家庭醫(yī)生簽約服務(wù)推行多年，一個(gè)核心痛點(diǎn)始終存在——“簽而不約”。居民簽了約，卻感受不到簽約帶來(lái)的實(shí)際好處。家簽工作站的廣泛設(shè)立，正在從根本上解決這一問(wèn)題，讓簽約服務(wù)從“一張紙”變成了“看得見(jiàn)、摸得著”的實(shí)在服務(wù)。

The family doctor contract service has been implemented for many years, but a core pain point has always existed - "signing but not signing". The residents signed the contract but did not feel the actual benefits it brought. The widespread establishment of home signing workstations is fundamentally solving this problem, transforming the signing service from a "piece of paper" to a tangible and visible service.

家簽工作站的第一個(gè)作用，是 讓簽約從“被動(dòng)”變“主動(dòng)” 。過(guò)去，居民簽約家庭醫(yī)生往往是在基層醫(yī)療機(jī)構(gòu)被動(dòng)完成——看病時(shí)順便簽個(gè)字，簽完就忘了。家簽工作站走進(jìn)社區(qū)、走進(jìn)企業(yè)、走進(jìn)養(yǎng)老機(jī)構(gòu)后，簽約變成了一件主動(dòng)的事情。在湘潭，通過(guò)發(fā)布公開(kāi)信、舉辦啟動(dòng)儀式、開(kāi)展“五進(jìn)”活動(dòng)、組織“健康夜市”等措施，廣泛傳播簽約政策與健康知識(shí)。居民在家門口就能了解簽約政策、選擇家庭醫(yī)生、辦理簽約手續(xù)。工作站還提供“六個(gè)一”服務(wù)，明確每戶一名健康聯(lián)系人，協(xié)助開(kāi)展健康管理。

The first function of the home signing workstation is to transform signing from "passive" to "active". In the past, residents often signed up with family doctors passively in primary healthcare institutions - signing their name while seeking medical treatment, but forgetting it after signing. After entering communities, enterprises, and elderly care institutions, the signing of contracts has become an active task for home signing workstations. In Xiangtan, the signing policies and health knowledge are widely disseminated through measures such as issuing open letters, holding launch ceremonies, carrying out "Five Entries" activities, and organizing "Healthy Night Markets". Residents can learn about signing policies, choose family doctors, and complete signing procedures right at their doorstep. The workstation also provides the "Six Ones" service, specifying one health contact person per household to assist in health management.

家簽工作站的第二個(gè)作用，是 讓履約從“看不見(jiàn)”變“可感知” 。簽約只是開(kāi)始，履約才是關(guān)鍵。家簽工作站是履約的重要載體——在這里，家庭醫(yī)生定期坐診，為簽約居民提供健康檢測(cè)、隨訪服務(wù)、用藥指導(dǎo)、健康教育等。家庭醫(yī)生每年為簽約居民推送不少于12次健康信息，做實(shí)預(yù)約轉(zhuǎn)診服務(wù)。在鄒平，家庭醫(yī)生簽約服務(wù)以“責(zé)任化、全員化、精細(xì)化”為核心，院領(lǐng)導(dǎo)“分片包干”，全員協(xié)同發(fā)力。家簽工作站讓每一次履約都有了具體的時(shí)空坐標(biāo)。

The second function of the home signature workstation is to transform performance from "invisible" to "perceptible". Signing a contract is just the beginning, performance is the key. The home visa workstation is an important carrier for fulfilling the contract - here, family doctors regularly visit and provide health testing, follow-up services, medication guidance, health education, etc. for contracted residents. Family doctors provide health information to contracted residents no less than 12 times a year and provide reliable appointment referral services. In Zouping, the family doctor contract service is centered on "responsibility, full staff, and refinement", and hospital leaders "divide and contract", with all staff working together. The home signature workstation provides specific temporal and spatial coordinates for every performance.

家簽工作站的第三個(gè)作用，是 讓服務(wù)從“單點(diǎn)”變“體系” 。家簽工作站不是孤立的，它是家庭醫(yī)生簽約服務(wù)體系中的一個(gè)節(jié)點(diǎn)。在湘潭，城市構(gòu)建“3+1+X”團(tuán)隊(duì)模式，農(nóng)村建立“縣—鄉(xiāng)—村”三級(jí)聯(lián)動(dòng)服務(wù)機(jī)制。家簽工作站向上對(duì)接社區(qū)衛(wèi)生服務(wù)中心和二級(jí)以上醫(yī)院專家，向下服務(wù)轄區(qū)簽約居民。通過(guò)家庭病床提供上門治療，通過(guò)預(yù)約轉(zhuǎn)診提供綠色通道。家簽工作站讓簽約居民真正擁有了分級(jí)診療的“入口”和連續(xù)健康管理的“管家”。

The third function of the home visa workstation is to transform the service from a "single point" to a "system". The home signing workstation is not isolated, it is a node in the family doctor signing service system. In Xiangtan, the city has established a "3+1+X" team model, and rural areas have established a three-level linkage service mechanism of "county township village". The home visa workstation connects with community health service centers and experts from second level and above hospitals upwards, and serves contracted residents in the jurisdiction downwards. Providing home treatment through family beds and offering a green channel through appointment referrals. The home visa workstation provides contracted residents with a true "gateway" for graded diagnosis and treatment and a "steward" for continuous health management.

家簽工作站的第四個(gè)作用，是 讓“醫(yī)防融合”有了落腳點(diǎn)。家庭醫(yī)生簽約服務(wù)的核心是“醫(yī)防融合”——將醫(yī)療服務(wù)和公共衛(wèi)生服務(wù)融為一體。家簽工作站正是這一理念的實(shí)體化呈現(xiàn)。在這里，居民既可以獲得健康體檢、慢病隨訪等公共衛(wèi)生服務(wù)，也可以獲得常見(jiàn)病診療、用藥指導(dǎo)等基本醫(yī)療服務(wù)。工作站還通過(guò)健康講座、慢病篩查與隨訪等活動(dòng)，扎實(shí)推進(jìn)醫(yī)防融合。這種“防治一體”的服務(wù)模式，讓居民在一個(gè)地方就能解決大部分健康問(wèn)題。

The fourth function of the home visa workstation is to provide a foothold for the integration of medical and prevention. The core of family doctor contract services is "medical prevention integration" - integrating medical services and public health services. The home signature workstation is the tangible manifestation of this concept. Here, residents can access public health services such as health check ups and chronic disease follow-up, as well as basic medical services such as diagnosis and treatment of common diseases and medication guidance. The workstation also solidly promotes the integration of medical and prevention through activities such as health lectures, chronic disease screening, and follow-up. This "integrated prevention and control" service model allows residents to solve most of their health problems in one place.

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