推家庭医生签约不是搞“运动”

2017-05-05 佚名 健康报

5月4日,国家卫生计生委发布关于做实做好2017年家庭医生签约服务工作的通知,要求各省(区、市)在85%以上的地市开展家庭医生签约服务工作,人群覆盖率达到30%以上,老年人、儿童以及高血压等慢性病重点人群覆盖率达到60%以上。力争实现建档立卡的农村贫困人口和计划生育特殊家庭的家庭医生签约服务全覆盖。

5月4日,国家卫生计生委发布关于做实做好2017年家庭医生签约服务工作的通知,要求各省(区、市)在85%以上的地市开展家庭医生签约服务工作,人群覆盖率达到30%以上,老年人、儿童以及高血压慢性病重点人群覆盖率达到60%以上。力争实现建档立卡的农村贫困人口和计划生育特殊家庭的家庭医生签约服务全覆盖。

通知要求,各地要科学合理地确定本地区签约服务年度任务目标,不得盲目追求签约率,不得采取搞“运动”的方法,不得搞强迫命令。要确保签约服务的质量和效果,满足居民基本健康服务需求。要结合本地实际情况,设计针对不同人群多层次、多类型的个性化签约服务包,包括健康评估、康复指导、家庭病床服务、家庭护理、远程健康监测以及特定人群和特殊疾病健康管理等服务。

通知强调,各地要研究制定调动医务人员积极性的激励措施,要完善基层医疗卫生机构内部激励机制,将签约人群服务利用情况以及服务数量、质量和群众满意度等考核结果与团队成员的收入挂钩。要在编制、人员聘用、在职培训、评奖推优等方面重点向承担签约服务工作的人员倾斜。增加基层医疗卫生机构全科医生高级、中级岗位的比例,将签约服务评价考核结果作为晋升的重要因素。

通知提出,地方卫生计生行政部门、医改办要积极协调有关部门,合理确定签约服务费,由医保基金、基本公共卫生服务经费和签约居民共同分担。要给予签约居民提高医保报销比例、连续计算起付线等优惠措施,推进基层医疗卫生机构门诊统筹按人头付费等支付方式改革,探索对纵向合作的医联体实行医保总额付费,结余资金可部分用于家庭医生签约服务奖励。合理调整与签约服务相关的医疗服务项目和价格,体现家庭医生劳务价值。

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    2017-05-08 海之蓝

    提高意识

    0

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    2017-05-07 医张生

    国人签约后居民会要求医生成为“奴隶”。各种奇葩的要求。他们认为是他们养活了医生。“要求剪指甲,擦屁股”。大家等着看。我早预言。

    0

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    2017-05-07 yuanming8
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  5. [GetPortalCommentsPageByObjectIdResponse(id=195490, encodeId=a38e195490b9, content=提高意识, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpBl6xwMmnsKibwxcAIltOH3nnCEQbNE6TDbYtCKe8hYI0oJrbduNqnJraM1PyyjPKU1suAzicYPaA/132, createdBy=eeaf2031798, createdName=海之蓝, createdTime=Mon May 08 21:03:05 CST 2017, time=2017-05-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194999, encodeId=d8a6194999d9, content=国人签约后居民会要求医生成为“奴隶”。各种奇葩的要求。他们认为是他们养活了医生。“要求剪指甲,擦屁股”。大家等着看。我早预言。, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01bb1684217, createdName=医张生, createdTime=Sun May 07 12:14:23 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1422183, encodeId=af12142218356, content=<a href='/topic/show?id=cb40e59604f' target=_blank style='color:#2F92EE;'>#签约#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75960, encryptionId=cb40e59604f, topicName=签约)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=24b63689109, createdName=yuanming8, createdTime=Sun May 07 08:10:00 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449003, encodeId=a9171449003fa, content=<a href='/topic/show?id=4f2c463698e' target=_blank style='color:#2F92EE;'>#家庭医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46369, encryptionId=4f2c463698e, topicName=家庭医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc475462058, createdName=yilong5287544, createdTime=Sun May 07 08:10:00 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194313, encodeId=523f194313d8, content=任何事情都要有所作为但又要循序渐进!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Sat May 06 00:19:53 CST 2017, time=2017-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194310, encodeId=6d40194310c9, content=非常好的文章,学习了,很受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Sat May 06 00:18:51 CST 2017, time=2017-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194294, encodeId=6aef19429484, content=最近说家庭医生的很多嘛, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7a3e1928208, createdName=顾小北大魔王, createdTime=Sat May 06 00:04:04 CST 2017, time=2017-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194247, encodeId=55fb19424e38, content=还是形式了,家庭医生需要高层次人群,打通职称晋升是关键, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhbPwBo0yCebU4qpdSwzpBA1WFXMEUicoTnJDickpj9Ve1cUdNjjTiaDXmpXL47LYh3DdYkPOA2kddyZ/0, createdBy=508c2054450, createdName=solarjin, createdTime=Fri May 05 19:12:19 CST 2017, time=2017-05-05, status=1, ipAttribution=)]
    2017-05-06 184****9840

    任何事情都要有所作为但又要循序渐进!

    0

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    2017-05-06 天涯183

    非常好的文章,学习了,很受益

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=195490, encodeId=a38e195490b9, content=提高意识, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpBl6xwMmnsKibwxcAIltOH3nnCEQbNE6TDbYtCKe8hYI0oJrbduNqnJraM1PyyjPKU1suAzicYPaA/132, createdBy=eeaf2031798, createdName=海之蓝, createdTime=Mon May 08 21:03:05 CST 2017, time=2017-05-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194999, encodeId=d8a6194999d9, content=国人签约后居民会要求医生成为“奴隶”。各种奇葩的要求。他们认为是他们养活了医生。“要求剪指甲,擦屁股”。大家等着看。我早预言。, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=01bb1684217, createdName=医张生, createdTime=Sun May 07 12:14:23 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1422183, encodeId=af12142218356, content=<a href='/topic/show?id=cb40e59604f' target=_blank style='color:#2F92EE;'>#签约#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75960, encryptionId=cb40e59604f, topicName=签约)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=24b63689109, createdName=yuanming8, createdTime=Sun May 07 08:10:00 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1449003, encodeId=a9171449003fa, content=<a href='/topic/show?id=4f2c463698e' target=_blank style='color:#2F92EE;'>#家庭医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46369, encryptionId=4f2c463698e, topicName=家庭医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=cc475462058, createdName=yilong5287544, createdTime=Sun May 07 08:10:00 CST 2017, time=2017-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194313, encodeId=523f194313d8, content=任何事情都要有所作为但又要循序渐进!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Sat May 06 00:19:53 CST 2017, time=2017-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194310, encodeId=6d40194310c9, content=非常好的文章,学习了,很受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Sat May 06 00:18:51 CST 2017, time=2017-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194294, encodeId=6aef19429484, content=最近说家庭医生的很多嘛, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=7a3e1928208, createdName=顾小北大魔王, createdTime=Sat May 06 00:04:04 CST 2017, time=2017-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=194247, encodeId=55fb19424e38, content=还是形式了,家庭医生需要高层次人群,打通职称晋升是关键, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/icyLhIGqru6gIknBJqfuPhbPwBo0yCebU4qpdSwzpBA1WFXMEUicoTnJDickpj9Ve1cUdNjjTiaDXmpXL47LYh3DdYkPOA2kddyZ/0, createdBy=508c2054450, createdName=solarjin, createdTime=Fri May 05 19:12:19 CST 2017, time=2017-05-05, status=1, ipAttribution=)]
    2017-05-06 顾小北大魔王

    最近说家庭医生的很多嘛

    0

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    2017-05-05 solarjin

    还是形式了,家庭医生需要高层次人群,打通职称晋升是关键

    0

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