Recently, the National Health and Family Planning Commission issued the "Notice on Doing a Good Job in Contracting Services for Poor Family with Slow Diseases" (hereinafter referred to as the "Notice"), including Hebei Province, Shanxi Province, Inner Mongolia Autonomous Region, Liaoning Province, Jilin Province, Heilongjiang Province. The provinces, Anhui Province, Fujian Province, Jiangxi Province, Shandong Province, Henan Province and other 25 provinces and autonomous regions in the country in accordance with the "Notice" on the work of poor families with chronic disease family doctors signing services.
The "Notice" clarifies that priority should be given to covering patients with chronic diseases such as hypertension, diabetes, tuberculosis, etc., and gradually expand to all the slow patient groups, and strive to achieve full coverage of the establishment of the filed rural poverty-stricken population contracting services by the end of 2017. It can be seen that the state has put forward higher requirements for the contract management of chronic disease family doctors.
At the same time, the "Notice" requires all localities to select qualified village doctors and township hospital physicians to form a contracting team to promote the family doctor signing service policy to poor patients with chronic diseases. In addition, poor patients with chronic diseases voluntarily choose a family doctor team to sign a service agreement.
Contracted doctors and teams should develop personalized contract management programs under the guidance of county-level hospitals, implement classified management of common chronic diseases patients and high-risk groups, and carry out basic medical , public health, chronic disease management, health consultation, and Chinese medicine intervention services. Master the health status of the contracted person, and refer to the patient according to the condition, and guide them to seek medical treatment.
The principle of “starting a contract, orderly medical treatment†is implemented to ensure that every type of slow patient group of the poor enjoys targeted family doctor management services.
Notice on the work of contracting services for families with chronic diseases
Hebei, Shanxi, Inner Mongolia, Liaoning, Jilin, Heilongjiang, Anhui, Fujian, Jiangxi, Shandong, Henan, Hubei, Hunan, Guangxi Zhuang Autonomous Region, Hainan, Chongqing, Sichuan Provincial, Guizhou Province, Yunnan Province, Tibet Autonomous Region, Shaanxi Province, Gansu Province, Qinghai Province, Ningxia Hui Autonomous Region, Xinjiang Uygur Autonomous Region Health and Family Planning Commission, Poverty Alleviation Office:
In order to implement the overall requirements of the Party Central Committee and the State Council for poverty alleviation and poverty alleviation and health poverty alleviation work, according to the "Three Batches of Action Plan" of the "Health Poverty Alleviation Project" (National Health Finance [2017] No. 19), the poor population is now doing well. The notice of the work of signing a sick family doctor is as follows:
First, find out the base, precise positioning
All local poverty alleviation departments should link with the health and family planning department to establish information on the rural poor population, further verify and approve the chronically ill patients in the rural poor, and include family doctor contract service management to give priority to chronic diseases such as hypertension, diabetes and tuberculosis. It will gradually expand to all the slow patient groups, and strive to achieve full coverage of the signing service for rural poverty-stricken populations at the end of 2017. Areas with conditions can gradually cover rural low-income objects, extremely poor people, and poor disabled people.
Second, signing the contract, orderly medical treatment
All localities should select qualified village doctors and township hospital doctors to form a contracting team to publicize the family doctor signing service policy to the chronically ill patients. Poor people with chronic diseases voluntarily choose a family doctor team to sign a service agreement. Contracted doctors and teams should develop personalized contract management programs under the guidance of county-level hospitals, implement classified management of common chronic diseases patients and high-risk groups, and carry out basic medical, public health, chronic disease management, health consultation, and Chinese medicine intervention services. Master the health status of the contracted person, and refer to the patient according to the condition, and guide them to seek medical treatment.
Third, policy stacking, improve the benefits
All localities should sign a batch of chronic diseases and chronic diseases into a comprehensive plan for health and poverty alleviation, make overall arrangements, and formulate targeted preferential policies. All local poverty alleviation offices shall coordinate and coordinate relevant departments, set up special funds for signing chronic diseases of poor people, and use them to subsidize individual payment parts, contract management fees, superior expert consultation and guidance fees, etc., and give funds for civil assistance, financial assistance, medical insurance funds, etc. The maximum guaranteed benefit. Areas with conditions can explore the establishment of health and poverty alleviation supplementary insurance for the poor, long-term care insurance, etc., and expand the financing channels for signing services. Strive to minimize the burden of medical care for chronically ill patients in the poor, improve the sense of contracting services, and form a policy superposition effect.
Fourth, regular reports, strengthen monitoring
All levels of health care, poverty alleviation and other departments should strengthen the information statistics reporting and monitoring of contract management services, and assign special personnel to the National Health and Poverty Alleviation Dynamic Management System (, the user name is the administrative division code, the password is from the province. Graded by the Health and Family Planning Commission, reported on a quarterly basis. The reported data should be linked with the national basic public health service project management information system data to improve the quality of submission. The China Population Development and Research Center is responsible for the statistical analysis of the information on the management of chronic disease contracting services in the country.
V. Strengthening construction and upgrading capabilities
All localities should optimize the allocation of health resources, promote the sinking of quality medical resources, and consolidate the bottom of grassroots health services. Strengthen the standardization of grassroots medical and health institutions, increase investment in digital and information equipment, and improve the infrastructure conditions for contracted services. On the basis of promoting rural integration and integration of counties and towns, we must strengthen the training of village doctors on chronic disease management. Township hospitals should effectively play a guiding role in business and improve the management level and management capacity of village doctors through various forms.
General Office of the National Health and Family Planning Commission, Comprehensive Department of the State Council Poverty Alleviation Office
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