Research On The Performance Evaluation System Of Family Physicians From The Perspective Of Classified Diagnosis

With the increasing level of social standards,the people of the national health system requirements continue to increase.The existence of contradiction between supply and demand,medical resources,inequality,making it difficult to see a doctor,expensive medical problems still exist in our country.China since 2009 to implement the medical system reform,learn from foreign experience,to explore the appropriate national conditions of the medical system,and achieved remarkable results.Health care reform has been to the "deep water""crucial period",the State Council issued a top-level diagnosis and treatment of the top design in 2015,2016 to determine the pilot cities in 270 to carry outgraded diagnosis and treatment work,the state tried to hierarchical treatment system,,To family doctor contract service,medical union as the starting point,and gradually establish a new medical order,to achieve a major goal of health care reform.Family doctors in the classification of medical work is given high hopes,grassroots"get live",the people "willing to",the concept of hierarchical diagnosis and treatment can be achieved.The implementation of the family doctor performance appraisal system in line with the requirements of grading clinics is the requirement of the government to sign the work of family doctors at all levels.In this paper,combined with the national and regional family doctor contract service stage task and goal,in a large number of domestic and foreign family doctor performance appraisal related literature,government departments at all levels on the classification of medical treatment,family doctors signed on the basis of the relevant documents,Delphi expert consultation law,analytic hierarchy process,Xiamen community health service center as an example,to seek the city,District Health Bureau grading diagnosis and treatment,chronic disease management,grass-roots management,family doctor signed the relevant expert opinion,the community health service center Responsible person,family doctor groups to conduct a questionnaire survey,design a family doctor performance appraisal index system.The system includes three indicators,two indicators 10,three indicators of 53,try to proceed from the perspective of grading to achieve the national medical reform macro objectives,layers of decomposition of the classification of medical treatment of family doctor requirements,for the classification During the course of treatment,family doctors use the advantages of the priority of medical resources to participate in the assessment,return to "up and down linkage,two-way referral" grading diagnosis and treatment characteristics.