The Health Planning Commission issued a document to clarify the standards for family doctors' contracting services.

On May 4th, the National Health and Family Planning Commission issued a notice on "Doing a good job in the 2017 family doctor contract service". The notice required that the coverage rate of family doctors' contracted services reached 30% in 2017, and the coverage rate of key population contracted services reached More than 60%, so what are the specific measures? The full text is as follows:

卫计委发文明确家庭医生签约服务标准

Attached the full text of the notice on the work of signing the family doctor in 2017

Guowei Grassroots Letter [2017] No. 164

Health and Family Planning Commission, Medical Reform Office of each province, autonomous region, and municipality directly under the Central Government, Health Bureau of Xinjiang Production and Construction Corps, Medical Reform Office:

In order to implement the relevant spirit of the 7th Department of the State Council Medical Reform Office, "Guiding Opinions on Promoting Family Doctors' Contracting Services" (National Medical Reform Office [2016] No. 1), the following is the notice for the 2017 family doctor contract service.

First, reasonable determination of work objectives and tasks

In 2017, the province (district, city) as the unit to carry out family doctor contracting services in more than 85% of the city, the coverage rate of contracted services reached more than 30%, the elderly, pregnant women, children, the disabled and high blood pressure The coverage rate of contracted services for key populations such as chronic diseases such as diabetes and tuberculosis and severe mental disorders reached more than 60%. We will strive to achieve full coverage of the family doctors' services for the rural poor and family planning special families. All localities must seek truth from facts, scientifically and reasonably determine the annual mission objectives of the signing service in the region, and must not blindly pursue the signing rate, and must not adopt the method of engaging in sports, and must not engage in forced orders. To ensure the quality and effectiveness of the contract service, pay attention to the residents' sense of acquisition.

Second, clear the contents of the family doctor contract service

The family doctor team provides basic medical , public health and agreed health management services to contracted residents. Basic medical services should cover the diagnosis and treatment of common diseases and frequently-occurring diseases, rational use of drugs, medical treatment guidance and referral appointments. Public health services should cover national basic public health services and other public health services. All localities should reasonably set up basic contract service packages including basic medical and public health services according to their service capabilities and needs. The contents should include: establishing electronic health records, prioritizing appointments, referral green channels, chronic disease prescriptions, health Education and health promotion, vaccination, health management of key diseases, and health management of children, the elderly, and maternal key populations, to meet the basic health service needs of residents. All localities should design a multi-level and multi-type personalized contract service package for different groups according to local conditions, including health assessment, rehabilitation guidance, family bed service, home care, remote health monitoring, and specific population and special disease health management services. To meet the diverse health services needs of residents. In the design of family doctor contract service content, we must give full play to the important role of Chinese medicine in basic medical care and preventive health care.

Third, strengthen the family doctor team service ability

Primary health care institutions should prioritize the selection of health care technicians with strong business skills and a certain mass base to form a family doctor team. In rural areas where conditions are not available, rural doctors and township health can be selected to meet the service capacity requirements. The hospital clinician formed a service team. It is necessary to clarify the division of responsibilities of each member of the team, strengthen the cooperation of members within the team, and form a team effort. All localities should vigorously carry out the activities of upgrading the basic medical and health service capacity, and build on the activities of the township hospitals and the quality service demonstration community health service centers that the people are satisfied with, and strive to improve the ability of primary health care services. It is necessary to actively promote the standardized training of general practitioners and the training of assistant general practitioners, conduct transfer training for eligible grassroots practicing doctors or practicing assistant physicians, and implement measures such as the double registration system for general practitioners to effectively expand the team of general practitioners. It is necessary to strengthen the construction of medical associations and promote the sinking of high-quality medical resources. The large hospitals in the medical associations should regularly send experts to the grassroots level to help the grassroots level improve medical technology through stagnation services, consultations, and teaching. Encourage specialists to join the contracting service team to provide technical support to family doctors.

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