To investigate clinical practitioners' attitudes toward granting prescription rights to public health physicians in Jiangsu primary care settings and to provide evidence for advancing integrated medicine-public health services.

A convenience sampling survey was conducted among 255 primary care physicians in Jiangsu Province, China. Data were analyzed using chi-square and Fisher's exact tests.

Although 94.90% of respondents supported granting limited prescription rights to public health physicians after training, only 58.43% believed that they were competent. Key barriers included ambiguous regulations (83.53%) and inadequate standardized training (72.94%). The most likely problem brought by empowerment is the increase in the workload of public health physicians (74.12%). Chronic disease management (90.10%) and immunization (85.95%) were preferred scenarios for authorization. One-year clinical training (42.98%) led by attending physicians (34.30%) was recommended.

Despite their support, primary care physicians express concerns about competency. Implementing a tiered authorization system, along with legal clarification and enhanced clinical training, is crucial.