How to develop urban household contract service

(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. Primary medical institutions can enjoy the policies of priority appointment, medical treatment, examination and hospitalization when referring to the top three hospitals in the United Nations. 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, 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 grassroots clinics.

(2) Broaden channels and enrich the team of family doctors. The Guiding Opinions of the State Council on Establishing the General Practitioner System (Guo Fa [2011] 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 the standard, and employment of retired doctors. Therefore, it is suggested that the city issue supporting guidance or specific guidance policies, such as opening a green channel for general practitioner recruitment, setting up special funds for general practitioner training, and encouraging doctors in public hospitals to practice more.

(3) Establish the income compensation mechanism for family doctors. First, the municipal finance set up a special fund for family doctor services; Second, the medical insurance department gives family doctors a certain subsidy every month according to the number of family doctors signing contracts 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).

(four) to promote 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, performance appraisal, operation supervision, analysis and evaluation of family doctor medical service, realize personal basic public health service and basic medical information, and effectively improve the efficiency and level of family doctor service.