[Gathering two sessions] About "family doctors" Please also face up to the NPC deputy's suggestion
In the winter and spring, the flu is relatively high, can the "family doctor" play a greater role? How to crack "signing and not agreeing"? At this year's National Conference, the "family doctor" became a hot topic without any surprise. Ge Minghua, deputy of the National People's Congress and vice president of the Zhejiang Cancer Hospital, suggested that it is necessary to speed up the reform of medical insurance payment, speed up the establishment of a guarantee mechanism for primary medical service personnel, and exert its efforts to protect the enthusiasm of grassroots medical personnel and promote the signing service of family doctors. implement. Seeing the discussion of the “family doctor†by the representative committee is easily reminiscent of the report “There are more than 500 million people in China with family doctors†at the end of last year. On the one hand, the "national signing number to complete the task goal" emphasized by the relevant institutions, but on the one hand, the netizens are arguing that they are far from their own feelings. In the final analysis, it is a problem of feelings of reform. How to let the people "sign the willingness to sign" and really feel the fruits of the reform? In addition to the establishment of institutional mechanisms, the “ mobile medical care †that has flourished in recent years may give us some inspiration. Statistics show that the current "mobile medical" service platform led by the industry, although the number of contracted doctors is only 300,000, but the number of users has 86 million, and the daily average number of consultation questions is 270,000. This activity is impressive. The people ask for medical advice, and the foothold is healthy. Whether it is a "family doctor" or "mobile medical care", people choose who to ask for help. In the final analysis, it is nothing more than to see who is more effective. In order to examine "family doctors", the number of people signing and coverage is an extremely important indicator, but the quality of service should be firmly grasped. Standing on the position of the patient, compared with "mobile medical", "family doctor" should focus on at least two levels of service quality construction, one is the speed of response, and the other is the problem-solving rate. Raising these two indicators has increased the appeal of “family doctorsâ€. From the advancement of the reform, the reason why some signatories lack the will of the "family doctor" is that they have not enough trust as a new thing. Under this circumstance, instead of over-emphasizing the “face†of coverage, it is better to do the construction of “pointsâ€, that is, to target the health needs of key groups, and to make pilots to make characteristics first, thus forming a driving effect. Some people mentioned that in many places, a general practitioner and a team (basic nurse and a public health worker) signed an average of nearly 1,000 residents, and there were few days off during the year. Therefore, to strengthen the construction of response speed, one can not get away is the number of service personnel of "family doctors". Solving this problem and accelerating the establishment of a basic medical service talent guarantee mechanism is an important aspect. At the same time, as some NPC deputies suggested, it is possible to “open sourceâ€, that is, to market the pilot family doctor contract service, and open social capital such as private clinics and private hospitals. Enter and implement a regular replacement system for family doctors to strengthen the selection and evaluation of consultants. In fact, "mobile medical" has provided a good reference in this respect. Users can choose from registered doctors from all over the country, and can also score and even reward incentives according to the effectiveness of consultation, in order to overcome the fittest. The mechanism has forced the improvement of service quality. (Source: Southern Network) Yancheng Rongtai Labware Co.,Ltd , https://www.rongtailab.com