Comment on: "knock the doctor" through medical "the last kilometer" 
 
 
The 2014-07-07
 
 
Source: guangzhou daily 

        Guangzhou observation 
 
        Recently, the guangdong determine guangzhou liwan district and 36 counties (city, area) as a pilot in the province of urban and rural family doctor service. Provincial health and family planning commission's official website released the family doctor service between urban and rural areas of guangdong province pilot work plan (2014-2016), a clear by the end of this year, more than 65 - year - old pilot areas, children under the age of six, maternal focus groups such as signing rate shall not be less than 15%. 
 
        The solution to the family doctor system propulsion has the milestone significance. On the one hand, the scheme for family doctors to mark a pilot region in stages, proportion of the specific requirements, to the family doctor service also has a clear introduction. On the other hand, the scheme for signing family gave a real "sweet". Signing the residents at the grassroots medical institutions can be appropriately general fee free treatment, residents and signed by the family doctor "green channel" priority to superior medical institutions, secondary and tertiary referral priority booking nursing resources; Continuity in the family doctor, on the basis of health management, to clear diagnosis, in a stable condition and need long-term medication, the signing of diabetes, high blood pressure patients can also be drawn 2 ~ 4 weeks of medication. 
 
        Family doctor, that is, change "on-site doctors" to "knock the doctor", seems to be a "import", it is beneficial to relieve the medical trouble. 
 
        First of all, to alleviate the current big hospitals are overwhelmed, the status of the medical resources distribution. Family doctors in the side, health patron saint "on-call", not only can effectively solve the People's Daily ", "minor illness, don't always ran large hospital, also agree with the" first option at the grass-roots level, hierarchical diagnosis, two-way referral, orderly doctor "ideal pattern. 
 
        Second, to build a family doctor between community residents and continuous, stable, one-on-one service contract relations, through the contact service "the last kilometer" of the masses. For many diseases, chronic diseases, focusing on daily monitoring. Family doctors can provide continuous, scientific service, timely solve problems, more close to meet the demand of the public, squeeze the cure, black clinic of living space, to avoid the people grasping, not disease prevention first, at the same time avoid Cai Huangong tragedy. 
 
        Finally, a good family doctor is "the doctor-patient relationship" the last kilometer. The good doctor-patient relationship, based on long-term communication and trust. Familiar with the situation of the family doctor for patients long-term accumulation of trust to the doctor, is one of the important factors to reduce doctor-patient conflicts. From the international experience, the family doctor is a lot of national health guardians "first". In the United States, the family doctor number accounts for more than 80% of doctors. People see a doctor first to find a family doctor, is complicated by the family doctor again recommend a specialist. Because have a family doctor this key link, the real high treatment and referral occurs, it can be done. Rely on the family doctor's professional level, to avoid patients become great medical center game "vulnerable groups". 
 
        Now, to promote the family doctor system, in addition to encouraging sign for more families, to enhance the support to the family doctor, to improve the recognition of the doctor group of the system and participation, mobilize interests lever, let more dividend policy to attract the doctor group to join, of course also should be qualification, guarantee the diagnosis level of the family doctor.
 
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