Six departments issued documents to promote the high-quality development of family doctor signing services
2022-03-15
In order to implement the party's health and health work policy in the new era, promote the implementation of the healthy China strategy, implement the requirements of the 14th five year plan for national economic and social development of the people's Republic of China and the outline of long-term objectives for 2035, and further accelerate the development of contracted services for family doctors, recently, the National Health Commission, the Ministry of finance, the Ministry of human resources and social security The state health insurance administration, the State Administration of traditional Chinese medicine and the State Bureau of disease control jointly issued the guiding opinions on promoting the high-quality development of family doctors' contracted services (hereinafter referred to as the Guiding Opinions). The coverage rate of contracted services will increase by 1-3 percentage points every year The guidance points out that we should accurately grasp the pace of work, gradually and actively expand the coverage of contracted services on the premise of ensuring the service quality and the sense of satisfaction, satisfaction and quality of contracted residents, and gradually build a family doctor system with family doctors as health gatekeepers. Starting from 2022, based on the existing service level, the contracted service coverage of the whole population and key groups will increase by 1-3 percentage points every year. By 2035, the contracted service coverage will reach more than 75%, basically achieve full family coverage, the contracted service coverage of key groups will reach more than 85%, and the satisfaction will reach about 85%. For social forces to carry out contract signing services, the guiding opinions clearly encourage all localities to do a good job in policy guidance and support in terms of contract signing service fees, medical insurance reimbursement, service items and referral green channel, so as to create conditions for social run medical and health institutions to carry out contract signing services and meet the personalized and diversified health needs of residents. All localities should support social medical and health institutions to carry out contracted services. In principle, patients with chronic diseases can issue long-term prescriptions for 4-12 weeks The guidance points out that in accordance with the relevant provisions on long-term prescription management, long-term prescription services are given priority to eligible contracted patients with chronic diseases. In principle, long-term prescriptions can be issued for 4-12 weeks. By 2025, all township health centers and community health service centers should provide long-term prescription services. In addition, we will implement policies such as the management of the catalogue of essential drugs, strengthen the connection and unification of the catalogue of drugs used by grass-roots medical and health institutions and hospitals above the second level, and further meet the basic drug needs of contracted residents. In terms of optimizing referral services, the guiding opinions pointed out that in order to coordinate regional high-quality health resources, the leading hospitals of urban medical groups and county medical communities should hand over a certain proportion of medical resources such as expert number sources and reserved equipment inspection to family doctors. Family doctors can be given some reserved beds to facilitate patients referred by family doctors to give priority to treatment, inspection hospitalization. Support family doctors and residents to sign service agreements with families as units The guidance specifies to promote flexible service agreements. The service agreement shall specify the responsibilities and rights of both parties and list the service list. The service agreement can be valid for 1-3 years. According to the needs of residents and the actual work of grass-roots medical and health institutions, family doctors with stable service relations and contracted residents are allowed to sign service agreements with a validity of 2-3 years. Support family doctors and residents to sign service agreements with families as units, and encourage all localities to explore signing service agreements with Party and government organs, enterprises and institutions, industrial parks, business buildings and other functional communities as signing objects. With regard to the integration of full-time and specialized medical prevention, the guiding opinions pointed out that through the direct participation of specialists in signing services, family doctors giving priority to referring specialists through the green channel, we should provide "one-stop" full-time and specialized services for signing residents, strengthen the cooperation between general practitioners and specialists, promote the integration of grass-roots medical prevention, and enhance the continuity of signing services Synergy and comprehensiveness. With regard to key groups, the guiding opinions point out that elderly people, pregnant women, children, disabled persons, people who are out of poverty, special family members of family planning, and hypertension, diabetes, tuberculosis and severe mental disorders should serve as priority groups for signing services, giving priority to signing contracts and giving priority to services. In poverty relief areas, we should gradually include chronic disease patients and the elderly in groups such as unstable poverty relief households, marginal vulnerable households and sudden severe difficulties into the scope of key groups of contracted services, and focus on the standardized management and health services of major chronic disease patients. (outlook new era)
Edit：Yuanqi Tang Responsible editor：Xiao Yu
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