Beijing strives to cover all residents with family doctor service by 2020. It had such a statement on July 13 evening in the Implementation Advice on Promoting Family Doctor Service in Beijing.
In 2010, Beijing took the lead in proposing the family doctor service in China, in other words, it guided community health centers to sigh with residents to establish a relatively stable voluntary service relationship which provides active, continuous and comprehensive health management for residents. The family doctor service was first piloted in Beijing’s Dongcheng, Xicheng and Fengtai districts.
From 2012, the family doctor service has been expanded to other districts. Based on the pilot experience, the service mode in different districts has been constantly improved. The medical service pattern with a hierarchical diagnosis and two-way referral system is in pilot run, which encourages citizens to visit a community-based medical center for their first treatment.
Statistics show that at present a total of 7.63 million people in Beijing have signed a family doctor.
According to the advice, Beijing will promote the family doctor services in all districts and achieve a breakthrough at the service’ content, methods, payment, assessment and incentives. The service will be given preferentially to elders, pregnant women, children, disabled people and patients with chronic diseases, tuberculosis and severe mental disorders. Recently, the patients with chronic diseases of hypertension, diabetes, cardiovascular and stroke are the target populations of this service.
The advice proposes that in 2017 the family doctor service shall cover more than 35 percent of Beijing residents, more than 90 percent of key populations, and the authorities strive to achieve a full coverage of rural low-income families and special families whose only child has died or become disabled.
Beijing vies to expand the service by 2020 to all residents with whom it establishes a long-term stable contract service relationship, laying a solid foundation for the hierarchical treatment system and orderly medical treatment.