Reasearch On Signing Family Doctor Service With A New Elderly Care System In J District

With the acceleration of the aging process in China,the problems and contradictions in supporting the elderly have gradually become prominent,and the pressure on the family to provide for the aged is also increasing,which makes it difficult to support the current situation of supporting the aged.In response to this problem,the government began to gradually promote the new old-age service system.In 2018,City B was identified as the third batch of pilot areas supported by the central finance to carry out home-based and community elderly care service reform.District J began to promote home-based elderly care in 2012.As a new type of doctors,family doctors provide long-term,all-round and personalized medical services to the contracted patients.As the residents’ health manager,family doctors provide the residents with medical services throughout the life cycle from birth to old age.The elderly population is the main group of chronic patients,such as hypertension and diabetes.The emergence of family doctors solves many common medical problems of the elderly,and provides necessary medical security for the new old-age service system.Sign from the macroscopic level,the family doctor service is the government to promote medical and health work center of gravity down,medical and health resources to sink,the important measures to promote equal basic public services between urban and rural areas,but also for all social groups to provide safe,effective and convenient and inexpensive important means of public health and basic medical services,can really solve the grassroots,elderly medical care,expensive problems,further perfect our grading medical service system,to achieve "slight illness at the grassroots level,the hospital medical pattern.At the end of 2017,signing J area began to introduce the family doctor service,efforts to explore and practice,set up more than 100 gp team,explore the combination of "1 + 1 + 1" signing service mode,namely to community health service center(or in towns and townships and service station)based on gp team signing,on the basis of again in the choice of a secondary hospital and tertiary hospital within their respective jurisdictions to provide the corresponding services,the area coverage,service quality,signed the team construction has obtained the certain effect.However,with the promotion of community and home-based care,as well as the increasing demand for basic public health services from residents in this area,the development of family doctor contract services in Region J tends to lag behind,and the exposed problems need to be solved urgently.Article mainly by the family doctor J signing service work condition as the research object,by accelerating the aging process,pension problems and contradictions gradually as the background,trying to analyze in the home and community endowment under the new pension system of signing the family doctor service development present situation,existing problems and countermeasures research.