“Advancing family doctor contracting service is the key to achieving graded diagnosis and treatment.†Professor Liang Hong, Dean of Urban Development Research Institute of Fudan University, interprets the relationship between family doctors and graded diagnosis and treatment.
Recently, the website of the Health Planning Commission issued a heavy news about the signing service for family doctors. With the approval of the State Council, the State Council Medical Reform Office, the National Health and Family Planning Commission, the National Development and Reform Commission, the Ministry of Civil Affairs, the Ministry of Finance, the Ministry of Human Resources and Social Security, and the State Administration of Traditional Chinese Medicine jointly issued the Guiding Opinions on Promoting Family Doctors' Contracting Services.
The opinion pointed out that it is necessary to transform the primary health care service model, implement the family doctor contract service, and strengthen the basic health care service network function. Promote the shift of the focus of medical and health work, the sinking of resources, and the comprehensive reform of the primary health care institutions and the construction of the general practitioner system to accelerate the signing of family doctors.
Why promote family doctor contracting services?
At the same time as the "Opinions" was published, an interpretation of the "Opinions" also appeared on the official website of the Health Planning Commission.
At present, China's medical and health undertakings face many challenges such as population aging, urbanization and high incidence of chronic diseases. The hospital and disease-centered medical and health service model is difficult to meet the needs of the masses for long-term and continuous health care. At the same time, it is not conducive to improving the medical environment, balancing medical resources, and rationally controlling medical expenses, as residents pay for medical treatment and concentrate on large hospitals. International experience and domestic practice have proved that promoting family doctors' signing services at the grassroots level is an important way to protect and safeguard the health of the people in the new situation. Family doctors are people-centered, oriented to families and communities, to maintain and promote overall health as the direction, to provide long-term contracted services to the masses, to help transform the mode of medical and health services, to promote the focus of medical and health work, to sink resources, and to let the masses Have a health gatekeeper, enhance the people's sense of acquisition of reform, and lay the foundation for the first-level diagnosis and graded diagnosis and treatment at the grassroots level.
In fact, the family doctor contract service has been tried for several years. What is the current progress? According to the Interpretation article, since the issuance of the “Guiding Opinions on the Establishment of a General Practitioner System†(Guo Fa [2011] No. 23) issued by the State Council, various forms of contract service trials have been carried out at the national level and in various places, in team formation, fundraising, The new mechanisms such as incentives and assessments have been actively explored and recognized and welcomed by the masses, accumulating valuable experience and extensive mass base for the reform.
The article also wrote: The promotion of family doctors' signing services also has some problems that restrict the promotion of contracting services. It mainly includes the connotation of contracting services to be improved, the financing mechanism for signing services is still not perfect, and the incentives for family doctors to carry out contracting services are insufficient. At the same time, there is a big gap between the family doctors at the grassroots level and the medical staff at the higher level medical institutions in terms of salary and career development space, and it is difficult to attract and retain high-quality talents. These problems need to be gradually reformed through reforms to ensure the smooth promotion of family doctors' contracting services.
The "Opinions" put forward a number of guidelines on the landing, and the focus of family doctors' signing service promotion is to achieve breakthroughs in the ways, contents, payment, assessment, and incentive mechanism of contracting services, and priority should be given to covering the elderly, pregnant women, children, People with disabilities, and chronic diseases such as high blood pressure, diabetes, tuberculosis, and patients with severe mental disorders.
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