Medical network May 11 - "this year New Year's day gift, gift only accept service pack", national health development planning commission deputy inspector JiCengSi li-qun liu with a witty humor advertisement sign says the family doctor about the importance of the service work. 

 

On the morning of the 10th, the national health and family planning commission held a regular press conference in May to introduce the family doctor's contract services and the development of national care. According to li-qun liu, 2017, the national health development planning commission will in province, signed by more than 85% of the cities to carry out the family doctor service work, contract services to cover over 30% of the population. "In addition, the national health and family planning commission will provide more than 60 percent of the coverage for family doctors in key groups, such as seniors and chronic diseases." 

 

To achieve these goals, liu stressed the need to motivate people to sign up and sign up for doctors. Although family doctors can help to rank and serve people, one of the practical problems facing our country is the overall shortage of family doctors. The national health and family planning commission has issued a "prescription". 

 

The family doctor signed up for five models 

 

In 2011, the state council made clear the policy of establishing a contract service relationship between the general practitioners and residents; In 2012, the ministry of health and other ministries jointly issued policies to establish a pilot program in 10 regions to lay the groundwork for the exploration of family doctors signing services. Since then, policies on the development of family doctors' contract services have been issued. 

 

By the end of 2016, 200 public hospital comprehensive reform pilot cities signing the family doctor service coverage reached 22.2%, formed with Shanghai "1 + 1 + 1" service contract model, xiamen "three division condominium" sign such as service mode 5 kinds of experience and mode. 

 

Shanghai "1 + 1 + 1" contracted service mode: residents in the choice of community health service center, on the basis of family doctors to sign again choose a district medical institutions and a municipal medical institutions for signing, forming the signing of "1 + 1 + 1" combination. 

 

Jiangsu yancheng dafeng area "base + character package" village doctor contracted service mode: for signing residents, including basic public health and basic medical free basic services; The individualized service of "gradient structure, reasonable type, distinctive features and rich content" for the elderly and people with chronic disease. 

 

"Medical maintenance integration", hangzhou city, zhejiang province signed service mode: the family doctor sign for residents to provide medical care, rehabilitation and nursing as the main content of integrated services. 

 

Xiamen city in fujian province "three division condominium" contracted service mode: in chronic diseases as the breakthrough point, to the elderly as the priority object, by the large hospital specialist, grassroots family physicians and health management division of "three division condominium" team contract service mode. 

 

Set of county in anhui province "on a per head total prepaid" contracted service mode: a rural county level 3 d body, through the urban and rural residents medical insurance funds according to the total head in advance, establish responsibility, bravery, benefit sharing incentive mechanism, the distribution of the patients with subsidence to the grassroots. 

 

The family physician team is the key 

 

"The problem of talent is the key issue that restricts the work of family doctors." To solve the problem, the national health and family planning commission has taken a series of steps in recent years, liu said. One is to train more general practitioners, for example, national health development planning commission to carry out the "5 + 3" standardized training of general practitioners and "3 + 2" assistant general practitioner training, in order to enrich the family physician team. 

 

Second, strengthen on-the-job personnel training, "medical and health care team, more than 3 million people at the grassroots level to targeted training to them, to play their role in the service contract." Liu added that three could be used by other doctors, such as encouraging doctors to practice more practice and encouraging retired doctors to join the signing team. 

 

In solving the talent problem, the city's health and family planning commission has come out of a different path. Wu qianyu, deputy director of Shanghai's health and family planning commission, summed up the six aspects. 

 

One is to grasp the training of general practitioners; The second is to conduct regular job training for doctors at work. Third, to train the general practitioner; Fourth, the establishment of basic technical services and management services standards to improve the standardization and effectiveness of family physician services. 

 

The five is supported by means of technology, and the green channel is increased to the hospital by the information platform. According to wu qianyu, Shanghai also established the diagnostic center, the image remote treatment center and the consultation center. 

 

Sixth, by purchasing services, the third party team is equipped with an administrative assistant to the family doctor to help the family doctor do most of the supporting work. 

 

Family doctors sign up for "two initiatives" 

 

In addition to the need for a family doctor, liu said that promoting family doctors' signing services will also focus on "two initiatives". "One is to mobilize the people to participate in the signing of the contract and the initiative of the medical staff to sign the contract." 

 

In order to arouse the enthusiasm of the people to participate in the signing of the contract, the national health and family planning commission has formulated a series of preferential measures. For example, improving the service conditions of community-level medical and health institutions and equipping the necessary medical equipment; To give the family doctors a proportion of hospital experts, appointments and beds, etc. We will relax the directory of medicines at the grass-roots level and promote the benefits of chronic diseases. Develop the sharing center of image, heart and pathology, and improve the diagnostic ability of primary level. 

 

In order to mobilize the enthusiasm of the medical staff to carry out the contract services, national health development planning commission proposed that allows the regulation and control of medical institutions to break through the current institution wage, allow the medical service revenue after deducting costs and in accordance with the provisions, extraction of various funds is mainly used for personnel incentives; Broaden the family doctor career development path, in the establishment, personnel hiring, on-the-job training, appraisal, title promotion, and other key aspects in directing leaning to undertake contract service personnel. 

 

Finally, liu liqun put forward the promise of "I have an appointment with my family doctor". "' how 'is mainly manifested in patients can enjoy strengths in the community," fast "refers to the family doctor for patient referral fast;' good 'in the family doctor can provide continuous integration service for residents; eventually achieve save residents medical expenses."