Core Viewpoint - The implementation of the National Basic Public Health Service Project in Jiangsu has significantly improved public health services over the past 15 years, transitioning from a disease-centered approach to a health-centered model, enhancing the overall health of residents [1][2]. Funding and Financial Support - By 2025, the per capita basic public health funding in Jiangsu has reached 108 yuan, exceeding the national standard, with a mechanism established for seasonal pre-allocation and year-end assessment to ensure precise fund allocation [3]. Service Quality Improvement - Jiangsu has expanded its basic public health services to include 12 categories, such as health records, health education, and chronic disease management, with over 90% of residents having electronic health records by 2024 [4][6]. - The management of chronic diseases has evolved to include multiple conditions, with services like hypertension and diabetes management being integrated into a comprehensive screening and prevention center [4][5]. Community Health Initiatives - Local health workers, such as village doctors, are actively involved in managing residents' health, conducting free health check-ups, and establishing personalized health records for chronic disease management [2][4]. - Innovative services like digital vaccination management and personalized exercise prescriptions are being introduced to enhance community health engagement [6][8]. Future Directions - Jiangsu plans to focus on deepening the integration of medical and preventive services, enhancing digital capabilities, and providing targeted services for specific populations, particularly the elderly and children, to meet the evolving health needs of residents [8].

Core Viewpoint - The recent measures issued by the National Health Commission and other departments emphasize enhancing the "perceived quality" of family doctor contract services as a key metric for evaluation [1] Group 1: Service Quality and Coverage - The quality of family doctor contract services in China has been improving, with an expanding coverage of the signed population and a continuous enrichment of service content [1] - The transition from merely signing contracts to providing tangible services is a new challenge for the family doctor system, aiming to transform "paper contracts" into "daily experiences" for residents [1] Group 2: Accessibility and Convenience - Improving the accessibility and convenience of contract services is fundamental to enhancing residents' perceived quality [2] - Localities are encouraged to implement "Internet+" contract services and explore family-based signing approaches, ensuring timely referrals and information sharing between hospitals and grassroots health institutions [2] Group 3: Focus on Key Populations - Emphasizing contract services for key populations is crucial for improving residents' perceived quality [2] - There is a need to expand the variety of medications available at grassroots health institutions and enhance medication delivery to meet the reasonable needs of signed residents [2] Group 4: Long-term Mechanism Establishment - Establishing a long-term mechanism for contract services is essential for improving residents' perceived quality [3] - The involvement of various medical institutions and their physicians in providing contract services is encouraged, along with a compensation mechanism for their participation [3] Group 5: Community Engagement and Health Management - Encouraging residents to actively participate in health management is necessary to alleviate supply-demand conflicts in family doctor services [3] - Initiatives such as electronic health records access and health behavior points systems are proposed to engage residents in health education and management [3] Group 6: Importance of Family Doctor System - The family doctor contract service is a vital component of the hierarchical medical system, and its sustainability relies on residents' recognition and satisfaction [4] - There is a call for localities to enhance the quality and warmth of family doctor services to increase residents' sense of gain and promote high-quality development [4]

Core Viewpoint - The recent measures issued by the National Health Commission and other departments emphasize enhancing the "perceived quality" of family doctor contract services as a key metric for evaluation [1] Group 1: Service Quality and Accessibility - The quality of family doctor contract services has improved over the years, with an expanding coverage of the signed population and a richer service content [1] - There is a shift from merely pursuing the quantity of contracts to focusing on the actual service experience of residents, addressing the issue of "signing without service" [1] - Improving the accessibility and convenience of contract services is fundamental to enhancing residents' perception [2] Group 2: Targeted Services for Key Populations - Emphasis on providing contract services for key populations, such as chronic disease patients, is crucial for improving residents' experience [2] - Family doctors are encouraged to offer long-term prescriptions for chronic disease patients and to monitor medication use effectively [2] - Personalized contracts for elderly individuals with disabilities or dementia are encouraged to increase service frequency and enrich service content [2] Group 3: Long-term Mechanisms and Participation - Establishing a long-term mechanism for contract services is essential, with a focus on involving various healthcare providers, including those from higher-level hospitals [3] - There is a need to implement a compensation mechanism for healthcare providers participating in contract services [3] - Encouraging residents to engage in health management and providing access to electronic health records can enhance their participation and self-management [3] Group 4: Importance of Family Doctor System - The family doctor contract service is a vital component of the hierarchical medical system, and its sustainability depends on residents' recognition and satisfaction [4] - The goal is to improve the quality and warmth of family doctor services, thereby enhancing the sense of gain among signed residents and promoting high-quality development of these services [4]

Core Viewpoint - The National Health Commission of China has announced measures to enhance the experience of family doctor contract services, emphasizing the importance of accessibility and community engagement in healthcare delivery [1] Group 1: Measures to Enhance Family Doctor Services - Improve the accessibility and convenience of contract services [1] - Establish a long-term mechanism for grassroots doctors to participate in contract services [1] - Regularly push health information to the public [1] - Implement effective appointment and referral services [1] - Promote community-based contract services [1] - Provide convenient medication services [1] - Optimize health management services [1] - Support personalized contract services [1] - Encourage signed residents to enhance health management [1] - Strengthen the promotion of family doctor contract services [1] Group 2: Expansion of Family Doctor Contract Services - The family doctor contract service is a crucial link between the health sector and the public [1] - The service has expanded in six key areas: from general to specialized services, from grassroots healthcare institutions to secondary and tertiary hospitals, from public to private healthcare institutions, from team contracts to individual doctor contracts, from fixed annual contracts to flexible contract periods, and from chronic disease management to the management of both chronic and infectious diseases [1] - These expansions have led to increased supply of family doctor contract services, enriched service content, and optimized service methods, yielding positive results [1]

Core Viewpoint - The article emphasizes the importance of healthcare workers in improving public health and highlights the government's commitment to enhancing medical services and supporting healthcare professionals [1][2]. Group 1: Government Initiatives - The government is focused on implementing the health and wellness policies outlined by Xi Jinping, aiming to improve the quality of healthcare services and promote the health of the population [1]. - There is a call for the development and strengthening of grassroots healthcare teams and the promotion of traditional Chinese medicine [2]. Group 2: Healthcare Workers' Role - Healthcare workers are recognized as guardians of public health, and there is a strong emphasis on upholding medical ethics and improving service quality [2]. - The article notes that the average life expectancy in China has increased to 79 years, attributing this improvement significantly to the contributions of healthcare professionals [1].

Core Points - The article discusses measures to enhance the service experience of family doctor contracts, emphasizing the importance of accessibility and quality of care for the public [1][3] Group 1: Improving Service Experience for All - Measures include increasing the accessibility and convenience of signing contracts by providing clear information about signing institutions and their services [4] - Establishing a long-term mechanism for doctors to participate in signing services, encouraging urban and county hospitals to provide services at the grassroots level [5] - Regularly pushing health information to contracted residents, ensuring at least 12 health information updates per year [6] Group 2: Focused Services for Key Populations - Providing convenient medication services by expanding the types of medications available at grassroots healthcare institutions and ensuring adequate supply [9] - Optimizing health management services for key populations, including increased service frequency for high-risk groups and personalized follow-up for elderly patients [11] - Supporting personalized signing services based on residents' health needs, allowing them to choose specific services from a defined package [12] Group 3: Strengthening Health Management and Promotion - Encouraging contracted residents to engage in health management by providing access to electronic health records and promoting health behavior incentives [13] - Enhancing the promotion of family doctor signing services through annual confirmation activities and themed campaigns to raise awareness [14]

Core Viewpoint - The article highlights the transformation of grassroots medical and health institutions in Chongqing, emphasizing the importance of delivering healthcare services directly to the community, thereby improving accessibility and patient engagement [1][2]. Group 1: Service Delivery Improvements - In Chongqing, family doctors are actively providing home visits for health check-ups, which has led to early detection of medical issues, such as abnormal uterine bleeding in patients [1]. - The establishment of a performance evaluation system based on service delivery has incentivized healthcare workers, allowing them to earn different points based on the quantity and quality of services provided [2]. Group 2: Community Engagement - There are nine family doctor service teams in Wuxia Town that engage with the community daily, fostering familiarity and trust between healthcare providers and residents [2]. - The implementation of additional value-added services, such as pediatric massage and postnatal rehabilitation, has been approved to meet the specific needs of the community [4]. Group 3: Performance Metrics - The average monthly performance income for healthcare workers who excel in family doctor services can increase by over 1,000 yuan, reflecting a system of performance-based compensation [4]. - The proportion of total medical consultations conducted by grassroots healthcare institutions in Chongqing is expected to rise from 52.5% in 2021 to approximately 56% this year [6].

Core Viewpoint - The Hainan Province has integrated over 60 hospitals into a family doctor appointment system, allowing signed residents to book appointments two weeks in advance through their family doctors, enhancing healthcare accessibility and management [1][2]. Group 1: Family Doctor System Implementation - As of May 19, 2023, more than 60 hospitals, including major provincial medical institutions, have connected their appointment systems to family doctors, enabling signed residents to schedule appointments in advance [1]. - The province has established 4,260 family doctor teams, achieving a total signing rate of 51.68% for the general population and 82.94% for key populations as of May 12, 2023 [1]. Group 2: Benefits for Signed Residents - Signed residents can access a free basic service package, which includes public health services, health management, and basic medical services tailored to specific groups such as children, pregnant women, and the elderly [2]. - Additional benefits include free health consultations, appointment scheduling, increased reimbursement rates for chronic disease treatments, personalized service packages, and options for long-term contracts with family doctors [2]. Group 3: Historical Context and System Development - The family doctor signing initiative began in 2013 in Lingshui Li Autonomous County, and in 2023, the province expanded the signing service framework and improved the information management system for better service delivery [3].