Yangcheng Evening News All media reporter Zhang Hua Correspondent Yue Weixin
May 19 is the 14th "World Family Medicine Birthday". Recently, the Guangdong Provincial Health Commission, together with Guangzhou City and Haizhu District, held the Guangzhou National Basic Public Health Service and World Family Medicine Birthday Live Activity at the Grand Marshal's Mansion Square in Guangzhou.
At the event, 80 year old Uncle Liu told reporters: "For our residents, signing a family doctor has two advantages: one is to save money, and the other is to be convenient."
Sign a contract in the social health center
Many free services
"At the Social Health Center, residents who participate in Guangzhou urban residents' medical insurance can enjoy medical services worth 70 yuan for 20 yuan; residents who participate in Guangzhou urban employees' medical insurance can enjoy medical services worth 130 yuan at their own expense for 30 yuan. 12 national basic public health services are free of charge." Wu Linsheng, deputy director of the Binjiang Street Community Health Service Center in Haizhu District, Guangzhou, told reporters, All permanent residents can enjoy the basic public health services provided by the state free of charge.
Free physical examination, vaccination... The social health center not only provides many free services, but also provides more considerate medical services. According to statistics, by 2023, 58.496 million residents in the province have signed up with family doctors, and 2205 primary medical and health institutions provide basic public health and medical services, as well as exercise prescriptions and diet suggestions according to the health needs of residents.
It is understood that Shantou focuses on the implementation of "one old and one young" precise contract services, provides on-site medical care services for disabled elderly people, and carries out free autism screening for children. Foshan innovates the "family pharmacist" to provide personalized pharmaceutical services such as medication guidance and efficacy tracking for patients at home. Dongguan's "Deputy Health Director" provides enterprises with basic public health services and family doctor contract services, and provides first aid training, occupational health management, infectious disease prevention and control, etc. according to the needs of enterprises.
It can be said that family doctors provide contracted residents with basic medical care, basic public health and health management services, play a link role in the integration of medicine and prevention, and promote the transformation of medical and health service mode from disease treatment to health.
Family doctors have a "number"
Residents are highly motivated to sign the contract
The family doctor knows the health of the residents in the street area like the palm of his hand. They have a "book" in mind about who suffers from hypertension and who controls diabetes. At the event site, Wu Linsheng said: "There are 67800 residents in Binjiang Street, and there are more elderly people, 13000. The number of people diagnosed and treated in the center in a year has reached 200000, most of whom are elderly. It is particularly important to manage their chronic diseases."
Because of the agreement, it is easier for family doctors and residents to establish a stable service relationship, so as to provide comprehensive, continuous, effective and timely personalized medical care services. "Our doctors take the initiative to communicate with residents through WeChat, SMS or phone to understand their specific situation," Wu said.
Because of the "number" of signing family doctors, residents are highly motivated to sign the contract. According to statistics, by the end of 2023, the province has established 18900 family doctor teams and 63800 family doctors. After signing the contract, family doctors will implement more systematic management of residents' health. At the community health service center in Shilong Town, Dongguan City, 8938 patients with hypertension will be under management in the first quarter of 2024, with a blood pressure control compliance rate of 82%. The number of diabetic patients in the tube was 3393, and the rate of reaching the standard of blood glucose control was 65%.
Specialist of Grade III A Hospital
Join the family doctor team
"The community doctors are all general practitioners. Is their level not good?" Many residents have such questions. In fact, family doctors are not limited to general practitioners, and clinical professionals such as internal, external, gynecological, pediatric, and traditional Chinese medicine can participate in family doctor contract services. According to statistics, there are 18400 specialists among family doctors in the province.
Cai Hongbing, head of the medical department of the Integrated Traditional and Western Medicine Hospital of Southern Medical University, introduced to the reporter: "The hospital has signed a contract with seven social health centers in Haizhu District, and more than 40 specialists have joined the family doctor team." It can be said that specialists and general practitioners have achieved a "two-way rush", and specialists have sunk into the community to provide quality services, The doctors in the social health center can also practice in more than one place in the tertiary hospitals to improve their professional level.
In order to better serve the community residents, the hospital did not hesitate to open its account source. In 2023, there will be 514 hospitals above the second level in the province to reserve number sources for the grass-roots institutions under their jurisdiction. "Our hospital opens 100 account sources to these social health centers every day, and once residents have cardiovascular accidents or difficult cases such as myocardial infarction and cerebral infarction, they can be transferred to the hospital through the green channel." Cai Hongbing said, "Patients first write a bill in the social health center and then come to our hospital to do CT, which is cheaper and can save more than 100 yuan. It is very convenient to make an appointment when you write a bill."
Editor: Zheng Jianlong