Putting on a white lab coat, taking the testing equipment and medical kit, Xia Honglin, a family doctor at Jincheng Yijing Community Health Service Center, greeted the team members and went to the homes of the disabled elderly in the community to provide door-to-door services.
"Doctor Luo, you're here!" With the greetings of the residents of the community, Luo Xi, the captain of the family doctor team of Kuanxiangzi Community, stepped into the community. Blood pressure measurement, blood sugar measurement, examination report, physical condition inquiry...... As always, Rosie is in the compound to provide health consultations to residents.
In 2016, the mainland began to fully implement the contracted service of family doctors, and local primary medical and health institutions in various regions have provided residents with benefits through door-to-door services, long-term prescriptions, two-way referrals and other measures, and family doctors, as "health gatekeepers", directly deliver health to the "doorstep". May 19 is the 14th "World Family Doctor Day", and in the past few days, reporters have walked into the family doctor community and interviewed many parties to understand the stories between them and residents.
Focus on the body as well as on life
Family doctors are also sympathetic to the disease
"Doctor Xia, you are here again, it just so happens that my throat is uncomfortable these days, you can help me take a look." At the beginning of May, Xia Honglin had just walked into the community, and many residents greeted her, helping to move tables, chairs and benches, while taking out their mobile phones to notify relatives and friends that the doctor came to see the doctor again.
3 doctors, 2 nurses and 1 technician, this is the "configuration" of Xia Honglin's family doctor team. 5 communities and 10 disabled families, this is the scope of health services that Xia Honglin's family doctor team needs to provide. Different from outpatient consultations, family doctors provide "door-to-door services", and the more they come to the community, everyone will naturally become familiar with each other.
"Our job is not only to see a doctor, but also to correct everyone's bad habits, which needs to be based on familiarity and understanding." Xia Honglin said.
▲ Xia Honglin treats residents
Granny Zhang, who lives in a community near the community health center, is in her 70s and lives alone, living an irregular life, not sleeping well, and having poor compliance with medication for high blood pressure and diabetes. Xia Honglin, who understands the situation, every time she "sends health", she will call Granny Zhang to come down and "talk about homely things". "My mother-in-law said every time that she was very lonely when she lived alone, she didn't want to cook, she went to bed late and got up late, and her life was irregular. We suggested that she go out and walk more, dance and play ball with the elderly in the community. Xia Honglin said.
The repeated advice of the medical staff made the mother-in-law feel the warmth of the company of her children, and in the process of chatting with the medical staff in the courtyard, she also became familiar with other elderly people who came to consult. Gradually, Granny Zhang began to go out of the house and make appointments with other elderly people for walks and trips. For more than a year, Granny Zhang's blood pressure, blood sugar and mental energy, which had gradually become regular, gradually improved, and she used to rely on sleep aids to fall asleep, but now she doesn't need to.
"We are small doctors, and we can't cure many difficult diseases, but we get closer to patients and help them form good habits, which can also make their bodies healthier, and I feel a sense of accomplishment." Xia Honglin said.
It's a doctor and a neighbor
The trust of patients is the greatest pride
A team of 10 people, "one doctor and one care" is divided into 5 groups, Qingyang District Xinhua Shaocheng Community Health Service Center Kuanxiangzi Community Family Doctor team is mainly responsible for serving the various communities around Kuanzhai Alley, with a permanent population of about 24,000 people. Like all family doctors, the team of family doctors in Kuanxiangzi Community also has to go to the community one by one to provide health services to residents, and the members of the team joke about "cleaning the yard".
"Each yard is 'cleaned' at least once a month, and if there is a demand, we may 'sweep' it two or three times." Rosie, the leader of the family doctor team, said as she took the test report from the resident.
▲ Rosie who is "sweeping the yard".
Rosie, who has been practicing medicine for 27 years, also worked as an internist in the outpatient department of a major hospital before becoming a general family doctor. Because I wanted to try a different way of working, I chose to "change jobs": "I like to be close to people, and patients in big hospitals leave after seeing a doctor, and it is difficult for doctors and patients to communicate emotionally. But at the grassroots level, doctors and patients are more like relatives and neighbors, and every time I go to 'sweep the yard', everyone will greet me very warmly, and I feel very cordial. ”
▲ Rosie who told the patient to take medication
Doctors and patients are a two-way journey, Rosie cares about the health of the residents, and the people also warm her in their own way. Over the years of being a family doctor, what Rosie is most proud of is the unreserved trust of her patients, which is one of the reasons why she is willing to continue on the road of family doctor.
She told reporters that some "old patients" in the community have inconvenient legs and feet, and they are not very good at using social security cards, and patients will choose to take their social security cards to themselves with confidence. After the medicine is prescribed regularly, I will also use the off-duty time to knock on the door one by one to deliver the medicine to the elderly's home, "There was an old couple like this before, I sent them the medicine once a month for 10 years, and our relationship is really like a relative." ”
The pool of family doctors is constantly expanding
42% contracted service rate in 2024
Whether it is Xia Honglin or Rosie, their stories are just a microcosm of the many family doctors in Chengdu. The reporter learned that in 2023, a total of 3,581 family doctor teams will be established in Chengdu, and 9,346,600 people in the city will be contracted to serve. In order to truly extend the tentacles of the grid to the residents, the Chengdu health system has integrated family doctors and grid staff, and the family doctors have divided the sub-district jurisdiction to provide high-quality health services for residents.
In 2023, Chengdu issued the "Implementation Plan for Promoting the High-quality Development of Family Doctor Contracted Services in Chengdu", which clearly mentions that by 2035, the city's contracted service rate will reach more than 75%, of which the contracted service rate of key groups will reach more than 85%; Satisfaction reaches 85%.
In order to achieve this goal, in 2024, Chengdu will continue to promote the "full-specialty integration" family doctor contract service model, promoting the family doctor contract service rate to reach 42%, and the key population contract service rate to reach 82%. The leading hospitals in the compact urban medical group shall open no less than 20% of the outpatient number sources to the primary medical and health institutions. At the same time, we will promote the integration of appropriate technologies of traditional Chinese medicine into the contracted services of family doctors, and improve the level of traditional Chinese medicine health management for the elderly aged 65 and above and infants and young children aged 0-3.
"We must give full play to the role of the family doctor team as a 'health gatekeeper', effectively improve the health management rate of the elderly aged 65 and above in the city, implement the 'health knocking action' for the disabled elderly, and provide free door-to-door health services for 41,000 disabled elderly people in the city." The relevant person in charge of the Chengdu Municipal Health Commission said.
Chengdu Daily Jinguan News Reporter Hu Guiwei Picture Provided by the interviewee Responsible editor Luo Hao Editor Wang Xiaoxue