Seek management

In 2015, 65 community health service centers in Shanghai undertook more than 84.5 million medical treatment tasks, more than one-third of the total number of emergency hospitals in the city, close to the total number of hospitals in the city's tertiary hospitals – March 25, “Citizens and The Top Ten Family Doctors Face to Face" symposium raises concerns: How does Shanghai consolidate the community health service network? Why are members of the public willing to go to the community health service centre instead of desperately trying to squeeze into the top three hospitals? What does the community health service center in Shanghai rely on to win the trust and dependence of the citizens?

"1+1+1", let the doctor sink

Shanghai is one of the earliest regions in China to introduce community health service concepts and develop community health services. Since 1997, through the 13 consecutive years of municipal government practical projects, the network of Shanghai community health service institutions has spread throughout urban and rural areas. In 2014, the financial investment per capita community health service in Shanghai reached 141 yuan. Since 2006, Shanghai has taken the lead in implementing standardized training for general practitioners and establishing a community teaching base. In 2011, we began to build a family doctor system.

The reporter visited a number of community health service centers to understand that the "1+1+1" signing service launched in June last year has actually started. This is also the core practice of the “Shanghai Model”: on the basis of voluntarily selecting the family doctors of the community health service center, the residents choose a district-level medical institution and a municipal medical institution to sign the contract, forming “1+1+1”. Signing a combination of medical institutions to promote the grading diagnosis and treatment system with contracted services.

According to the Shanghai Health and Family Planning Commission, there are currently 19 community health service centers in Shanghai that have officially launched the “1+1+1” signing, with 47,800 registered residents, and the sinking effect has begun to appear. The community health service center that has started the contract has simultaneously implemented the “late prescription” policy, and the average out-of-pocket payment for residents can be reduced by 7.03 yuan. The medical insurance fund can also save money in general. For “1+1+1” contracted residents, family doctors can make priority appointments to all city-level hospital experts and specialist outpatient sources, and enjoy convenient referral services.

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