Seven departments issuing: guide the TCM doctor be signing the family doctor

Time: 2016-06-08

Source: China's traditional Chinese medicine

The author: butyl

Report from our correspondent (reporter ding ocean) on June 6, reform of the state council office, the national health and family planning commission, the national development and reform commission, the ministry of civil affairs, ministry of finance, the ministry of human resources and social security and the state administration of traditional Chinese medicine for the signing of promoting family doctor service guidance \"issued, require prominent combine traditional Chinese and western medicine, Chinese medicine into full play the important role in the basic medical and preventive care, actively guide TCM physicians, etc. As a family doctor signed service at the grassroots level. By 2020, to realize the full cover in signing the family doctor service system.

\"Opinion\" article 21 guidance is put forward, from eight aspects about promote the health of China construction, realize the goal of everyone will have access to basic medical and health services, to safeguard people's health as the center, promote the medical and health work center of gravity down, resource sink, combined with the grassroots health institutions comprehensive reform and construction of GPS system, accelerate the family doctor service signing.

\"Opinions\" requirement, give full play to the traditional Chinese medicine's important role in the basic medical and preventive care. The family doctor team will provide people with basic medical health management services, public health and agreed. Clear sign service content, basic medical services covering common diseases and frequently-occurring disease diagnosis and treatment of traditional Chinese and western medicine, the rational use of drugs and medical path guidance and referrals, etc. Health management service mainly for residents health status and needs, to develop different types of individual contract service content, including health assessment, rehabilitation guidance, family sickbed services, home care, Chinese medicine \"cure not ill\" service, remote health monitoring, etc. Should start first from focus groups and key diseases, determine the service content, and gradually expand the scope of services.

At this stage, the family doctor main basic medical and health institutions, including the registration of general practitioners (including assistant general practitioners and category general practitioners of traditional Chinese medicine), and have the ability to doctors in towns and townships, rural doctors and so on. \"Opinion\" is put forward to clear the family doctor service for signing the first. Actively guide of public hospital doctors and intermediate above title of retirement clinicians, especially in internal medicine, gynecology, pediatrics, doctor of traditional Chinese medicine, etc., as a family doctor signed service at the grassroots level, grassroots health institutions through agreements to provide service for its space and ancillary services, and gradually formed to service team for a gp as the main body of the contract. Practice team signing service, level 2 above hospitals should send doctors (including the category of traditional Chinese medicine doctor) to provide technical support and operational guidance. Gradually achieve every family doctor team is able to provide services of traditional Chinese medicine doctor or rural doctors.

\"Opinions\" pointed out that the family doctor team provide residents with agreed in the public health and basic medical and health management service. Basic medical services covering common disease and frequently-occurring disease diagnosis and treatment of traditional Chinese and western medicine, the path of the rational use of drugs and medical guidance and referrals, etc. Public health service covering the national basic public health services, etc. Health management service can include health assessment and rehabilitation guidance, family sickbed services, home care, Chinese medicine \"cure not ill\" service, remote health monitoring, etc.

Across to take a variety of measures, in medical treatment, referral, medicine, health care and other aspects of signing residents adopted a policy of differentiation. Gp team can provide full service for residents to sign, door-to-door service, traffic service, booking service, and other forms of service. By giving a percentage of hospital visit family doctor team, make an appointment, reserving beds, convenient signing residents priority in clinic and hospitalization.

In addition, the \"opinions\" in signing service charge to pay, to set up the contract signing service incentive mechanism, service performance evaluation aspects put forward guidance. Asked the family doctor team, according to a service charge of signing contract service number according to the years by the medical insurance fund, for the basic public health services and signed share of paying for residents. Merit pay total amount to the personnel responsible for signing services clinical front line tilt; In such aspects as establishment, personnel hiring, responsibility.it focus tilt to the gp.

Family planning and management of traditional Chinese medicine and other departments to improve local health signing service management norms, strengthen the contract technical support service. Family planning and management department of traditional Chinese medicine health sign we need to bear the family doctor service functions of organizing, coordinating, unified deployment of medical and health resources, strengthen the regulation of contract signing.