Generative Retrieval (GR) has emerged as a promising paradigm by mapping queries directly to Semantic IDs (SIDs) with powerful representation capabilities for candidate items. However, existing SIDs derived solely from item content create a semantic gap, failing to align dynamic query intents with static item representations. Furthermore, current generative paradigms rarely model user behavior sequences and are always bottlenecked by the high inference latency of beam-search autoregressive decoding. To address these challenges, we propose Cross-component Hierarchical semantic Alignment for Personalized generative retrieval (CHAP), a novel personalized GR framework from a hierarchical perspective. First, we design a Hierarchical Semantic Alignment module to align query’s latent space with item’s quantization path and synchronize multi-granular semantics. Second, we construct a personalized GR framework that models user behavior by synergizing discrete SIDs for structural guidance and continuous representations for fine-grained semantic refinement. Notably, we introduce a Residual Cascading Generation mechanism to restrict the costly multi-step Transformer Decoder to a single-pass inference, boosting inference throughput while mitigating information loss. Extensive experiments on three public datasets, one proprietary industrial dataset, and online A/B tests demonstrate CHAP’s superiority, validating the effectiveness and practical value of our approach. The code is publicly available at https://github.com/zzzgm/CHAP.

Effective medical text retrieval requires both high accuracy and low latency. While LLM-based embedding models possess powerful retrieval capabilities, their prohibitive latency and high computational cost limit their application in real-time scenarios. Furthermore, the lack of comprehensive and high-fidelity benchmarks hinders progress in Chinese medical text retrieval. In this work, we introduce the Chinese Medical Text Embedding Benchmark (CMedTEB), a benchmark spanning three kinds of practical embedding tasks: retrieval, reranking, and semantic textual similarity (STS). Distinct from purely automated datasets, CMedTEB is curated via a rigorous multi-LLM voting pipeline validated by clinical experts, ensuring gold-standard label quality while effectively mitigating annotation noise. On this foundation, we propose the Chinese Medical Asymmetric REtriever (CARE), an asymmetric architecture that pairs a lightweight BERT-style encoder for online query encoding with a powerful LLM-based encoder for offline document encoding. However, optimizing such an asymmetric retriever with two structurally different encoders presents distinctive challenges. To address this, we introduce a novel two-stage training strategy that progressively bridges the query and document representations. Extensive experiments demonstrate that CARE surpasses state-of-the-art symmetric models on CMedTEB, achieving superior retrieval performance without increasing inference latency.