Family doctor contract service is an important measure of medical reform, which can make residents realize the necessity of developing family doctor service. The following summary of family doctor contract service is brought to you by me, hoping to help you.
Chapter 1: Overview of family doctors' contract service According to the Guiding Opinions of the National Health and Family Planning Commission on Piloting the Contract Service for Rural Doctors (Ministry of Health, Agriculture, Ministry of Health? 20xx？ No.28) and the Opinions of Hanzhong Municipal Health Bureau on Launching the Pilot Contract Service for Rural Doctors (Han Wei Fa [20xx]No.) and the Implementation Plan of Contract Service for Rural Doctors in Chenggu County Health Bureau.
Document 20xx 14 requires that, in combination with the reality of our town, we should give full play to the role of village clinics, innovate the service mode of rural doctors, and solve the problems of ordinary people? Difficult and expensive to see a doctor? As an important measure to implement the national basic public health service project, the contracted service for rural doctors has achieved certain results, and initially formed a service target for residents in the jurisdiction, a public health service team (family service doctors) as the guide, and rural doctors as the service subject? Scribing responsibility, teamwork, and being responsible for people? Service mode, the specific situation of our town work is summarized as follows:
I. Basic information
Juyuan Town is located at the junction of Beishan and Pingchuan in Chenggu County, with a total area of 186.5 square kilometers and a total population of 40 193. It has jurisdiction over 28 administrative villages. My hometown is a famous historical and cultural town in this city, and it is also famous all over the country? Where is the orange orchard? . There are/kloc-0 township hospitals and 3 standardized village clinics in our town, including 1 38 town and village medical staff. Provide prevention, health care, rehabilitation, health education and basic medical services for residents in this area. The contracted service of rural doctors involves 28 administrative villages and 3 1 village clinics, including 9,549 contracted families with a population of 40 193.
Second, the work progress
In March, 20xx, our hospital set up a contract service team composed of clinical, nursing, public health, preventive health care and other professional technicians and rural doctors, and established a stable contract service relationship based on the principle of ensuring village guidance and rural doctors in village clinics. Take the village clinic and rural residents' families as the signing subjects. In view of the lack of ability of village clinics and rural doctors, knowledge training on diagnosis and treatment of common diseases (frequently-occurring diseases), health management of key special groups, medical technology diagnosis and treatment norms, and medical safety has been strengthened. Guide rural doctors to apply appropriate health technology, implement essential drugs and carry out basic health services. For basic public health services that rural doctors cannot independently complete, such as planned immunization, health management of children and pregnant women aged 0-6, health check-ups of people over 65 with diabetes and hypertension, screening for severe mental illness, etc., a division of labor and cooperation mechanism have been established, and the work has been well connected to ensure the quality and quantity of basic public health services. At the same time, strengthen the assessment of various services of rural doctors' contract service, supervise and inspect the service quantity, quality and mass satisfaction, so that the service items of contract service can be truly implemented and achieved practical results.
At present, there are 3 1 village clinics in our town * * * with 48 rural doctors signing services, and 8776 households with 35982 people have chosen their trusted rural doctors and signed service agreements with them voluntarily. There are 3 12 12 people who enjoy national basic public health services, and 5 18 18 people who go to village clinics to receive basic medical services.
Third, the main practices
(1) Attach great importance to it and organize it carefully.
According to the overall working spirit of Chenggu County Health Bureau, a leading group of family doctor-style contract service in Juyuan Town was set up, with the rolling dean as the leader, and the Juyuan Town 20xx was drafted in time.
Work plan of family doctor contract service in. As of September this year, 1, * * * has held three special meetings, formed a team of seven people from 1, participated in 93 training sessions on family doctors' contract service, and held meetings for all medical staff in rural health centers and Juyuan Town Hospital for many times? Juyuan Town Family Doctor-style Contract Service Work Deployment Meeting? 、? Juyuan Town Family Doctor-style Contract Service Promotion Meeting? 、? Orange Garden Town Family Doctor-style Contract Service Training Meeting? 、? Juyuan town family doctor-style contract service health assessment training meeting? Working meeting, which closely focused on the service content, personnel composition, funding guarantee and work continuity of family doctor service, fully discussed, unified ideas, improved understanding, and laid an organizational foundation for the steady advancement of family doctor service.
(2), extensive publicity, in-depth mobilization
In order to ensure that the contract service of family doctors is deeply rooted in people's hearts, our town publicized 3 124 person-times to residents through various activities such as free clinic in the countryside, health consultation, knowledge lectures and home visits. At the same time, our town also printed the second edition of the bulletin board and the blackboard newspaper 3 1 with the theme of promoting the service concept, service content and service form of family doctors, which effectively created a well-known publicity atmosphere.
Four. Next work plan
(A) summing up experience and promoting services
According to the deployment of Chenggu County Health Bureau, our hospital will timely summarize the practice and initial results of the pilot work of family doctor-style contract service, especially the residents' satisfaction with family doctor-style service. At the same time, according to the workflow of determining the target population and signing the service agreement, the family doctor service will be gradually promoted to the residents of the whole town.
(2) Deepen the connotation and improve the service.
According to the residents' growing demand for health services, we will continuously deepen the connotation of family doctor services, adjust the contents of contracted services in a timely manner, and gradually bring medical care, nursing, health education, medication guidance, rehabilitation training and psychological counseling into the scope of family doctor services to effectively meet the residents' health needs.
(3) strengthen the assessment and continue to serve.
In 20xx, the development of family doctor service was included in the performance evaluation of town public health service. Through half-year assessment, annual assessment and irregular supervision and inspection, all the work contents of family doctor service will be promoted in all villages to ensure the continuous promotion and healthy development of family doctor service.
Chapter 2: Overview of family doctor contract service. In order to give full play to the health of family doctors as residents? The gatekeeper? Role, combined with the actual work of basic public health service projects, the full implementation of family doctor contract service. Our work is summarized as follows.
(A) attach great importance to and actively deploy
According to the work arrangement of the regional bureau and the situation of our jurisdiction, the implementation plan of family doctor contract service in Suixi Central Health Center was formulated, and a work leading group headed by the president was established, with members from hospital team, public health department, rural doctor management department and other relevant functional departments. Up to 65438+ in February this year, 1, * * * held two special conferences; Promotion meeting 1 meeting; Set up 8 teams with 63 members; Two training sessions, 15 1 person-time.
(B) extensive publicity, in-depth mobilization
In order to ensure the smooth and orderly service, since late September, our hospital has carried out publicity through four channels:
1. Use the LED electronic display screen, health education bulletin board and medical insurance bulletin board of our hospital to publicize the visiting residents.
2. The public health department and the rural doctor management department pass the distribution? Letters to residents? Leaflets.
3 through the street offices, actively coordinate with the village party secretary, and ask him to use various channels to publicize the relevant contents of the family doctor contract service.
4. The family doctor service team publicizes through home visits.
(C) clear principles, hierarchical management
1. Divide services and clarify responsibilities According to the characteristics of the population distribution of Suixi Sub-district Office and the distribution of village clinics, each administrative region is divided into three neighborhood committees among the 28 village clinics under its jurisdiction. Grid? Assigned to the corresponding village clinics to ensure that all residents of Suixi Street can be covered by the community health service system. What are the hospitals and village clinics? A doctor, a nurse, a public health worker, a village doctor? As the core? Family doctor contracting service team? , provide family doctor service, medical teaching and education network collection and collation. Define the distribution of villages under their jurisdiction and set them up in each village department? Family doctor contracting service team? Publicity board, publicity team service personnel, service scope, service time, service content, contact information, etc.
2. Graded services and clear objectives
Each service team divides residents into three grades according to their actual needs for health services and their acceptance of family doctor services. The first level is residents who are temporarily unwilling to receive family doctor services; Second-class residents are only willing to accept family doctor-style services when needed; The third level is residents who are willing to receive family doctor services. Provide different health management services according to different levels of residents.
At the first level, focus on observation, strengthen publicity, and conduct regular and irregular telephone follow-up to understand the changes in their service needs.
The second level focuses on publicity, promoting health management services, and issuing contact cards to family doctors so that they can contact team members at any time when needed.
The third level, based on active service, provides targeted family doctor-style contract services for different categories of special people according to health status and health needs.
3. Classified services and clear standards
Third-level residents who are willing to receive family doctor services are divided into three categories according to their health status and health needs: the first category is healthy ordinary people, the second category is people who need attention, the third category is patients with chronic diseases, and the fourth category is special people such as high-risk patients or patients with serious complications, patients with severe mental illness, disabled people, dependents and empty nesters. According to the categories of residents, the service content and standards are defined, and targeted contract services are provided to ensure service quality and sustainability.
Chapter III: Summary of family doctor contract service As an important measure of medical reform, and the guiding spirit of the district health bureau on family doctor service arrangement and related meetings, our center actively carried out the preliminary work of family doctor contract.
/kloc-at the beginning of 0/0, the center set up a working group led by the director of the center. Surgeons at home and abroad responded positively, set up a contract team, held a seminar, carefully studied and discussed the basis, system, responsibilities, content, process and requirements of family doctor service, and made clear the job responsibilities and service scope. The team members brainstormed and worked out feasible signing methods and steps according to the characteristics of residents in our district, striving to complete the task in the shortest time. At the same time, my working group also went deep into the masses, vigorously publicized the necessity of developing family doctor service, explained the relevant matters of signing the contract in detail, answered residents' questions about this work, and let residents fully understand the connotation of family doctor service, which achieved good publicity results. The broad masses of residents have eliminated misunderstandings and supported the signing work in succession.
1 1 At the beginning of the month, our center will officially start the contract signing of family doctors, and all family doctors will also go deep into their respective communities to sign contracts door to door, so as to overcome various difficulties and strive to achieve the goal that everyone has his own family doctor and everyone enjoys basic medical and health services as soon as possible. At the same time, the working group will continue to strengthen the publicity of family doctor service, further strengthen the construction of service team, enhance the cohesion of service team, and strive for different groups of people to carry out various forms of family doctor service projects and activities.
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