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李斌:家医签约服务要成为医改重头戏

2017-04-14 佚名 健康报

4月13日,全国家庭医生签约服务现场推进会在上海市召开。国家卫生计生委主任李斌在会上要求,各地要高度重视家庭医生签约服务工作,切实将签约服务作为深化医改的重头戏,抓紧、抓实、抓好。在各级党委政府的领导下,卫生计生委和医改办的主要负责同志要切实担起责任,一级抓一级,把这项中央关心、群众得利的好事办好。

4月13日,全国家庭医生签约服务现场推进会在上海市召开。国家卫生计生委主任李斌在会上要求,各地要高度重视家庭医生签约服务工作,切实将签约服务作为深化医改的重头戏,抓紧、抓实、抓好。在各级党委政府的领导下,卫生计生委和医改办的主要负责同志要切实担起责任,一级抓一级,把这项中央关心、群众得利的好事办好。

李斌表示,家庭医生在基层承担着居民健康守门人的职责,需要具备综合医学素养,全科医生最契合这一岗位需求。我国全科医生总量不足,解决这个问题需要一个过程,但满足人民群众需求不能等。目前,已有26个省(区、市)印发推进家庭医生签约服务的指导性文件或实施方案,并聚焦重点人群,以创新服务推动签约。截至2016年年底,200个公立医院综合改革试点城市家庭医生签约服务覆盖率达22.2%,重点人群签约率达38.8%,群众对基层的信任度、满意度和获得感也在不断提高,圆满完成了2016年度工作任务目标。

李斌充分肯定了上海等地开展家庭医生签约服务工作的经验,要求各地从6个方面做实、做好家庭医生签约服务工作。一是强化签约服务内涵,制定适宜的签约服务内容,合理设定签约基础服务包和个性化服务包。二是强化基层服务能力和水平,推进基层医疗卫生服务提升年活动,加强全科医生培养培训,推动优质医疗资源下沉。三是充分调动家庭医生签约服务的积极性,完善绩效工资政策,加强考核激励,拓宽家庭医生职业发展路径。四是强化签约服务对群众的吸引力,在就医、转诊、用药、技术支持等方面,提高居民对签约服务的认同感,通过优质服务和差异化政策吸引群众主动签约。五是强化签约服务政策支持,合理确定签约服务费,充分发挥医疗保险支撑作用,拓宽签约服务筹资渠道。六是强化签约服务信息化支撑,建设家庭医生与签约居民、上级医院的互动平台,实现信息互联互通。

李斌强调,各地要培育典型,学习先进经验,加强督导,形成合力,落实家庭医生签约服务各项工作任务。国家7个部门关于推进家庭医生签约服务的文件已印发将近一年,目前还有少部分省份未制订本地区实施方案,要抓紧时间尽快完成。已经出台文件的省份,要督促地市、县尽快制订可操作性方案,解决政策落地的“最后一公里”问题。

会上,上海市、浙江省杭州市、四川省成都市等地的代表介绍了开展家庭医生签约服务的工作经验。

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    2017-04-16 tidiq
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    2017-04-16 yuanming8
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    2017-04-14 Anyway

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