital" through paper questionnaires and online questionnaires, and make suggestions to solve real problems. Keywords—Hierarchical Diagnosis and Treatment System; First-Treatment in the Community; Recognition Degree; Tianjin

An Empirical Study on the Public Recognition of “First-Treatment in the Community Hospital” Based on the Hierarchical Diagnosis System in Tianjin