1. Establish family and personal health records for contracted residents.
2, distribution of health education publicity materials, to carry out health education lectures.
3. Carry out planned immunization and health care services for children aged 0-6.
4. 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, physical examination once a year, not less than 4 times a year face-to-face health management services.
7, for patients with severe mental illness, a physical examination every year, not less than 4 times a year face-to-face management services.
8. Evaluate the personal health status of contracted residents and formulate personalized health guidance.
9. Receive telephone health consultation from contracted family members.
10, provide basic medical services as needed, and carry out outpatient appointment service and two-way referral service.
Provide time-sharing reservation service for contracted residents through internet information platform, consultation room and telephone; Provide consultation, examination, diagnosis, treatment, consultation, referral, illness notification and health management services for contracted residents; Provide referral services for contracted residents who meet the referral criteria, such as making an appointment for outpatient service, examination, hospitalization in higher-level hospitals, etc.
Family doctors can participate in hospital rounds, medical records discussion, treatment plan revision, targeted health education, medication guidance, nutrition guidance, rehabilitation guidance, appointment of follow-up services for contracted residents, etc., and implement continuous health management; Set up a joint outpatient clinic for all specialties to provide convenient one-stop outpatient service for contracted residents with specialized diagnosis and treatment needs.
Provide integrated management services such as health education, screening, diagnosis, treatment and long-term follow-up management according to relevant prevention and control management guidelines; On the premise of ensuring the safety of medication, provide long-term prescription services for contracted patients with chronic diseases with stable condition and good compliance; Reasonably equip drugs to meet the drug demand of contracted residents, provide drug consultation telephone service, hold regular lectures on rational drug use, and popularize the knowledge of rational drug use.