The family doctor will become the health "gatekeeper" of Shenzhen people. On the 10th, the reporter learned from the Shenzhen Municipal Health Planning Commission that this year Shenzhen will fully promote family doctor services. By 2017, the signing rate of family doctor services in Shenzhen's registered population will reach 50% or more, and the elderly and high-pressure, diabetes patients and other key populations. The contracted service rate is over 70%, and the standardized management rate for patients with hypertension and diabetes is over 50%. This means that by the next half of the year, the deep population will enjoy family doctor services.
Family doctor visits patients for inconvenience
Retired clinicians can participate in family doctor services
Recently, the Shenzhen Municipal Health Planning Commission and other units jointly issued the “Shenzhen Comprehensive Implementation Plan for the Implementation of Family Doctor Services†(hereinafter referred to as the “Implementation Planâ€), requiring the family doctor service team to improve the comprehensive medical care for the citizens. The level of health services provides the agreed basic medical and personal health services for the voluntary contracted residents. By 2017, the signing rate of family doctor services in Shenzhen's registered population will reach 50%. The service rate of key populations such as the elderly and high blood pressure and diabetes patients will exceed 70%, and the standardized management rate of hypertension and diabetes patients will exceed 50%. By 2020, the coverage rate of family doctors with permanent residents should exceed 50%.
The “Implementation Plan†encourages all types of primary health care institutions to work independently or with various hospitals at all levels to form a family doctor service team to encourage retired clinicians to participate in family doctor services. The family doctor service team consists of at least one general practitioner and one community nurse. According to the health needs of the residents and the contents of the contract service, specialists, public health doctors, health managers, counselors, nutritionists, etc. can be added.
According to reports, in the family doctor service contract management mechanism, on a voluntary basis, residents and family doctor service team signed a contract to clarify the rights and obligations of the content, methods, fees, deadlines, medical responsibilities, etc. of the service. Each resident can only choose to sign a contract with a family doctor service team during the same period. The contract period is in principle 1 year. The number of contractors for each service team is controlled to less than 2,000, of which key populations account for more than 50%.
Contracted residents can make appointments and visits preferentially
According to the "Implementation Plan", residents who sign a contract with a family doctor can enjoy preferential treatments such as priority appointment and consultation, free health promotion, and "long prescription" management.
Li Chuang, head of the Medical Reform Office of the Shenzhen Municipal Health and Family Planning Commission, pointed out that before June of this year, public hospitals at all levels in Shenzhen should give priority to the family doctor service team to open the specialist source. "The basic medical and health institutions that carry out family doctor services should set up family doctor services." The window, the reception of the appointment of the contracted residents." At all levels of public hospitals, the primary health care institutions to provide priority referrals, priority examinations, priority hospitalization services for patients scheduled to refer to the hospital. At the same time, primary health care institutions and family doctor service teams provide free health information, health education, and health behaviors and lifestyle guidance to contracted residents.
In addition, for patients with chronic diseases such as hypertension, diabetes, stroke and chronic prostatitis who have a clear diagnosis, stable condition and need long-term medication, the family doctor service team can use a long-term medication according to actual needs and track it. Health status after medication. For contracted residents who are empty nests, disabled, senior citizens, elderly people who have lost their lives, and who have limited mobility and special needs, the contracted doctors provide services such as home visits and family beds according to the agreement.
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