Progress and prospects of the pilot program of family doctor contract and service in Shanghai

ObjectiveBy reviewing the service history of Shanghai family doctor, by analyzing the current progress and existing problems, to put forward the suggestions and ideas for the next step.

MethodsAccording to Shanghai Community Health Services Comprehensive Reform Management APP, the data on all community health service center pilot progress of the relevant collected, aggregated and analysed, and the focus group was interviewed through expert advising method.

ResultsAll community health service centers in Shanghai have launched the "1+1+1" contract and service pilot program, with the number of residents with "1+1+1" signing more than 3.35 million, of which 65.80% of the elderly people over the age of 60 have signed up; contracted residents clinics visited 74.69% in the "1+1+1" contracted medical institutions, nearly 70% visited community health service centers, and reached 53.84% in contracted community clinics.

ConclusionThe pilot project is progressing well but there are still some problems such as the pilot progress, the frequency of visits, the enthusiasm of contracting services of family doctors and the single mode of supply of subscription services.The measures taken need to be based on the pilot promotion, the implementation of service initiatives, the consolidation of operational mechanisms and the use of information technology need to be further improved.