It is reported that by the end of 20 16, in 200 pilot cities for comprehensive reform of public hospitals, the coverage rate of family doctors' contracted services reached 22.2%, and the signing rate of key groups reached 38.8%. So, has the family doctor alleviated the problem of "difficulty in seeing a doctor"?
This year, it will cover more than 85% cities in China.
The National Health and Family Planning Commission and other departments have repeatedly issued guidance, proposing to strive to achieve a qualified contracted doctor for every family by 2020. At the recent on-site promotion meeting of the national family doctor contract service, the family doctor contract service was listed as one of the key tasks of deepening medical reform 10 this year, and will be extended to more than 85% cities in China. More than 60% of the elderly population, patients with chronic diseases and other key groups will have their own family doctors.
At present, family doctors in China are unique services at the grassroots level, and their basic medical services cover the diagnosis and treatment of common diseases and frequently-occurring diseases, rational drug use, medical path guidance and referral appointment. Residents or families can voluntarily choose 1 family doctor to sign the service agreement. Allowing residents to have their own health records is the basic content of pilot projects in various places.
Shanghai, Jiangxi, Shaanxi and other places explore the inclusion of expert teams in family doctor services. Ankang City, Shaanxi Province transferred attending and above doctors from secondary medical institutions to form a technical guidance team for family doctors, and integrated into a social team composed of family doctors, community nurses and public health doctors to improve service quality.
Some patients "haven't been to a big hospital for two years"
In Dongyaofang Community, Xi City, Shaanxi Province, the family doctor's studio goes to the community every Tuesday and Thursday to serve the residents. Wang Qinglian, a resident, is a patient with hypertension, and often looks for a contracted family doctor for examination and consultation. "The family doctor's phone can be opened 24 hours a day, and you can consult at any time if you are uncomfortable." Wang Qinglian said, "I used to run a big hospital, but now the community has seen a doctor. I haven't been to a big hospital for two years. "
Li Bin, director of the National Health Planning Commission, said that the survey results showed that the satisfaction rate of contracted residents in Fujian, Sichuan and other places with the professional skills and service attitude of family doctors exceeded 80%, and the people really benefited from the contracted service of family doctors.
It is understood that at this stage, family doctors are mainly undertaken by the following personnel: general practitioners registered in primary medical and health institutions; Capable doctors and rural doctors in township hospitals; Eligible public hospital doctors and retired clinicians with intermediate or above titles. There are also patients who worry that family doctors are "limited in level".
Wang Hufeng, director of the Medical Reform Research Center of Renmin University of China, said: "In the future, there will be more than one billion people signing up for services in an all-round way, so there can't be so many doctors. It is necessary to integrate resources such as general practitioners, general nurses, health managers and volunteers to meet different needs. "
(The content of this article is contributed by Baidu, and netizens are full of love for fulllove. )