"1 + 1 + 1" into the superior hospital Strengthening health care support to guide 
 
 
Shanghai: the family doctor system led by grading diagnosis and treatment 
 
 
Source: health 

    Report from our correspondent (special correspondent Song Qiongfang) Shanghai municipal development and reform commission (NDRC) announced on February 25, "Shanghai in 2015, we will deepen reform of the medical and health system work key point of disclosed that this year, the city health care reform will coordinate efforts to promote the five key reform, further promote the reform of 13 special, one of the highlights include explore residents with the" 1 + 1 + 1 "combination of medical institutions (1 community health center, family doctors, 1 1 district hospitals, municipal hospitals), to establish a family doctor system orderly medical order, at the same time promote the reform of medicine apart and personnel salary distribution system reform.

    According to the "point", the Shanghai this year will focus on promoting the construction of the grading system, old-age signing the family doctor service, priority to meet residents over 60 years old of old age, contract requirements, explore residents and "1 + 1 + 1" combination of medical institutions.
 
    Shanghai will build orderly medical order, in the family doctor system endows family doctors through the health resources, the implementation of signing residents priority to see a doctor, open two-way referral, slow disease "advantages", to ensure continued after referral therapeutic drugs, health care and preferential price policy, guide the residents priority use family doctor diagnosis and treatment services, gradually achieve designated clinic, community first option. At the same time, Shanghai will intensify health care support for the family doctor system, explore to establish on the basis of the contract signing of the cost of health care management assessment mechanism, strengthen the management of family doctors signed a contract the responsibility of the residents' health care costs.
 
    Shanghai this year will choose part of the district (county) to pilot, perfect the working mechanisms of secondary and tertiary hospital supports grassroots community. Through the reserve a certain amount of secondary and tertiary hospital visit, designated department or personnel docking family physician referral service, for the referral of patients to establish green referral channel, measures such as strengthening the support of basic medical and health institutions.
 
    In advancing the classification diagnosis and at the same time, Shanghai will be in the suburbs of four new courtyard and conditions mature district (county) to carry out the pilot, to explore through social third-party pharmaceutical group purchasing organization, set up joint negotiation mechanism, optimizing the supply chain, drug purchase prices artificially high compression space, reduce the total cost of the drug supply, and cancel the drugs addition policy step by step, through improve the medical service price, comprehensive measures such as perfecting the compensation mechanism, and to cut off the drug benefit chain, contain "decay in medicine cure". Shanghai will also have the conditions of reform of public hospitals and community health service center to carry out the pilot, in the national and Shanghai under the overall framework of merit pay reform, exploring research reflects the characteristics of health industry policy, salary system reform based on performance appraisal of the medical staff income distribution mechanism, adjust the internal distribution way, further reflect the technical value of the medical staff.
 
 
 
 
The original link: http://www.jkb.com.cn/news/industryNews/2015/0227/362500.html