In Huanxian County, there is such a group of people, who run in the countryside lanes, busy in the deep courtyard of the farmhouse, regular follow-up, free physical examination, free clinics and health education lectures. They are the indispensable "health guards" and the "gatekeepers" of the people's health, and they are the family doctors around us.
The family doctor contract service is based on the general practitioner as the core, with the family doctor service team as the support, through the way of contracting, to promote the clinicians with the conditions of family doctors and the contracted families to establish a long-term and stable service relationship, so as to maintain the health of the contracted families throughout the whole process, and provide safe, convenient, effective, continuous and economical basic medical services and basic public health services for the contracted families and individuals. The contracted service of family doctors is the embodiment of the implementation of the medical reform policy and the transformation of the grassroots service model.
In recent years, relying on regional medical cooperation, Huanxian County has realized the resource sharing and talent flow of county and rural tertiary medical institutions, and grassroots general practitioners have joined hands to form a family doctor team to provide contracted services for key groups such as patients with chronic diseases, pregnant women, children aged 0 to 6 and the elderly over 65 years old, from "disease treatment" to "health management", and provide comprehensive and multi-level medical security for the masses.
In order to further expand the service coverage, let more residents know about the family doctor contract work, and enhance the initiative and enthusiasm of the masses to participate in the family doctor contract service. In recent years, the Central Health Center of Sweet Water Town has set up 10 family doctor teams composed of general practitioners, nurses, pharmacists, public health personnel and other medical personnel to carry out door-to-door "one-to-one" family doctor contract services on a quarterly basis, providing residents with "full life cycle" health management services and effectively protecting their health.
Before each home service, Tuoshi will lead the medical staff to review the service records of the service users, and carry out preliminary service planning in advance according to the age, etiology and other characteristics of the service users, so as to give full play to the role of family doctors as "health gatekeepers".
In the home of Cao Xuewen, a citizen of Tianshui Street Village, the family doctor service team patiently and meticulously carried out basic physical examinations, blood pressure measurements, blood sugar measurements, health education, etc., and learned more about the health status of his family, updated and improved the health files in a timely manner, and carried out targeted health guidance.
Nowadays, in Tianshui Town, "minor illnesses do not leave the village, common diseases do not leave the town, and difficult and critical cases are referred" has become a routine way for local people to seek medical treatment, and the villagers have reduced the burden of medical treatment while enjoying the quality of medical services.
In order to further promote the deepening and practical work of family doctor contracted services and improve the sense of gain and satisfaction of the contracted residents, the Chengguan Community Health Service Center in Huanxian County continues to explore, innovate ways and methods, link up and down, adopt the family doctor team model, formulate health service plans for different groups of people, pay attention to the health needs of contracted residents, and provide door-to-door medical and drug delivery, home care, rehabilitation guidance and other services for patients with reduced mobility and special diseases, so that the masses can enjoy better and more convenient medical and health services at their doorsteps.
Primary medical services are related to the well-being of the masses and are also an important yardstick to measure the happiness index of the masses. In recent years, in order to better meet the medical service needs of the grassroots people, Huanxian County has closely followed the goals and tasks of the grassroots medical services, focused on the rural revitalization monitoring population and key populations, combined with public health service projects, high-quality service grassroots activities, community hospital construction and the pilot work of the close-knit county-level medical community, to further improve the capacity of primary medical services, improve the quality of services, focus on solving the pain points and difficult problems of the masses, and strive to meet the health service needs of the contracted residents. Up to now, the completion rate of the county's rural revitalization monitoring population has reached 100%, and 36,772 elderly people aged 65 and above in the county have received health management, with a health management rate of 92.54%.
A paper agreement connects doctors and patients, and there is a watch and protection. Family doctors measure their responsibilities with their footsteps, water their missions with sweat, shuttle from house to house, and knock on doors with care and warmth. In the future, with the continuous improvement of the contract rate of family doctors, the family doctor team in Huanxian County will continue to increase the intensity of medical delivery services, so that more people can enjoy the "health dividend" without leaving home.