diff --git a/apps/miniprogram/src/pages/doctor/alerts/index.tsx b/apps/miniprogram/src/pages/doctor/alerts/index.tsx
index 947b420..91f280c 100644
--- a/apps/miniprogram/src/pages/doctor/alerts/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/alerts/index.tsx
@@ -1,4 +1,4 @@
-import { useState, useEffect } from 'react';
+import { useState, useEffect, useMemo } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
 import * as doctorApi from '@/services/doctor';
@@ -34,6 +34,8 @@ export default function AlertList() {
   const [total, setTotal] = useState(0);
   const [page, setPage] = useState(1);
 
+  const totalPages = useMemo(() => totalPages, [total]);
+
   useEffect(() => {
     loadAlerts();
   }, [page, activeTab]);
@@ -137,11 +139,11 @@ export default function AlertList() {
             上一页
           </Text>
           <Text className='alert-pagination__info'>
-            {page} / {Math.ceil(total / 20)}
+            {page} / {totalPages}
           </Text>
           <Text
-            className={`alert-pagination__btn ${page >= Math.ceil(total / 20) ? 'disabled' : ''}`}
-            onClick={() => page < Math.ceil(total / 20) && setPage(page + 1)}
+            className={`alert-pagination__btn ${page >= totalPages ? 'disabled' : ''}`}
+            onClick={() => page < totalPages && setPage(page + 1)}
           >
             下一页
           </Text>
diff --git a/apps/miniprogram/src/pages/doctor/consultation/index.tsx b/apps/miniprogram/src/pages/doctor/consultation/index.tsx
index e43b90d..98dc22b 100644
--- a/apps/miniprogram/src/pages/doctor/consultation/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/consultation/index.tsx
@@ -1,4 +1,4 @@
-import { useState, useEffect } from 'react';
+import { useState, useEffect, useMemo } from 'react';
 import { View, Text, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
 import * as doctorApi from '@/services/doctor';
@@ -22,6 +22,8 @@ export default function ConsultationList() {
   const [total, setTotal] = useState(0);
   const [page, setPage] = useState(1);
 
+  const totalPages = useMemo(() => totalPages, [total]);
+
   useEffect(() => {
     loadSessions();
   }, [page, activeTab]);
@@ -112,10 +114,10 @@ export default function ConsultationList() {
             className={`pagination__btn ${page <= 1 ? 'disabled' : ''}`}
             onClick={() => page > 1 && setPage(page - 1)}
           >上一页</Text>
-          <Text className='pagination__info'>{page} / {Math.ceil(total / 20)}</Text>
+          <Text className='pagination__info'>{page} / {totalPages}</Text>
           <Text
-            className={`pagination__btn ${page >= Math.ceil(total / 20) ? 'disabled' : ''}`}
-            onClick={() => page < Math.ceil(total / 20) && setPage(page + 1)}
+            className={`pagination__btn ${page >= totalPages ? 'disabled' : ''}`}
+            onClick={() => page < totalPages && setPage(page + 1)}
           >下一页</Text>
         </View>
       )}
diff --git a/apps/miniprogram/src/pages/doctor/index.tsx b/apps/miniprogram/src/pages/doctor/index.tsx
index 5911e72..6420dea 100644
--- a/apps/miniprogram/src/pages/doctor/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/index.tsx
@@ -1,4 +1,4 @@
-import { useState, useEffect } from 'react';
+import { useState, useEffect, useMemo } from 'react';
 import { View, Text, Input, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
 import { useAuthStore } from '@/stores/auth';
@@ -11,33 +11,66 @@ interface CardConfig {
   label: string;
   initial: string;
   route: string;
+  roles?: string[];
 }
 
-const CARDS: CardConfig[] = [
+const ALL_CARDS: CardConfig[] = [
   { key: 'total_patients', label: '我的患者', initial: '患', route: '/pages/doctor/patients/index' },
   { key: 'unread_messages', label: '未读消息', initial: '消', route: '/pages/doctor/consultation/index' },
-  { key: 'pending_follow_ups', label: '待处理随访', initial: '随', route: '/pages/doctor/followup/index' },
-  { key: 'today_consultations', label: '今日咨询', initial: '诊', route: '/pages/doctor/consultation/index' },
+  { key: 'pending_follow_ups', label: '待处理随访', initial: '随', route: '/pages/doctor/followup/index', roles: ['doctor', 'nurse', 'health_manager'] },
+  { key: 'today_consultations', label: '今日咨询', initial: '诊', route: '/pages/doctor/consultation/index', roles: ['doctor', 'health_manager'] },
 ];
 
-const HEALTH_CARDS: CardConfig[] = [
-  { key: 'pending_lab_review', label: '待审化验', initial: '化', route: '/pages/doctor/report/index' },
+const ALL_HEALTH_CARDS: CardConfig[] = [
+  { key: 'pending_lab_review', label: '待审化验', initial: '化', route: '/pages/doctor/report/index', roles: ['doctor'] },
   { key: 'today_appointments', label: '今日预约', initial: '约', route: '/pages/doctor/patients/index' },
 ];
 
-const QUICK_ACTIONS = [
-  { label: '化验审核', initial: '审', route: '/pages/doctor/report/index' },
-  { label: '患者查询', initial: '查', route: '/pages/doctor/patients/index' },
-  { label: '随访记录', initial: '随', route: '/pages/doctor/followup/index' },
-  { label: '告警中心', initial: '警', route: '/pages/doctor/alerts/index' },
+interface QuickAction {
+  label: string;
+  initial: string;
+  route: string;
+  roles: string[];
+}
+
+const ALL_QUICK_ACTIONS: QuickAction[] = [
+  { label: '化验审核', initial: '审', route: '/pages/doctor/report/index', roles: ['doctor'] },
+  { label: '患者查询', initial: '查', route: '/pages/doctor/patients/index', roles: ['doctor', 'nurse', 'health_manager'] },
+  { label: '随访记录', initial: '随', route: '/pages/doctor/followup/index', roles: ['doctor', 'nurse', 'health_manager'] },
+  { label: '告警中心', initial: '警', route: '/pages/doctor/alerts/index', roles: ['doctor', 'nurse', 'health_manager'] },
+  { label: '透析管理', initial: '透', route: '/pages/doctor/dialysis/index', roles: ['doctor'] },
+  { label: '处方管理', initial: '方', route: '/pages/doctor/prescription/index', roles: ['doctor'] },
+  { label: '行动收件箱', initial: '行', route: '/pages/doctor/action-inbox/index', roles: ['doctor', 'nurse', 'health_manager'] },
 ];
 
+const ROLE_LABELS: Record<string, string> = {
+  doctor: '医生',
+  nurse: '护士',
+  health_manager: '健康管理师',
+  admin: '管理员',
+  operator: '运营',
+};
+
 export default function DoctorHome() {
-  const { user, logout } = useAuthStore();
+  const { user, logout, roles } = useAuthStore();
   const [dashboard, setDashboard] = useState<doctorApi.DoctorDashboard | null>(null);
   const [alertCount, setAlertCount] = useState(0);
   const [loading, setLoading] = useState(true);
 
+  const hasRole = (allowed: string[] | undefined) => {
+    if (!allowed) return true;
+    return roles.some((r) => r === 'admin' || allowed.includes(r));
+  };
+
+  const cards = useMemo(() => ALL_CARDS.filter((c) => hasRole(c.roles)), [roles]);
+  const healthCards = useMemo(() => ALL_HEALTH_CARDS.filter((c) => hasRole(c.roles)), [roles]);
+  const quickActions = useMemo(() => ALL_QUICK_ACTIONS.filter((a) => hasRole(a.roles)), [roles]);
+
+  const roleLabel = useMemo(() => {
+    const primary = roles.find((r) => r !== 'admin');
+    return primary ? (ROLE_LABELS[primary] || primary) : '医护';
+  }, [roles]);
+
   useEffect(() => {
     loadDashboard();
   }, []);
@@ -76,7 +109,7 @@ export default function DoctorHome() {
       <View className='doctor-home__header'>
         <Text className='doctor-home__title'>医护工作台</Text>
         <Text className='doctor-home__greeting'>
-          {user?.display_name || user?.username || '医生'}，您好
+          {user?.display_name || user?.username || roleLabel}，您好
         </Text>
         <Text className='doctor-home__date'>
           {new Date().toLocaleDateString('zh-CN', { month: 'long', day: 'numeric', weekday: 'long' })}
@@ -102,7 +135,7 @@ export default function DoctorHome() {
       <View className='doctor-home__section'>
         <Text className='doctor-home__section-title'>工作概览</Text>
         <View className='doctor-home__grid'>
-          {CARDS.map((card) => (
+          {cards.map((card) => (
             <View
               key={card.key}
               className='doctor-home__card'
@@ -116,10 +149,10 @@ export default function DoctorHome() {
         </View>
       </View>
 
-      <View className='doctor-home__section'>
+      {healthCards.length > 0 && (<View className='doctor-home__section'>
         <Text className='doctor-home__section-title'>健康审核</Text>
         <View className='doctor-home__grid'>
-          {HEALTH_CARDS.map((card) => (
+          {healthCards.map((card) => (
             <View
               key={card.key}
               className='doctor-home__card'
@@ -131,12 +164,12 @@ export default function DoctorHome() {
             </View>
           ))}
         </View>
-      </View>
+      </View>)}
 
       <View className='doctor-home__section'>
         <Text className='doctor-home__section-title'>快捷操作</Text>
         <View className='doctor-home__quick-actions'>
-          {QUICK_ACTIONS.map((action) => (
+          {quickActions.map((action) => (
             <View
               key={action.route}
               className='quick-action'
diff --git a/apps/miniprogram/src/pages/doctor/patients/index.tsx b/apps/miniprogram/src/pages/doctor/patients/index.tsx
index 5fbe1a5..d3c6c56 100644
--- a/apps/miniprogram/src/pages/doctor/patients/index.tsx
+++ b/apps/miniprogram/src/pages/doctor/patients/index.tsx
@@ -1,4 +1,4 @@
-import { useState, useEffect } from 'react';
+import { useState, useEffect, useMemo } from 'react';
 import { View, Text, Input, ScrollView } from '@tarojs/components';
 import Taro from '@tarojs/taro';
 import * as doctorApi from '@/services/doctor';
@@ -75,6 +75,8 @@ export default function PatientList() {
     return `${age}岁`;
   };
 
+  const totalPages = useMemo(() => Math.ceil(total / 20), [total]);
+
   if (loading && patients.length === 0) return <Loading />;
 
   return (
@@ -162,10 +164,10 @@ export default function PatientList() {
           >
             上一页
           </Text>
-          <Text className='pagination__info'>{page} / {Math.ceil(total / 20)}</Text>
+          <Text className='pagination__info'>{page} / {totalPages}</Text>
           <Text
-            className={`pagination__btn ${page >= Math.ceil(total / 20) ? 'disabled' : ''}`}
-            onClick={() => page < Math.ceil(total / 20) && setPage(page + 1)}
+            className={`pagination__btn ${page >= totalPages ? 'disabled' : ''}`}
+            onClick={() => page < totalPages && setPage(page + 1)}
           >
             下一页
           </Text>
diff --git a/apps/miniprogram/src/stores/auth.ts b/apps/miniprogram/src/stores/auth.ts
index aa3a8cf..2d1dbe0 100644
--- a/apps/miniprogram/src/stores/auth.ts
+++ b/apps/miniprogram/src/stores/auth.ts
@@ -24,6 +24,10 @@ interface AuthState {
   logout: () => void;
   restore: () => void;
   isMedicalStaff: () => boolean;
+  isDoctor: () => boolean;
+  isNurse: () => boolean;
+  isHealthManager: () => boolean;
+  hasRole: (code: string) => boolean;
   hasPatientProfile: () => boolean;
 }
 
@@ -36,7 +40,27 @@ export const useAuthStore = create<AuthState>((set, get) => ({
 
   isMedicalStaff: () => {
     const { roles } = get();
-    return roles.some((r) => r === 'doctor' || r === 'nurse' || r === 'admin');
+    return roles.some((r) => r === 'doctor' || r === 'nurse' || r === 'admin' || r === 'health_manager');
+  },
+
+  isDoctor: () => {
+    const { roles } = get();
+    return roles.some((r) => r === 'doctor' || r === 'admin');
+  },
+
+  isNurse: () => {
+    const { roles } = get();
+    return roles.some((r) => r === 'nurse' || r === 'admin');
+  },
+
+  isHealthManager: () => {
+    const { roles } = get();
+    return roles.some((r) => r === 'health_manager' || r === 'admin');
+  },
+
+  hasRole: (code: string) => {
+    const { roles } = get();
+    return roles.some((r) => r === code || r === 'admin');
   },
 
   hasPatientProfile: () => {