家住哈尔滨市道里区顾乡大街美晨家园的谢士艳抱着7个月大的女儿，来到道里区工农社区卫生服务中心的一类疫苗接种室给孩子接种流脑疫苗，她告诉记者，这几天，所在社区的“家庭医生”已连续打了几个电话提醒她带孩子过来，“社区医生很负责任，孩子打疫苗的时间比家长记得还清楚。”谢士艳笑着说。

In daoli district of Harbin gu mei Chen township street home XieShiYan hold seven months old daughter,Came to daoli district and community health service center of vaccination, epidemic encephalitis vaccine for children,She told reporters,This a few days,In the community"The family doctor"Has been made a few phone calls remind her children,"Community doctor very responsible,Children vaccinated time than parents remember clearly."XieShiYan said with a smile.

　　

医生“签约”问诊 The doctor"Signed a contract"interrogation

　　守护居民健康 Protect residents health

　　什么是社区“家庭医生”服务？省卫生厅社区卫生工作负责人姚国峰告诉记者，“家庭医生”服务是以社区卫生服务中心为平台，由全科医生(临床医生)、公共卫生医师、护士等卫生技术人员组成的服务团队，以社区为范围，家庭为单位，健康管理为目的，通过签订一定期限的服务契约，因地制宜、因人而异的为签约居民提供安全、有效、连续、综合、个性化的医疗照顾、健康维持和预防保健等健康管理服务，逐步完善社区首诊、双向转诊、分级治疗的服务模式。

What is a community"The family doctor"service?Provincial community health working controller YaoGuoFeng told reporters,"The family doctor"Service in community health service center as a platform,The general practitioner(Clinical doctors)/Public health physician/Nurses and other health technical personnel of service team,Range in the community,The family as the unit,Health management for the purpose,Through a certain period of service contract,Adjust measures to local conditions/Vary from person to person signing for the residents to provide security/effective/continuous/comprehensive/Personalized health care/Health maintenance and preventive health care and other health management service,Gradually improve the community first/Two-way referral/Grading the service mode of treatment.

　　“简单来说，就是让老百姓有了小病小痛不出社区就能看病，引导居民有病首选社区，而且全科医生除进行日常诊治外，还为居民免费提供国家基本公共卫生服务项目、开展行动不便等重点人群上门服务、健康咨询、预约诊疗、与大医院双向转诊等服务。还可提供个性化的契约服务，但有些个性化的诊疗服务需要按照物价部门规定的收费标准收取费用。”姚国峰说。

"In simple terms,Is to let people have the ailment small pain no community will be able to see a doctor,Guide people sick first community,And the general practitioner in addition to the daily treatment,For residents provide free country basic public health services/Carry out action inconvenience people, such as door-to-door service/Health advice/Make an appointment diagnosis and treatment/With large hospital two-way referral services.Also can provide personalized service contract,But some personalized medical services need to be in accordance with the provisions of the commodity price departments charging standard charge."YaoGuoFeng said.

　　“签约”对老百姓又意味着什么？家住哈市道里区新城小区67岁的严启说：“自从有了‘家庭医生’后，我的血糖控制的相当好。”严大爷口中的“家庭医生”指的是工农社区的全科医生徐倩，2012年8月严大爷与社区卫生服务中心签订“家庭医生式服务团队签约服务协议书”后，徐倩会定期打电话提醒他注意饮食，这份责任心让严启感觉到很温暖。

"Signed a contract"To common people and what does that mean?In Harbin daoli district new town district, the 67 - year - old YanQi said:"Since there is a‘The family doctor’after,My blood sugar control is quite good."The big ye yan mouth"The family doctor"Refers to the workers and peasants of the community resident doctors 徐倩,In August 2012, yan big ye signed and community health service center"The family doctor service team sign service agreement"after,徐倩 regularly call remind him to pay attention to diet,The sense of responsibility make YanQi feel very warm.

　　同样住在新城小区108栋的丁远基最深切的体会是“上门服务”非常贴心，丁远基80多岁的老岳母身患重病，瘫痪在床。“自从和中心签订协议后，徐大夫几乎每星期都来家里坐坐，不仅带来一些常用药，连带着还给我岳母做些常规体检。”丁远基说，这种上门服务免去了他背着老岳母去医院看病的麻烦，更重要的是老人的一些小病能及时发现，尽早治疗。

Also live in the town area of 108 DingYuanJi deepest experience is"Door to door service"Is very sweet,DingYuan base more than 80 - year - old mother suffering from serious illness,Paralyzed in bed."Since and after signing the agreement,Dr Xu almost every week to sit at home,Not only have some common medicine,Jointly and severally with back to my mother-in-law do some regular physical examination."DingYuanJi said,This kind of door to door service from him carrying the old mother-in-law of trouble to go to the hospital,Some of the more important thing is the old man ailment can timely found,Treatment as soon as possible.

　　

12类可选择服务 12 kinds of optional services

　　充满“人情味” Full of"The milk of human kindness"

　　2012年4月，工农社区卫生服务中心作为哈市推行社区全科医生签约服务的试点，组建起5支家庭医生式服务团队。该中心主任李社声告诉记者，中心还特别研究制定了《家庭医生式服务团队工作制度》、《家庭医生式服务团队签约项目与规范》等。

In April 2012,Community health service center of workers and peasants as Harbin city carrying out community resident doctors signing the pilot of the service,Set up five the family doctor service team.The director of the center LiShe told reporters,The center also specially formulate[The family doctor service team work system]/[The family doctor service team signing project and norm]And so on.

　　在《致社区居民的一封信》中，列出的12类可选择的个性化签约服务项目吸引了人们的眼球：免费建立和完善家庭与个人的健康档案，制订个性化的健康指导计划；为60岁以上老人每年进行一次免费体检，提供有针对性的指导意见和保健方案；为患有高血压、糖尿病、冠心病等6种慢性病患者主动上门服务，定期回访、电话跟踪；对年纪较大、行动不便居民建立家庭病床；与哈市第一医院等三家医院建立双向转诊等。

In the[The community residents of a letter]In the,List of 12 can choose signing of personalized services has attracted people's attention:Free to establish and perfect the family and personal health records,Individualized health instruction plan;For over 60 years old old man a free physical examination every year,Provide targeted guidance and health care plan;For people with high blood pressure/diabetes/6 kinds of chronic diseases such as coronary artery disease in patients with active door to door service,Regular return visit/Phone tracking;The older/Action inconvenience residents to establish domestic sickbed;With three hospitals, the first hospital, Harbin city to establish two-way referral, etc.

　　李社声认为签约体现了更多的“人情味”，该中心还打出了“我是您的医生，更是您的家人和朋友”的服务口号。“其实这也是对一名社区全科医生的考验，要了解熟悉自己所负责区域每家每户的健康情况。”李社声说。作为新城小区家庭医生服务团队的负责人，徐倩现在对自己所辖区域住户的情况了如指掌：“新城小区有9505人、4230户，其中卧病在床的有12人。目前签约的有341户、556人。”

LiShe sound think signing reflects more"The milk of human kindness",The center also played"I'm your doctor,Is your family and friends"The service slogan."In fact this is also a test of a general practitioner community,Want to know what the health of every household is responsible for the area."LiShe say.As a new town district family doctor in charge of the service team,徐倩 now for your area residents of his hand:"New town district has 9505 people/4230,There are 12 is ill in bed.At present there are 341 signing/556 people."

　　采访中记者了解到，哈市很多社区争相为居民提供更多个性化的服务。在哈市道里区共乐社区卫生服务中心采访时，记者看到该中心设立了独有的家庭医生工作室，工作室内设有6台电脑，每天有6位社区医生接受签约服务居民的咨询，并及时为社区居民更新健康档案，逐步实现对签约家庭的动态管理。该中心的全科医生、家庭医生团队负责人张颖说：“现在居民身体上有什么大事小情都愿意第一时间与我们沟通。”而共乐社区有名的中医中药特色医疗正逐步纳入到签约服务中来。

Interview, the reporter understands,Harbin many scramble for community residents to provide more personalized service.In Harbin daoli district taking community health service center for an interview,Reporter sees the center set up a unique family doctor studio,Work indoor equipped with 6 computer,Every day there are six community doctors accept signing services of consultation,And timely update for the community residents health files,Gradually realize the sign for the dynamic management of the family.The center of the general practitioner/Family doctor team person in charge zhang ying said:"Residents on something big small body can now are willing to communicate with us the first time."Taking well-known characteristics of traditional Chinese medicine community health gradually signing into the service.

　　哈市卫生局妇幼保健与社区卫生处处长田英杰告诉记者，哈市其实从2010年已开始尝试创新全科医生的服务模式和服务内容。他说：“开展家庭医生签约式服务，解决了更多的实际问题，常见病、多发病不出社区就能诊治，服务又是连续的，因此很多人看病开始回归社区。”

Harbin city health bureau maternity and child health and community health commissioner TianYingJie told reporters,Harbin city actually try to innovate from 2010 has been the service pattern and service content of general practitioner.He said:"To carry out family doctor sign type service,To solve more practical problems,Common diseases/Don't frequently occurring community can make a diagnosis and give treatment,Service is continuous,So many people to see the doctor began to return to the community."

　　

三年内一半家庭 Three years half the family

　　将有“家庭医生” There will be"The family doctor"

　　今年1月起，全省各社区卫生服务中心要选择部分街道(居委会)展开试点，全面启动全科医生签约服务工作并逐步推广，在明年底前需覆盖本辖区20%的社区居民，签订服务协议的家庭比例达到10%。预计到2015年底，签订服务协议的家庭比例将上升到40%，覆盖本辖区50%的社区居民。

January this year,A provincial community health service center to choose part of the street(Residents' committees)Launched a pilot,Comprehensive start all-around doctor sign service and promotion step by step,Before the end of next year 20% of community residents need to cover the areas under their jurisdiction,Sign a service agreement reached 10% of the family.Is expected by the end of 2015,Sign a service agreement will rise to 40% of the family,Covering 50% of the areas under their respective jurisdiction community residents.

　　各社区卫生服务中心要通过签订协议的方式为全科医生提供签约服务平台，包括二级以上大医院的专科医生(包括退休医生)到社区卫生服务机构提供服务。

The community health service center to provide all-around doctor by agreement signed service platform,Including 2 or more of the large hospital of specialized subject doctor(Including retired doctor)To community health service institutions to provide services.

　　

新闻背景 News background

　　哈尔滨成为 Harbin become

　　全国试点城市 Pilot cities in China

　　2012年9月，哈尔滨市被列为家庭医生执业方式和服务模式改革全国十大试点城市之一，由过去坐堂行医变为主动上门、预约、家庭病床服务等“家庭医生式”新模式。12月，省卫生厅、省人社厅、省财政厅、省物价局出台了《关于推行全科医生(团队)试点签约服务工作的指导意见》，全面推行全科医生签约服务，让社区医生走近百姓身边，最终实现“一人一医”、“一户一医”，家家户户都有“家庭医生”的目标，真正发挥其居民健康“守门人”作用。

In September 2012,Harbin city is listed as family doctor practicing way and service mode reform one of the top ten pilot cities of China,From past practice on the judgment seat to active the door/Make an appointment/Domestic sickbed services, etc"The family doctor -"The new model.On dec.,Provincial health department/Provincial bureau of people club/The financial department/Provincial price bureau issued a[About the implementation of the general practitioner(team)Pilot sign guidance service],The full implementation of the general practitioner contract services,Let community doctor near the people around,Finally realize"One d"/"A door a medical",Every family has"The family doctor"The goal of,Real play to its residents health"The gatekeeper"role.

　　

文件解读 File reading

　　全科医生 General practitioner

　　最多服务2000人 Service to a maximum of 2000 people

　　《关于推行全科医生(团队)试点签约服务工作的指导意见》要求，每个全科医生(团队)签约服务人数控制在2000人以内，其中60岁以上老年人、0~6岁儿童、孕产妇、慢性病人、残疾人等特需人群要占80%以上。同时每位居民同期在社区服务范围内只能自主选择1名全科医生(团队)进行签约，双方约定服务内容、方式、期限和权利义务等款项。签约周期可视情况灵活掌握，原则上一个周期不少于一年，期满后可续约，也可另选全科医生(团队)进行签约，如因特殊情况变更全科医生需重新签约。

[About the implementation of the general practitioner(team)Pilot sign guidance service]requirements,Each general practitioner(team)Signed a service number control within 2000 people,The 60 years old or older/0 ~ 6 years old children/maternal/Chronic patients/The disabled and other special people to take more than 80%.At the same time each residents within the community service in the same period can only choose a general practitioner(team)For signing,The parties have agreed the service content/way/Term and the rights and obligations, etc.Visible in flexible signing cycle,In principle, a period of not less than one year,After contract,Also can cause all-around doctor(team)For signing,As a result of special circumstances change all-around doctor to sign.

　　

执行细则 Detailed rules for the implementation

　　按不同服务 According to different service

　　收取相关费用 Related charges

　　全科医生(团队)为签约居民提供约定的基本医疗卫生服务，按每人每年收取服务费，服务费由医保基金、基本公共卫生服务经费和签约居民个人分担，非参保居民，按照协议由个人支付服务费。可按照不同人群的需求，通过提供不同的医疗卫生服务实行不同的服务费标准，除约定的服务费外，不得另行收取其他服务费用。（记者 车轮）

General practitioner(team)To provide basic medical and health services agreed by signing,According to the service charge per person per year,Service fee by the medical insurance fund/Basic public health services and to sign individual resident,Not participating residents,According to the agreement by individual pay the service fee.Can be in accordance with the needs of different people,By providing different types of medical and health services of different service standards,In addition to the agreed service fee,Other service charges shall be separately.(The reporter wheels)