On October 8th, the national health committee, the state administration of traditional Chinese medicine jointly issued "about specification signing the family doctor service management guidance is clear, in principle, each family doctors are not more than 2000 subscribers, it should be not less than 70% of the contract the service fee for gp team, and according to the service quantity, service quality, such as residents satisfaction evaluation results are reasonable allocation.
According to the opinion, the signing service of family doctors is in
principle carried out in the form of team service. Each team is equipped with at
least one family doctor and one nursing staff, and the family doctor serves as
the team leader. Can cross regional signing, establish orderly competition
mechanism. We will encourage community-run primary medical and health
institutions to carry out proper signing services in light of actual conditions.
In addition, under the premise of ensuring the medication safety, family doctors
can increase the single dose for patients with chronic diseases with stable
condition and good compliance as appropriate, and extend the dispensing period.
In principle, long-term prescriptions can be issued for 4 to 8 weeks.
"Opinion" is put forward, the family doctor in signing for residents to
provide basic medical and public health services, according to the requirements
of the contract signing process comprehensive health services, signed an
agreement, provide health advice and understanding signed residents health
status and health intervention, assessment, management and coordination of
referral services cost of labor services, rehabilitation guidance, by signing
the service fee shall be compensated. The signing service fee may be Shared by
the medical insurance fund, the basic public health service fund and the signing
resident pay. At the same time, we should actively seek the support of
departments such as finance, poverty alleviation and the disabled persons
federation, and broaden the financing channels for signing service fees. Each
place basis actual situation, reasonable accounting family doctor signs a
contract service fee standard.
The guideline stressed that the medical institutions at the second level
or above in the joint medical body should be included in the assessment and
evaluation system of the joint medical body. Encouraged by buying service forms,
such as the examination and inspection level 2 or above of medical institutions,
medical imaging, disinfection supply resources open to basic medical and health
institutions, such as conditional area to establish medical imaging center,
inspection center, disinfection supply center, logistics center and so on,
promote the sign "Internet +" family doctor service. At the same time, the
management and assessment of contracted services should be strengthened, with
the number and composition of the contracted objects, service quality, health
management effect, the proportion of patients at the basic level and the
satisfaction of residents as the core assessment indicators.