diff --git a/apps/miniprogram/src/hooks/useNavigationState.ts b/apps/miniprogram/src/hooks/useNavigationState.ts
new file mode 100644
index 0000000..5091358
--- /dev/null
+++ b/apps/miniprogram/src/hooks/useNavigationState.ts
@@ -0,0 +1,43 @@
+import { useCallback } from 'react';
+import Taro from '@tarojs/taro';
+import { useAuthStore } from '@/stores/auth';
+
+const NAV_STATE_KEY = 'doctor_last_page';
+
+const DOCTOR_PAGES = [
+  '/pages/pkg-doctor-core/index',
+  '/pages/pkg-doctor-core/patients/index',
+  '/pages/pkg-doctor-core/consultation/index',
+  '/pages/pkg-doctor-core/followup/index',
+  '/pages/pkg-doctor-core/action-inbox/index',
+];
+
+export function saveDoctorPage(path: string): void {
+  if (!path.startsWith('/pages/pkg-doctor')) return;
+  try {
+    Taro.setStorageSync(NAV_STATE_KEY, path);
+  } catch { /* ignore */ }
+}
+
+export function getDoctorLastPage(): string {
+  try {
+    const saved = Taro.getStorageSync(NAV_STATE_KEY);
+    if (saved && typeof saved === 'string' && saved.startsWith('/pages/pkg-doctor')) {
+      return saved;
+    }
+  } catch { /* ignore */ }
+  return DOCTOR_PAGES[0];
+}
+
+export function useNavigationState() {
+  const isDoctor = useAuthStore((s) => s.isDoctor);
+
+  const navigateToDoctorHome = useCallback(() => {
+    if (!isDoctor()) return false;
+    const lastPage = getDoctorLastPage();
+    Taro.navigateTo({ url: lastPage });
+    return true;
+  }, [isDoctor]);
+
+  return { navigateToDoctorHome, saveDoctorPage, getDoctorLastPage };
+}
diff --git a/apps/miniprogram/src/pages/index/index.tsx b/apps/miniprogram/src/pages/index/index.tsx
index 3a84ac2..6ded74b 100644
--- a/apps/miniprogram/src/pages/index/index.tsx
+++ b/apps/miniprogram/src/pages/index/index.tsx
@@ -6,6 +6,7 @@ import { useAuthStore } from '../../stores/auth';
 import { useUIStore } from '../../stores/ui';
 import { navigateToLogin } from '../../utils/navigate';
 import { usePageData } from '@/hooks/usePageData';
+import { getDoctorLastPage } from '@/hooks/useNavigationState';
 // useThrottledDidShow removed — unused import
 import { api } from '@/services/request';
 import type { Article } from '@/services/article';
@@ -352,8 +353,9 @@ export default function Index() {
   useDidShow(() => {
     if (shouldRedirect && !redirectingRef.current) {
       redirectingRef.current = true;
+      const target = getDoctorLastPage();
       Taro.reLaunch({
-        url: '/pages/pkg-doctor-core/index',
+        url: target,
         fail: () => {
           redirectingRef.current = false;
           console.warn('跳转医生端失败，停留患者首页');
diff --git a/apps/miniprogram/src/pages/pkg-doctor-core/index.tsx b/apps/miniprogram/src/pages/pkg-doctor-core/index.tsx
index b75fa37..ef92261 100644
--- a/apps/miniprogram/src/pages/pkg-doctor-core/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-doctor-core/index.tsx
@@ -4,6 +4,7 @@ import { safeNavigateTo } from '@/utils/navigate';
 import { useAuthStore } from '@/stores/auth';
 import { useDoctorClass } from '@/hooks/useDoctorClass';
 import { usePageData } from '@/hooks/usePageData';
+import { saveDoctorPage } from '@/hooks/useNavigationState';
 import { getDashboard, type DoctorDashboard } from '@/services/doctor/dashboard';
 import Loading from '@/components/Loading';
 import ContentCard from '@/components/ui/ContentCard';
@@ -68,6 +69,7 @@ export default function DoctorHome() {
   }, []);
 
   usePageData(loadDashboard, { throttleMs: 10000 });
+  saveDoctorPage('/pages/pkg-doctor-core/index');
 
   const getValue = (key: keyof DoctorDashboard): number | string => {
     if (!dashboard) return '-';