How to carry out the contract service for urban families

(1) Improve policies to guide patients to seek medical treatment reasonably. First, improve the system of first consultation and two-way referral at the grassroots level, and explore the establishment of a regional medical consortium composed of grassroots medical institutions and top three hospitals in the city. Referrals from grassroots medical institutions to top three hospitals in the United Nations can enjoy priority appointments, visits, examinations, hospitalization and other policies; The second is to adjust the medical insurance policy of family doctors' contracted services, include family doctors' public health services in the scope of medical insurance reimbursement, and widen the gap in the proportion of medical insurance reimbursement of different levels of medical institutions, and implement the minimum fee and the minimum medical expenses out-of-pocket ratio in primary clinics.

(2) Broaden channels to enrich the team of family doctors. The Guiding Opinions of the State Council on Establishing the General Practitioner System (Guo Fa [211] No.23) puts forward four channels to solve the talent demand of grass-roots general practitioners, namely, on-the-job training and job transfer, directional training, academic upgrading to meet the standards, and appointment of retired doctors. Therefore, it is suggested that the city should issue supporting guidance or specific guidance policies, such as opening a green channel for general practitioners' recruitment, setting up special funds for general practitioners' training, and encouraging doctors in public hospitals to practice more.

(3) establish a family doctor income compensation mechanism. First, the municipal finance set up a special fund for family doctor services; Second, the medical insurance department gives certain subsidies to family doctors every month according to the number of contracts signed by family doctors and the quality of service (through the assessment of indicators such as the first consultation rate, referral rate and cost control at the grassroots level).

(4) promoting the construction of primary medical information. Establish the "three platforms" of the city's family doctor contract service information platform, residents' health file information platform and regional medical and health information data center, realize the whole process control of family doctor medical service, performance appraisal, operation supervision, analysis and evaluation, realize the personal basic public health service and basic medical information, and effectively improve the efficiency and level of family doctor service.