What do you think about the family doctor contracted service?

A family doctor contract service is good, and it refers to a doctor who specializes in serving a family. The family doctor contract service refers to the family doctor team set up specifically for designated family services under the leadership of ** at all levels. The meaning of the family doctor contract refers to the agreement signed on a voluntary basis by a team composed of doctors, nursing, public health and village doctors composed of township health centers and village clinics under the guidance of county-level doctors, and the families served by the team.

The family doctor team should explain to the family that the family doctor contract is to protect their health, so as to obtain the understanding and support of the family being served, so as to achieve the purpose of voluntary contracting.

It is a major reform of the medical industry and a policy to benefit the people. However, at the moment it can only be tested in certain localized areas. You think that the number of doctors is not proportional to the number of families, so it is difficult to start a family doctor contract service at present.

The family doctor contract service is a policy that benefits the people, and he mainly promotes the family doctor to establish a long-term, stable and accessible health service relationship with the contracted residents, so as to improve the quality of health services for residents, and when residents encounter physical health problems, they can get special treatment and help in the first time!

I think that the contracted service of family doctors is an important measure in the reform of China's medical industry, which can effectively protect the health of residents.

With the contracted service of a family doctor, it is a good measure for each family to have their own dedicated doctor, and it is a good measure to have their own doctor when they are sick or have daily health monitoring.

The Family Doctor Contracting Service is a very good initiative. Due to the inconvenience of mobility and the lack of familiarity with hospital procedures, it is important for them to sign up with a family doctor.

The family doctor contract service can bring better medical services to every family, especially the middle-aged and elderly families, who can keep abreast of the health of family members and maintain good health, which is also the future development model of family doctors, and it is necessary to launch this service.

The contracted service of family doctors is an important way to protect and maintain the health of the masses under the new situation. Family doctors are people-centered, oriented to families and communities, and provide long-term contracted services for the masses in the direction of maintaining and promoting overall health, which is conducive to transforming the medical and health service model, promoting the downward shift of the focus of medical and health work and the sinking of resources, so that the masses can have health gatekeepers, enhance the public's sense of access to reform, and lay the foundation for the realization of primary diagnosis and graded diagnosis and treatment at the grassroots level. I think there are still relatively few family doctors who sign up for services.

Generally speaking, well, no one has the financial strength yet, they are all rich talents, and there will be family doctors who contract services. So I don't have a big opinion either, because it's too far away from me.

Family doctor contract service is an aspect of social progress, and it is also a phenomenon that all of us people hope for, and we are very optimistic about this phenomenon.

I think that the family doctor contract service is indeed a good thing, and it is also a very beneficial activity that benefits the people and people's livelihood. This family doctor contracted service. I think it should be possible to complete the promotion. I'm actually in a community with a lot of seniors.

Personally, I think this signing service is very good. It solves the problem that it is difficult for ordinary people to see a doctor, and it is expensive to see a doctor. Family doctor.

Sign a contract, so that we don't have to go out to have a professional doctor's guidance.

The contracted service of family doctors is a measure of comprehensive medical coverage, but the contracted service of family doctors actually does not play a very strong role, because the contracted doctors are relatively small, and then the number of doctors is relatively large, so her service may not be so in place.

But on the whole, it is the progress of our country's medical industry.

Contracted services

1. Establish family and personal health records for contracted residents.

2. Distribute health education publicity materials and carry out health education lectures.

3. Immunization and health care services for children aged 0-6 years.

4. Provide health management services for pregnant women.

5. Provide health examination and health management services for the elderly aged 65 and above once a year.

6. For patients with hypertension and type 2 diabetes, there will be a physical examination once a year, and no less than 4 face-to-face health management services per year.

7. For patients with severe mental illness, conduct physical examination once a year, and face-to-face management services no less than 4 times a year.

8. Evaluate the personal health status of the contracted residents and formulate personalized health guidance.

9. Accept the ** health consultation of the contracted family members.

10. Provide basic medical services according to demand, and carry out outpatient appointment services and two-way referral services.

Through the Internet information platform, clinics, ** and other means, to provide time-based appointment services for contracted residents; Provide consultation, examination, diagnosis, consultation, referral, illness notification and health management services for the contracted residents; Referral services such as making appointments for outpatient services, examinations, and hospitalizations in higher-level hospitals are provided for contracted residents who meet the criteria for transfer.

Family doctors can participate in the inpatient rounds, medical case discussions, plan revisions, targeted health education, medication guidance, nutrition guidance, and appointment follow-up services for the contracted residents, and implement continuous health management; Set up a full-specialty joint outpatient clinic to provide convenient one-stop outpatient services for contracted residents with specialized diagnosis and treatment needs.

According to the relevant prevention and management guidelines, provide integrated management services such as health education, screening, diagnosis, and long-term follow-up management. On the premise of ensuring drug safety, long-term prescription services are provided for contracted chronic disease patients with stable condition and good compliance; Reasonably equip drugs to meet the drug needs of contracted residents, provide medication consultation services, regularly carry out lectures on rational drug use, and popularize the knowledge of rational drug use.

Legal analysis: The contracted service of family doctors is based on the general practitioner as the core, with the support of the family doctor service team, and through the way of contracting, the general practitioner (clinical) doctor with the conditions of family doctor and the contracted family to establish a long-term and stable service relationship, so as to maintain the health of the contracted family throughout the whole process, and provide safe, convenient, effective, continuous and economical basic medical services and basic public health services for the contracted family and individuals. The contracted service of family doctors is the embodiment of the implementation of the medical reform policy and the transformation of the grassroots service model.

Legal basis: "Supplementary Notice on Doing a Good Job in the Contracted Service of Family Doctors in 2021".

2. Strive to improve the sense of gain of contracted residents.

It is necessary to increase the intensity, quality, and public recognition of contracted services, and expand the coverage of contracted services. Through outpatient clinics, follow-up, health consultation, information push, etc., we provide accurate services for different groups of people and different service needs, and be a good health consultant for the contracted people. For those who have signed a contract, they will be treated in medical institutions in the district in the current year, open a green channel, hold a contract manual, and be exempted from the general outpatient ** fee, and guide patients to seek medical treatment in the area; For the "five guarantees" who have signed a contract, the reimbursement ratio shall not be less than 90% in the outpatient clinic of primary medical institutions, and the individual shall not be higher than 10%; For men over the age of 50 who have signed a contract, the four hospitals of the city will be organized to carry out prostate (tumor) health screening in batches free of charge.

A family doctor is a general practitioner who has signed a health contract and is the main provider of health butler services. GPs have unique skills and knowledge that qualify them to provide continuity and comprehensive medical care, health maintenance and prevention services to every member of the family.

The family doctor service is based on the community health service team as the core, and through the way of contracting, the doctors with the qualifications of family doctors and the contracted families are promoted to establish a long-term and stable service relationship, and provide residents with an active, continuous and comprehensive health responsibility management model.

Considerations for contracting with a family doctor.

Your GP does not provide emergency emergency visits. In case of emergency, it is recommended that you first call 120 or go to the emergency department of a general hospital in time to avoid delaying the rescue time, and inform and consult your family doctor afterwards. Due to the limited number of family doctors, only one family can currently be contracted by one family.

Signing a contract with a family doctor and implementing contracted services is a popular project, which is not fixed in a certain medical institution, and you can also go to other institutions to see a doctor if you sign a contract. The purpose of the contract is to let the team of doctors understand everyone's health and start with prevention.

Glad that your question needs to provide ID card, social security card, go to the community health service center where you live for on-site signing, the basic medical insurance policyholder chooses the contracted family doctor team of the medical institution should be consistent with the basic medical insurance community outpatient co-ordination selection of medical treatment points (Lao Zhengqing or auxiliary medical treatment points). Contract cycle: The contract cycle is divided into 1 year and 2 years, and the contract can be renewed or another family doctor team can be selected to sign a contract after the expiration of the period.

Signing process: select a family doctor team, collect document information, take photos, establish health records, select service packages, sign agreements, pay service package fees, and distribute family doctor contact cards. 

Provide residents with services including basic medical care, public health and agreed health management.

At present, it mainly relies on urban community health service institutions, rural township health centers, and village clinics to provide residents with services including basic medical care, public health, and agreed health management.

Contracted residents can receive basic national public health services including resident health record management, health education, vaccination services, children's health management, maternal health management, health management of the elderly over 65 years old, health management of patients with hypertension and diabetes, health management of patients with severe mental disorders, health management of tuberculosis patients, and health management of traditional Chinese medicine.

At the same time, it also provides services such as health consultation, disease diagnosis and treatment, medical path guidance and referral appointments for common and frequently occurring diseases, and some areas can also provide personalized services including family hospital beds and home care.

Five requirements: Seven departments including the Medical Reform Office recently issued the "Guiding Opinions on Promoting Family Doctor Contracted Services", requiring that in 2016, family doctor contracted services will be carried out in 200 pilot cities for the comprehensive reform of public hospitals, giving priority to covering the elderly, pregnant women, children, disabled people and other groups, as well as patients with chronic diseases and severe mental disorders such as hypertension, diabetes, and tuberculosis.

By 2017, more than 30% of family doctors will be covered by contracted services, and more than 60% of key populations will be covered by contracted services. By 2020, we will strive to expand the contracted service to the whole population, form a long-term and stable contractual service relationship, and basically realize the full coverage of the contracted service system for family doctors.

The above content reference: Encyclopedia - Family Doctor.

Legal analysis: 1. Priority treatment (you can make an appointment with the contracted doctor);

2. Medical ** preferential treatment (3 items of blood routine, 3 items of liver function, 3 items of kidney function, and 4 items of blood lipids in the hole);

3. Health file management (special diseases are regulated by public health services, and the general population is followed up once a year, and the real nuclear potato achieves full life cycle health management);

4. Door-to-door services under special circumstances (psychological counseling, nutritional guidance, dressing change, catheterization, etc., but excluding Xiaoshiku's infusion, surgery, etc.);

5. Co-management of three divisions (specialists, health managers, and general practitioners form a team of family doctors to jointly manage the health of residents);

6. Personalized health management (health management and assistance according to the special needs of individuals);

7. Expert consultation from higher-level hospitals (Shuangqiao Economic Development Zone People's Hospital, second-class hospital, and Yongchuan Hospital, affiliated to intensive medicine, third-class hospital, expert consultation and guidance);

Legal basis: The National Health Commission and the State Administration of Traditional Chinese Medicine jointly issued the "Guiding Opinions on Regulating the Management of Family Doctor Contracted Services", in order to improve the standardized management level of family doctor contracted services and promote the quality and efficiency of family doctor contracted services.