Read a good family doctor signed this by

2017-03-14

Source: Health News
 

      This year's "government work report" proposed, graded clinics and family doctor contracted services expanded to more than 85% of the city. Family doctor system, is also the representatives of the two sessions during the meeting, members of the hot topic. How to read a good family doctor to sign this service? Listen to representatives, how to say the members.
    The family doctor helped to classify the clinic
      "As a large city, Shanghai's community health services are facing deep aging, high population aggregation, resource allocation and the use of waste and many other challenges." National People's Congress, Shanghai Sixth People's Hospital, said Jia Weiping. To this end, from 2011 onwards, Shanghai in the country the first pilot family doctor system. Today, the family doctor system has covered 90% of the community in Shanghai.
      "Shanghai is to seize the family doctor contract service this entry point, steadily advancing the hierarchical treatment system to build, the current number of contracted residents in Shanghai to a daily growth rate of 10,000 people, large hospitals outpatient growth rate decreased from 5% to 2% Shanghai Sixth People's Hospital of osteoporosis patients fell by 40%, because the patients went to the community. "Jia Weiping said.
      Jiangsu Province is also the early implementation of family doctor contract service provinces. National People's Congress, Jiangsu Province Health and Family Planning Commission Director Wang Yonghong introduced to the end of 2016, the province's 90% of the township hospitals and urban community health service center to carry out contractual services, a total of 8.9 million signed, 25.24 million people, population coverage Up to 32.14%, the focus of the crowd coverage of 44.8%.
      "In 2016, there have been 200 public hospitals to reform the pilot cities to carry out this work, the pilot city family doctor contracted service rate has reached 22.2%, focus on population coverage of 38.8%." National Health and Health Committee Deputy Director Wang He Sheng in March 11 Day held a press conference that will be given priority from the elderly, maternal, children, slow illness patients, people with disabilities and other key groups to start, do fine, do real contract service. "We strive to expand the contracting service to the whole population by the family doctor in 2020, and basically realize the full coverage of the contract system for family doctors."
      Supporting policies to be strengthened
      A number of CPPCC National Committee members pointed out that the current general practitioner contract service is also a lack of standardized uniform content and standards of service, which will affect the general practitioner contract service to promote the overall. Because there is no uniform content and standards of service, the quality of service can not be a scientific evaluation and analysis. In addition, the compensation policy is not clear is also affecting the general practitioner contract service to promote an important reason. At present, the general practitioner's service fee is paid by the medical insurance fund, the basic public health service fund and the contracted resident. But in the specific implementation process, the need to bear the service fee by what percentage of the share is not clear, which makes the grassroots general practitioner contract service to promote the loss of the work of the starting point.
      In this regard, some members suggested that the general practitioner should be clear as soon as the contract compensation policy. Provinces and cities can be combined with their own situation as soon as possible the introduction of general practitioners contracted services and fees, a clear health insurance fund, basic public health services, signed by the proportion of residents to share the cost. In addition, the general practitioner contract service and medical insurance out-patient co-ordination and payment style reform convergence, play the role of health insurance policy leverage, the general practitioner contract service coverage ratio of medical insurance and higher-level hospitals to widen the gap to attract patients to the grassroots First visit.
      Agricultural Labor Party Central Committee proposed in the proposal to adjust the family doctor to sign the service health insurance policy, the family doctor services will be included in the scope of medical insurance reimbursement, and widening the proportion of medical insurance between different levels of medical insurance reimbursement gap, the implementation of the minimum charges and minimum medical expenses To pay the ratio. Signed a family doctor must pay to better reflect the technical value of the doctor, the residents pay the contract, will pay attention to the contract with the family doctor, the doctor will have the effort to improve their own business ability, pay can be proportional to the residents from the health insurance Support.
      Jia Weiping suggested that the development of community doctors work quality and quantity assessment system, a reasonable increase in the level of community doctors pay per capita, which is the key to the mechanism of reform. At the same time, to innovate the resource integration mechanism, through the purchase of services to obtain more quality medical resources support, through the mechanism of innovation so that doctors play a greater role.
      Increase both doctors and patients get a sense
      National People's Congress, Zhejiang Provincial Cancer Hospital Vice President Ge Minghua said that many residents are still in the family doctor is not enough understanding, not trust the state. "In fact, some of the headaches in the treatment of headaches, we should believe that the ability of family doctors." How to speed up the full coverage of family doctors? Ge Minghua suggested to increase the patient in the primary health care institutions, community hospitals to obtain a sense, such as community hospitals can be more abundant drugs, in addition to basic drugs, but also need to be equipped with non-basic drugs. For patients who have signed a family doctor, the preferential treatment of essential drugs, the type can also be more, encourage more people to go to the family doctor.
      CPPCC National Committee members, Peking University First Hospital Professor Huo Yong said that community doctors and village doctors is the main force of family doctors. "I think the family doctor will not be able to meet the foreign family doctor for a long time, because our doctor resources are very limited." Huo Yong said, but on the other hand, the country will speed up this work , Also need to spend a lot of effort to promote. "The family doctor is definitely our direction of development and is a healthy gatekeeper."
      Huo Yong that, to do a good job of family doctor contract service, more to see how to get a doctor to get a sense of peace to stay at the grassroots level. "As a doctor, career development at the grassroots level may be worse, but it should be balanced by higher income to balance this flaw, but the situation is just the opposite, so the government should provide these doctors with the necessary protection in the system Design a set of rules to keep them at the grassroots level. "