Xinhua: to establish a classification system is the key to promote the family doctor service signing

11:36:11 on June 6, 2016

Source: the state development planning commission

Establishing hierarchical diagnosis system construction gradually formed the first option at the grass-roots level, two-way referral, acute slow partition, the upper and lower linkage mode of diagnosis and treatment, is an important goal of a new round of deepening the reform, and improve the utilization efficiency of health resources, alleviate the difficulty and high cost of the doctor ". Among them, the grassroots health institutions "to live" is the important foundation to realize hierarchical diagnosis model, the key is to implement signing the family doctor service which accords with the situation of China. Seven ministries and commissions under the state council jointly issued the signing of promoting family doctor service guidance ", timely.

Advance signing the family doctor service is the key to realize hierarchical diagnosis and treatment, there are two main reason: on the one hand, along with the change of medical mode and the trend of population aging, chronic diseases "blowout" patterns in gradually, but the long-term survival of patients with chronic diseases in spite of not only need good treatment, at the same time also need to provide continuity, comprehensive community intervention and individualized service, such as high blood pressure, diabetes patients health education, continuously monitor blood pressure/blood sugar, behavior, lifestyle changes, etc.; , on the other hand, with the development of medical technology is more and more specialization, refinement, to present a "Gao Jiankang demand" and "high technology" service between the dislocation pattern, in reality, many patients are difficult to accurately find corresponds to the medical service technology, will appear the phenomenon of many grasping. Signing by establishing a family doctor service system, with the family physician integrated services to help promote rational selection of the lack of professional knowledge of patients medical institutions for medical treatment behavior ability, gain long-term, cooperative health care.

In under the background of constructing the hierarchical diagnostic system, how to do the family doctor to sign the service? Should be according to the third plenary session of the eighteenth proposed "overall promote the security system, service, public health and drug supply, supervision system of comprehensive reform" of the spirit, strengthen the synergistic effect of medical and health care, medical departments, signing and thorough going efforts to promote the family doctor service and reform of medical insurance payment linkage, focus on strengthening the family doctor service system of the type of one body two wings "of signing mechanism innovation:" one "(ontology) by improve the organization and management mechanism, clear the family doctor, signing the rights and obligations of both sides, build contract service around family doctors as the core of the new service model, gives the family doctor service in the service system, platform, resources, team management, and evaluation on the distribution of autonomous power. "Two wings" one is to build a collaborative service mechanism, to family doctors to carry out the service contract to provide community health service center inside, secondary and tertiary hospital and regional medical resource sharing platform such as all-round coordinated support, to enhance the family doctor service ability. "Two wings" and the other is to build a reasonable compensation incentive mechanism, establish health care according to the contract service around signing head pay the service charge compensation mechanism, gradually formed and contract service performance by linking the income distribution mechanism, the family doctor makes family doctors have an incentive to provide more valuable services, work more, optimal blue-chip reward. And with the help of the medical insurance payment this powerful lever to promote reform, at the same time more reasonable configuration and use health insurance funds, improve the level of medical insurance fund performance. Only effectively, the linkage of the win-win collaborative reform, change the health service supply model and the people behavior, can will be back at community health center of gravity, an orderly, grading medical service pattern, so as to control health care costs, improve the effect of health management, improve service satisfaction policy goals, promote the construction of health in China. (article/social development and public policy institute of fudan university, fudan university dean professor/urban development Liang Hong)