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Whether the hospital grade is based on the National Health Commission

Yes.

According to Zhihu, the hospital grade is based on the National Health Commission. Hospital grades are assessed and reviewed by the National Health Commission based on a series of standards and indicators, including the hospital's comprehensive strength in terms of facilities and equipment, medical technology, medical service quality, and management level. As a government agency, the National Health Commission has credibility and authority, and its review and evaluation results play a decisive role in classifying hospital levels.