On February 4th, official website and Dalian Municipal People's Government issued the Notice of Dalian medical insurance bureau and Dalian Municipal Health and Health Committee on Supplementary Revision of Some Medical Service Price Items (hereinafter referred to as the Notice), which further standardized the management of medical service price items in Dalian. The notice added two medical services, namely "family doctor contract service fee" and "general consultation fee", and revised nine medical services, including "remote consultation".
Photo: Official website of Dalian Municipal People's Government
The document shows that the basic service package of family doctor signing service fee is free; Upgrade service package 70 yuan/year, the government goes out of 30 yuan, the medical insurance fund goes out of 20 yuan, and the personal medical insurance account of individuals or themselves and their family members goes out of 20 yuan; Personalized service packages can be paid through personal cash or medical insurance personal account funds of contracted residents.
Photo: official website, a citizen of Dalian.
What items are included in the three service packages?
In order to solve this problem, "Basic Health" found the answer in the column of "Online Interview" in official website, Dalian Municipal People's Government.
Photo: official website, a citizen of Dalian.
Interviewed guests-Jiang Meng, Director of the Primary Health Department of the Dalian Municipal Health and Wellness Committee, and Su Fang, Director of the Science and Technology Education Department, said:
Basic service package project: 1. Establish electronic family health records for contracted residents;
2. Provide free medical and health consultation for contracted residents, make an appointment for examination, and distribute no less than 4 health education materials every year;
3. Provide standardized basic public health services for patients with hypertension, diabetes, mental illness and tuberculosis and the elderly;
4. Provide pre-pregnancy guidance and postpartum visit for pregnant women and pregnant women among contracted residents;
5. Visit newborns, guide children aged 0-6 to vaccinate in primary medical institutions, and have regular physical examinations.
Upgrade service package project: after completing the basic package service, enjoy the directional number source of family doctors in secondary and tertiary hospitals; Enjoy the signing service and the policy of medical insurance benefiting the people; Provide 1 health guidance to residents in need.
Personalized service package project: All primary medical institutions can carry out service packages for the elderly, chronic diseases, Chinese medicine, children, pregnant women and the disabled according to their own service capabilities.
How to share the service fee?
The Guiding Opinions on Standardizing the Management of Family Doctors' Contract Service published by state administration of traditional chinese medicine on 20 18 clearly stipulates: "As a part of the income of the basic medical and health institutions where the family doctors' team is located, the contract service fee is used for the salary distribution of personnel according to the requirements of' two permits', which shows that more work pays more. In principle, not less than 70% of the contract service fee is used for the family doctor team, and it is reasonably distributed according to the assessment results such as service quantity, service quality and residents' satisfaction. "
Photo: state administration of traditional chinese medicine.
State administration of traditional chinese medicine also said that the contract service fee is the fee for the family doctor team to establish a contract service relationship with residents and perform the corresponding health service responsibilities during the contract period, which reflects the labor value of medical staff as "health gatekeepers" and "fee gatekeepers". In addition to providing basic medical care and basic public health services for contracted residents, family doctors sign agreements, provide health consultation, understand the health status of contracted residents, and implement health intervention, evaluation, management, coordinated referral, rehabilitation guidance and other services according to the requirements of all-round and whole-process health services for contracted residents. The required labor costs are compensated by the contracted service fee.
From 2065438 to 2006, the Guiding Opinions on Promoting the Contract Service of Family Doctors jointly formulated by seven departments put forward the goal of "basically realizing the full coverage of the contract service system of family doctors in 2020". In a blink of an eye, the time has reached 202 1. How is the family doctor contract service in your area? Did you achieve your goal? Welcome everyone to share your knowledge of "primary health" in the comments section.