A notice about the job of a family doctor in 2017

Release date: 2017-05-04

[2017] 164

Provincial, autonomous region, municipality directly under the central government health and family planning commission, health reform office, the xinjiang production and construction corps health bureau, healthcare reform office:

To implement the reform office and other seven departments under the state council "about promoting signing the family doctor service guidance" (the reform do hair [2016] no. 1) related spirit, now do better job in 2017 signing the family doctor service notified as follows.

First, determine the target task of the job properly

2017 to provinces (autonomous regions and municipalities) as the unit to be 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, the elderly, maternal and children, the disabled and chronic diseases such as hypertension, diabetes, tuberculosis and severe mental disorders such as key crowd signing service coverage rate of 60% or more. The rural poor, who are striving to achieve all the construction of the building, and the family doctors who plan to have a special family, have a full coverage of the services. Around to be practical and realistic, scientific and reasonable to determine the region signed annual task goal, must not blindly pursuing signing rate, shall not be taken in sports, not to force command. To ensure the quality and effectiveness of the contract services, pay attention to the residents' sense of gain.

Two, define the family doctor to sign the service content

The family physician team provides the contracted residents with basic medical, public health and agreed health management services. Basic medical services should cover the diagnosis and treatment of Chinese and western medicine, the rational use of medicine, path-guidance and referral for medical treatment. Public health services shall cover the national basic public health services and other public health services. According to the service capacity and demand, reasonable set contains basic medical and public health services, including the basic contract service pack, content should include: establish electronic health records, make an appointment first, referral green channel, strengths the chronic diseases, health education and health promotion, prevention and vaccination, the disease health management as well as children, the elderly, maternal key crowd health management services, meet the demand of residents' basic health services. Country should combine the local actual situation, design for different crowd, multi-level and multi-type of personalized service contract package, including health assessment, rehabilitation guidance, family beds, home care, remote health monitoring and certain people and special disease health management services, meet the demand of residents a variety of health services. The important role of traditional Chinese medicine in basic medical care and preventive care should be fully utilized in the design of the family doctor's contract.

Third, strengthen the family doctor team service ability

Grassroots medical and health institutions should give priority to the selection business ability, has certain mass base gp family doctors, nurses and other health technical personnel team, in rural areas do not have the conditions, can be selected to meet the requirements of the service ability of country doctors and clinicians in towns and townships form service team. To make clear the division of responsibilities among the members of the team, the team members will work together to form a team. Around to vigorously develop grassroots medical and health service capacity increase in activity, with construction in the towns and townships and the high-quality service demonstration communities in community health service center activities, focus on improving the capacity of grassroots medical and health services. To actively promote and assistant general practitioner training general practitioners standardization training, for eligible primary on-the-job practicing doctors or assistant practicing doctors for job-transfer training, practice the gp double registration system, effective expansion of gp team. To strengthen medical couplet body construction, drive high quality medical resources sinking, big hospital regularly sends experts within the couplet of medical supply, through stagnation point services, consultation, teaching way, help enhance the level of medical technology. Encourage specialists to join the signing service team and provide technical support for family doctors.

Improve incentives for family doctors to sign up

Around to formulate to mobilize the enthusiasm of the staff incentives, coordinate relevant departments to explore improve grassroots medical and health institutions merit pay system, allows the medical and health institutions to break through the current institution wage regulation level, allowing medical service revenue after deducting costs and in accordance with the provisions, extraction of various funds is mainly used for reward. Grassroots medical institutions internal incentive mechanism should be improved and the signing will provide high quality service, safeguard people's health responsibility to the family doctor individual and team, promote the standardized work practices and to sign the crowd service utilization as well as the quantity, quality of service and satisfaction assessment results linked to the income of the team members, encourage work more, superior's best reward. To broaden the family doctor career development path, in the establishment, personnel hiring, on-the-job training, awards in directing aspects such as the key to undertake contract service personnel. To increase the proportion of the high and mid-level positions of medical and health institutions at the primary level, and to evaluate the evaluation results of the service evaluation as an important factor in promotion. The team and individuals with outstanding achievements shall be commended, praised and promoted in appropriate form.

Fifth, improve the preferential measures to attract residents

Wants to coordinate relevant departments around the country, as a whole the resources, make convenient, benefiting the people and beneficial contract service measures, improve the residents to participate in the signing service initiative and self-consciousness. In order to improve the service condition of medical and health institutions at the grass-roots level, it is necessary to equip the family doctor to sign the service. Family doctor team should take the initiative to expand the service content, optimize the signing service process, improve the service mode, according to the grassroots service capacity and demand, signing for residents to provide door-to-door service, traffic service, booking service, etc., convenient for signing resident doctor. Give the family doctors a proportion of hospital experts, appointment Numbers, and reserved beds. Relax appropriately basic medicine catalogue, especially the common chronic diseases, with the superior hospital effective docking, for signing with a chronic illness, family doctors prescribe strengths the rights granted to, take into consideration the extension of a single dose. We will encourage the development of Shared centers, such as regional imaging, cardiac power, examination, pathology, and disinfection supply, to improve the capacity of community-level assisted diagnosis.

Implement and improve the policies of family doctors to sign up for support

The local health and family planning administration and the health care reform office should actively coordinate the implementation and improvement of policies and safeguards for the promotion of family doctors' contract services. The fee for the signing of the contract shall be determined by the public health insurance fund, the basic public health service and the contracted residents. To give full play to the supporting function of the medical insurance fund, give the signing residents to improve reimbursement ratio, favorable measures such as continuous computing starting line, promote the medical and health institutions such as outpatient service as a whole the capitation payment payment reform, exploration of couplet of longitudinal cooperative medical medicare pay for total surplus funds could be used for signing the family doctor service reward part. To broaden the financing channels, and coordinate related departments to intensify financial fund support for signing service, reasonable adjustment related to contract service of medical services and price, reflect the family doctor service value. We will actively guide residents to invest in health, explore commercial health insurance to support the signing of services, and play a complementary role in pension, disability and public welfare funds.

Strengthening the information support of the contract service

Around to draw lessons from Shanghai, hangzhou city, zhejiang province and other places in the informatization construction and the advanced experience of software design, etc, to strengthen the construction of regional informatization platform and grassroots medical and health institutions management information system construction, promote the information sharing. To build a family doctor and signing residents service interactive platform, through the open web sites, mobile phone client, WeChat, weibo and video supervision means, convenient online booking, online consulting, health management, check, inspection results query, online payment, etc., improve doctor-patient interaction, the close relation between doctor and patient. The support of higher hospital to build a family doctor and interactive platform, through the remote consultation, online consultation and an appointment referral, realize the family doctor timely access to superior expert technical support. To build a family doctor service management platform, the amount of work through real-time monitoring statistics family doctor service and control the service quality and promote the fine management, timely and effective deployment of family doctor service resources.

Increase the number of family doctors signing up for services

To mobilize the local governments and related departments around the country, village (house) committee propaganda platform, make full use of all kinds of information media, take many forms widely publicized signing the family doctor service policy and content. Should start from the specific case, medical experience, clear and vivid propaganda and signing the family doctor service convenient, benefiting the people and beneficial benefits, improve the residents to the family doctor service contract to awareness. Grassroots medical institutions should be closely combined with the national basic public health service project, the construction of public satisfaction in towns and townships and the high-quality service demonstration community health service center activities, active strengthening contract service propaganda work. In order to ensure that the policies and measures for the contracted services of the state and local governments are to be used as a propaganda priority, we should guide residents to sign up for the contract. On May 19, 2017, for the seventh "world family doctor day", "world family doctor day" to over together as a family doctor before and after the contract signing as the theme of the campaign.

Strengthening supervision and monitoring evaluation

Around to strengthen the supervision to the family doctor service contract to check, to urge guide work lags behind the region should promote signing equilibrium to carry out the service work. In the third quarter of 2017, the national health and family planning commission (NHFPC) will jointly carry out a supervision and inspection campaign on local implementation of the contracted services of family doctors. In order to cultivate and excavate the typical experience, every province (area, city) in 2017 will set up one or two typical areas, with a point of belt and a full advance. Around to strengthen the monitoring statistics work of contract signing, the family doctor to sign into the scope of the health monitoring indicator, clear related statistical caliber, dynamic master jurisdiction overall progress of contract signing. To guide the data of the signing services at the grass-roots level, and to report the data on time and quality.

We will strengthen the leadership of the organization

Around to improve understanding, to the family doctor service contract to work will be signing the family doctor service as shift medical service pattern, promoting the construction of the grading system, to build a harmonious doctor-patient relationship, the close relation between the party and people's flesh and blood, the important measures for planning as a whole. Health and family planning commission at all levels and the health office is mainly responsible for comrades personally stresses, couplet of signing to the family doctor service work and medical construction, grassroots health reform, personnel construction, health, poverty alleviation etc. Work closely with, made solid progress. Signing has yet to make the family doctor service policy papers provinces (autonomous regions and municipalities) to actively coordinate related departments, to ensure that completed by the end of June, 2017 provincial file work. Have passed the provincial file area, to urge the guidance of cities, county (city, area) as soon as possible to formulate the concrete implementation plan of the sign to carry out the family doctor service, refined signing service related operation measures, improve the signing service management specification, clear objectives, responsibility and work schedule.

Please the provinces, autonomous regions and municipalities directly under the health and family planning commission in May 2017, July, September, the end of November, will be the region's major work progress shall be reported to the national health commission of grassroots health division.

The state health and family planning commission, the state council on health reform

On May 2, 2017

In this article, we hereby declare that this article, which is reproduced in this article, is only for communication and does not represent the views of the website, and is not responsible for the authenticity of the content. Such as content, copyright and other issues, please contact with this net in 30 days, we will remove or replace the related content in the first place, but do not make commitment related to compensation. The copyright and the rights to the content of this article are all owned by the author.