Volume 21 Issue 7
Jul.  2023
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MU Xingyu, ZHANG Lin, AN Kang, SHI Yi, LI Caizheng, SHE Yi, LI Shuangqing, SU Qiaoli. Practice of family physician contracted service under the whole process health management model in tertiary a-level hospital[J]. Chinese Journal of General Practice, 2023, 21(7): 1085-1088. doi: 10.16766/j.cnki.issn.1674-4152.003055
Citation: MU Xingyu, ZHANG Lin, AN Kang, SHI Yi, LI Caizheng, SHE Yi, LI Shuangqing, SU Qiaoli. Practice of family physician contracted service under the whole process health management model in tertiary a-level hospital[J]. Chinese Journal of General Practice, 2023, 21(7): 1085-1088. doi: 10.16766/j.cnki.issn.1674-4152.003055

Practice of family physician contracted service under the whole process health management model in tertiary a-level hospital

doi: 10.16766/j.cnki.issn.1674-4152.003055
Funds:

 2020YFQ0011

 20PJ006

  • Received Date: 2022-08-09
    Available Online: 2023-08-28
  •   Objective  The family physician contracted service has carried out beneficial practices in China's community health service centers. Most of the tertiary A-level hospitals take community health service centers as the main body, and cooperate with community units to provide technical guidance and knowledge training for medical staff, and provide support for two-way referrals. The family physician contracted service model independently carried out in tertiary A-level hospitals needs to be explored.  Methods  We analyzed the family physician contract service based on the whole process health management conducted by the General Medicine Department of West China Hospital of Sichuan University in the past three years, summarized its operation mechanism, outlined the service model, and analyzed the possible problems in the implementation in the tertiary A-level hospitals.  Results  We have established the management organization structure, the management system of the contracted medical team, formulated the work process of each job posting, and improved the health management process of the contracted personnel. The family doctor team provides all-round medical care and whole process health management for family contract patients at different time nodes, and forms an up-down linkage mechanism with the community center to promote hierarchical diagnosis and treatment. With the family doctor team as the link, the family doctor contract service mode of whole process health management in tertiary A-level hospital has been established, forming a whole process health management service platform. How to better provide the contracted individuals with high-quality diagnosis and treatment technology of tertiary A-level hospitals, and how to implement the community link and connect with Healthy China 2030 needs further consideration.  Conclusion  The tertiary A-level hospital can also carry out the contracted service mode of family doctor based on the whole process health management, so as to provide beneficial exploration for the rational and optimal utilization of medical resources, promote hierarchical diagnosis and treatment, and improve the quality of medical service.

     

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