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HOSPITAL GRADING

What does 三甲 (Grade A Tertiary) mean?

Every hospital in China is officially rated by the National Health Commission. "Grade A tertiary" — 三甲 — is the top of that scale, and the only tier GoCNMed lists.

Two axes: size (级) and quality (等)

Hospitals get a "grade" for scale (1–3) and a "rank" for quality (甲/乙/丙). 三甲 = biggest scale + top quality score.

一级

Primary

Community-level health centers serving local daily care.

二级

Secondary

County/district hospitals handling common inpatient care.

三级

Tertiary

Regional and national referral hospitals — complex cases, rare diseases, research.

甲等

Grade A

The quality score awarded after on-site review across the dimensions below.

What the Grade A review actually measures

  • Clinical scale: beds, departments, patient volume
  • Technical capability: complex surgery and critical-care capability
  • Research & teaching: university affiliation, publications, training programs
  • Management & safety: standardized protocols, infection control, outcomes review

The closest international equivalents

No foreign ranking maps one-to-one onto China's system, but these are the right mental anchors.

United States

Academic medical centers

University-affiliated hospitals in the Mayo Clinic / Cleveland Clinic class — most 三甲 hospitals are teaching hospitals of medical universities.

United Kingdom

NHS teaching hospitals & specialist trusts

Large specialist trusts (e.g. Christie, Great Ormond Street class) — the referral layer above district general hospitals.

France

CHU (centres hospitalo-universitaires)

University hospital centers that combine care, research and teaching — the same triple mandate as 三甲.

How rare is 三甲?

  • ~38,000 hospitals in China (all tiers)
  • ~5% of them hold 三甲 status
  • 1,916 listed on GoCNMed
  • 67,000+ clinical departments indexed

Why GoCNMed lists only 三甲 hospitals

Listing only Grade A tertiary hospitals keeps the directory useful: every entry you see has passed the same national review for scale, technology and safety. It also keeps GoCNMed neutral — we present public information and rankings, never paid placement or endorsement.

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