GP system and health services policy of Shanghai residents' Shanghai Municipal Party School Dr. Weng Xiaobing June 2014 Shanghai Municipal Party School ModernizationIntegrationResearchOpenness

1 2 汇报框架 The background of GP system reform 1 The GP system reform in shanghai 2 The GP system reforms in future 3

1.The background of GP system reform Health become one of the most concerned topic in China with the high rise of living standard and life expectancy. there are two big challenges in healthcare nowadays in China. The two challenges can be seen as the input and output of the health system.

2. The GP system reforms in future Family Doctor is the popular trend through the world. plays a very important role in the medical and health service system in each country. Family Doctor is also the significant part of the new round health system reform in china.

First,the policy objectives of Shanghai GP system reform GP health of the residentsmedical resourcesMedicare funds gatekeeper

背 景 the characteristics of the GP system GP as the core contractual relationship with residents first diagnosis system by GP pay the fee according to capitation more stringent requirements to GP tends to joint services

2010 ： conducted a pilot of GP system based on case studies 2011 ： promote the 10 districts in Shanghai to conducted the GP system reform 2013 ： promote a comprehensive system of GP in all the districts in shanghai 陈华家庭医生工作室 “3+2+1” 协同服务体系家庭医生多维度培训指尖上的家庭医生 Secondly, the process of the Shanghai GP system reform

Third, the initial effectiveness of the policy by the end of 2013 –Coverage ： 180 community health centers to carry out the construction of the family doctor system. –Contracted ： 588 million permanent residents contracted with GP, each family doctors contracted 1025 resident on average –GP team ： 3212 GP in shanghai, established 1338 GP service team –Services: serving 3.3 million residents in 2013, Established 5.54 million health records for the signed inhabitants.

Finally, the main problems facing by Shanghai GP system – The bottleneck that the quantity and quality of the GP teams are lack, – the referral between the Family doctors and the Higher levels hospital is difficult. – the performance management and incentive mechanism should be further strengthened.

3.The GP system reform in future

In terms of organization and management : shanghai will improve the recruitment, training, management, training, etc. In terms of Service capability :Shanghai will strengthen the service coordination mechanisms between the GP and Higher level hospitals, In terms service incent : shanghai will promote the GP system linkage with Medicare payment reform \

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