In order to further promote the construction of health service capacity in our town and thoroughly implement the work plan of family doctor health management contract service in health service center, the responsible doctor team of our hospital has carried out a series of publicity contract work. Now, the contract service of family doctors in our team is summarized as follows:
First, attach great importance to it and actively deploy it
Organize team members to learn the spirit of the work plan in time, fully discuss the basic principles, service contents, service objects and work continuity of family doctor service, unify their thinking and improve their understanding. It laid an organizational foundation for the steady advancement of family doctor services.
Second, extensive publicity and in-depth mobilization
In order to ensure the popularization of family doctor service, our hospital uniformly printed a letter to community residents with the theme of promoting family doctor service concept, service content and service form, and distributed it to the neighborhood committees in this area. At the same time, family doctor contact cards and family doctor service agreements are printed, and publicity banners and billboards are made. It has effectively created a well-known publicity atmosphere and laid a public opinion foundation for the smooth development of family doctor services.
Third, investigate the demand and provide personalized service.
Among the residents who signed up for the service, the medical and health services that residents hope to get were investigated. Including health education and health promotion, chronic disease management, maternal health care management, disabled rehabilitation, infant health care and other services (home visits, home delivery, home care, etc.). ). The clarity of the service population and the mastery of the number of people in need have laid an information foundation for the solid promotion of family doctor services.
Four, clear object, on-demand management
Further clarify the distribution of disabled population in the jurisdiction and ensure that the community health service system can cover all residents. Our team focuses on "doctors, nurses and rural doctors" and provides family doctor-style services. Clarify the distribution of the communities under its jurisdiction, set up publicity boards in the communities to publicize the team service personnel, service scope, service time, service content, contact information and other information. Residents who are willing to receive family doctor services are divided into four categories according to their health status and health needs: the first category is healthy ordinary people, the second category is people who need attention, the third category is people with chronic diseases, and the fourth category is patients with high-risk or serious complications, disabled people and special patients. According to the categories of residents, the service content and standards are defined, and targeted contract services are provided to ensure service quality and sustainability.
Five, priority signing, effective service
Priority will be given to signing family doctor service agreements with key people who are willing to accept family doctor services, such as chronic patients, empty nesters, disabled people, women and children, and providing targeted services such as establishing health files, telephone consultation, home visits and health education according to the contents of the agreement. At present, 65,438+0,802 households in the community have signed up electronically. By the end of18,65438+February 5th, 4,385 people had signed up, and the general population signed up for 260 1 person, reaching the standard of 607 1×30% = 1, 8,265,438+. 2602 key people signed contracts, and the number of people who reached the standard was 2600×70% = 1.820, and now it has reached 1.000%.
Preliminary results achieved
The family doctor service mode has realized the full coverage of the existing medical staff to the health management of community residents, and the ability of community health management has been effectively strengthened from waiting for patients to providing services to residents in the community. The awareness rate of medical and health services and health knowledge of community residents has improved, health education, preventive health care, rehabilitation, family planning and other services have been implemented, and residents' health awareness has been continuously enhanced. To some extent, it has alleviated the problem of "difficult and expensive medical treatment" for poor groups and promoted the development of basic public health services.
The medical staff of our hospital went door-to-door to visit the families of disabled people in the township to interpret the latest national policy for disabled people with mobility difficulties; The promotion of family doctor contract service in our hospital has brought good news to many disabled people. Up to now, more than 95% disabled family doctors in our hospital have signed contracts.
In order to ensure that the disabled and low-income households can enjoy high-quality and convenient medical and health services, our hospital systematically manages the disabled through signing contracts, regularly follows up, establishes family beds, and strives for better medical care and security for the disabled through family signing services. They receive routine physical examinations such as blood pressure and heart rate at home. The emergence of family doctor system has greatly improved the efficiency of medical treatment for the disabled, which is conducive to the formation of a medical treatment pattern of first consultation, graded diagnosis and treatment and two-way referral at the grassroots level. It is an important breakthrough to alleviate the dilemma of "difficult and expensive medical treatment" and is of great significance to improve the health level of farmers.