The service fee of the elderly family doctor is at least 130 yuan per year
Shandong commercial newspaper reporter Yu Na
construction of "healthy Shandong", to improve the level of health protection. In February 26th this year, Shandong province convened the founding of a national demonstration province of medical support and demonstration Province, and decided that 6 cities, such as Ji'nan, were the demonstration cities for the integration of medical care in the province, and the strategy of "healthy Ji'nan" was put on the agenda immediately. The Ji'nan municipal government office of the municipal government has issued a notice on the construction of Ji'nan city's medical support and demonstration pilot project, which will scientifically coordinate medical and health care, pension services and social resources to better meet the health pension needs brought by the aging of the population, and actively build a demonstration city in the Province.
perfect the policy system of medical treatment and maintenance, and the signing of family doctor is the main content. Before the end of this year, the contracted services will cover 70% of the permanent elderly population and 100% of the family planning special families. The 100% health institutions in the city provide green access for the elderly, all the old-age institutions provide medical care, and all the three level hospitals at the municipal level have all the geriatric department. Government operated pension beds accounted for no more than 40%, the city's nursing beds accounted for more than 30% of the total number of nursing beds. The city will cultivate 7 provincial medical and breeding demonstration counties, 20 provincial health care demonstration towns (streets), at least 12 provincial demonstration communities with intelligent health care, at least 3 provincial demonstration bases with regional characteristics and medical integration, at least 3 provincial demonstration enterprises with intelligent health care.
create a network of medical care and maintenance, and Ji'nan should focus on developing home care. According to the health status and service needs of the elderly, the contract service package was designed and classified by stratified classification. It provided "five guarantees and four priorities and four priorities" (five guarantee: a professional medical team with common diseases, multiple diseases health consultation, medication guidance, an elderly health file, one annual free health examination, one year " Degree health management scheme, a chronic disease long prescription, four priority: priority treatment, priority referral, priority reservation of experts, priority to ensure drug use, and the four focus on home health care service for home sick, incapable and partially disabled elderly patients with family beds, family visits, long-term care and rehabilitation, hospice care services. The cost of signing service fees for family doctors of 60 years and older is not less than 130 yuan per person per year. The funds required are mainly shared by medical insurance funds, basic public health services and contract residents.
home based, community based, institutional supplemented, health care combined service system is the direction of development. In this regard, Ji'nan should also standardize the expansion of medical care. To support the transformation of a group of grass-roots medical and health institutions at the level of two or more comprehensive hospitals and non built towns (streets), focusing on the treatment of chronic diseases, rehabilitation, nursing and service for the aged, the opening of the geriatrics department (District), the increase of the number of aged beds, and the transformation of a batch of two and below hospitals to be developed. Medical and nursing institutions for the elderly, seriously ill, disabled, and partially disabled elderly people. Beds for medical treatment, elderly disease, hospice care and so on are not included in the statistical index of average length of stay.
elderly institutions can apply for the establishment of geriatric hospitals, rehabilitation hospitals, nursing homes, Chinese medicine hospitals, hospice care centers, etc. We should actively promote the "two courtyards" mode of township hospitals and nursing homes, village clinics and village happy homes. Medical personnel are encouraged to provide medical, health, rehabilitation and nursing services to medical and nursing institutions. It is encouraged to support medical institutions and medical institutions at the grass-roots level to set up a certain proportion of hospice beds, and at least 1 medical institutions in each county carry out hospice care services.