“Thank you, Dr. Huang.” “Without you, he couldn’t find out the problem. How could he be so good now?” “You are the Savior of our family At zhalangkou community health service center in Jianggan District, Hangzhou City, Zhejiang Province, aunt Qian always pulls in general practitioner Huang Lingxiu every time she comes to the clinic to thank her husband, uncle Hong, for helping her find early bladder cancer. Hong Dabo, 71 years old, is suffering from chronic diseases such as hypertension and diabetes. He has been managing chronic diseases in zhalangkou Community Health Service Center for a long time, and has signed up with a family doctor, who will check and evaluate him regularly. One day six years ago, as usual, uncle Hong had an examination in the community health service center. Huang Lingxiu found that several indicators were abnormal and advised him to go to a large hospital for further examination and exclusion of certain diseases. At this time, uncle Hong did not have any symptoms, and he felt that it was too troublesome to queue up for registration in a big hospital and was unwilling to go. Huang Lingxiu patiently explained that through the two-way referral platform in Hangzhou, he helped uncle Hong hang up the expert number of Urology Department of the First Affiliated Hospital of Zhejiang University Medical College, and then he agreed to go. After examination, Hong Dabo was in the early stage of bladder cancer, and the doctor quickly operated on him. After hongdabo returned home, Huang Lingxiu regularly came to his home to change the dressing for his surgical wound, told him how to take care of his wounds and what to pay attention to. He also mobilized his wife to urge him to take regular blood glucose and blood pressure measurements. < / P > < p > in the signing service of family doctors, doctors, patients and family members cooperate to give full play to their respective roles. After operation, uncle Hong’s condition was stable, and the indicators of chronic diseases were also controlled during the regular review every year. < / P > < p > “there is health care at home, the first diagnosis is in the community, the serious illness is in the hospital, the rehabilitation is back in the community, and there is medical treatment at home”. This full cycle health management service system of family doctors’ contract service is guiding Hangzhou to establish a new pattern of primary treatment, hierarchical referral, and emergency and slow treatment. Liu Xin, chief physician of general practice and internal medicine of Qiaosi Street Community Health Service Center in Yuhang District, Hangzhou, told Zhongqing daily. Zhongqing.com that the signing service of family doctors mainly focuses on three aspects: providing a doctor friend for the contracted residents and providing consulting services; providing basic medical care, priority treatment, appointment of outpatient service and examination, and accurate referral service, which are in line with the diagnosis and treatment services On the premise of ensuring medical safety, we will provide paid home medical services such as family visits and “family beds”; we will provide health management, establish health records for contracted residents, and provide preventive care, health education, rehabilitation guidance and other services for chronic patients such as hypertension and diabetes, as well as the elderly, pregnant women, children and other key groups. < p > < p > since the launch of Hangzhou family doctor contract service in 2014, the number of beneficiaries has increased year by year, and the residents’ trust in family doctors has been increasing, gradually from “I want to sign a contract” to “I want to sign a contract”. According to the data released by Hangzhou Municipal Health Commission, from 2015 to 2019, the number of contracted service teams of family doctors in Hangzhou expanded from 1613 to 2209, the number of contracted doctors increased from 3689 to 4277, the number of contracted service increased from 510000 to 3114000, the community consultation rate of contracted residents increased from 61.09% to 65%, and the proportion of referral to provincial and municipal medical institutions decreased from 15% to 7%. Chen Qifu, a resident of the contract, said: “I’m old, and it’s convenient to dispense medicine and see a doctor in the community hospital at my home. The contracted doctor knows my condition very well, and I’m very relieved to give him my health. After signing the contract, my antihypertensive drugs can be prescribed for three months, reducing the number of times I go to the hospital. I also have a doctor’s wechat. When there is a problem, I want to listen to his professional advice first. He is like my family, very kind and warm-hearted. ” Ren Xiaoping, director of the restructuring Department of Hangzhou Municipal Health Commission, said that after signing the contract, family doctors will keep in touch with residents and provide professional health consultation and health education guidance. For the contracted residents with chronic diseases such as hypertension and diabetes who have “clear diagnosis of disease, stable condition, need continuous medication, and good compliance of community chronic disease management”, family doctors can provide them with a prescription for chronic diseases of no more than 12 weeks, so as to realize “one trip at most” for patients with chronic diseases within 3 months. In addition, designated retail pharmacies should be actively encouraged to provide door-to-door services for patients with chronic diseases, so as to reduce the number of patients travelling to and from medical institutions. < / P > < p > “for employees and urban and rural residents, the proportion of outpatient reimbursement will be increased by 3% on the original basis if they seek medical treatment in the contracted community health service institutions during the contract service period; if they receive the first treatment in the contracted community health service institutions, or the contracted community health service institutions are transferred to other medical institutions in the district for further treatment, the outpatient payment standard will be reduced or reduced by 300 Yuan. ” Ren Xiaoping said. According to Li Chunhui, a contract resident, family doctors have become an important channel for the whole family to see a doctor. “If you need further examination, the contracted doctor will give me a reference to find which department and which doctor to find, and help me to make a referral appointment, which saves me the trouble of not getting the number and queuing up in the hospital. At the same time, there are more reimbursement parts, which saves a lot of expenses, which is really very saving.”.