家庭医生签约健康管理服务系统要注意哪些内容？

The information construction of graded diagnosis and treatment should fully consider the needs of diagnosis, treatment and rehabilitation such as patient appointment, treatment, up transfer and down transfer, and design a seamless information module. For example, the signing module is the premise and foundation of general practice signing and graded diagnosis and treatment, including signing, renewal, termination (suspension), change, referral and other operations. The appointment module has two meanings. One is the appointment between the signing object and the signing doctor, which is called the first appointment; Second, the contracted doctor or contracted institution makes an appointment for diagnosis and treatment in the superior medical institution instead of the patient, which is called referral appointment. The referral module includes up referral (outpatient referral, emergency referral, examination referral, inpatient referral), down referral, rehabilitation referral and discharge referral.

通过分级诊疗信息化系统的模块设计，将区域内的医疗资源统筹管理起来，便于资源的集中发布、分配、调剂。在此区域范围内的各级医疗卫生机构可以实时查询、申请各类资源，管理和安排签约对象的就医行为，在各级医疗卫生机构间形成一个疾病诊疗的闭环，提高疾病诊疗的精准度。

Through the module design of hierarchical diagnosis and treatment information system, the medical resources in the region are managed as a whole, which is convenient for the centralized release, distribution and adjustment of resources. Medical and health institutions at all levels in this region can query and apply for various resources in real time, manage and arrange the medical treatment behavior of the contracted objects, form a closed loop of disease diagnosis and treatment among medical and health institutions at all levels, and improve the accuracy of disease diagnosis and treatment.

信息化系统也是一个与公众互动的平台。以网站、移动客户端（APP）形式面向居民提供就诊、用药、检验检查报告、健康档案等信息的查询；提供分时段预约挂号服务，签约居民可以与全科医生互动沟通，并提供健康教育、调查问卷等服务；居民可实时查阅个人首诊预约和转诊预约情况，网上变更、取消预约信息。

Information system is also a platform for interaction with the public. Provide residents with queries on medical treatment, medication, inspection reports, health files and other information in the form of website and mobile client (APP); Provide appointment and registration services at different times, and the contracted residents can interact with the general practitioner, and provide health education, questionnaire and other services; Residents can check the personal first visit appointment and referral appointment in real time, and change and cancel the appointment information online.

充分利用已有的综合管理平台，避免重复建设；要充分考虑分级诊疗工作考核指标的设计，根据考核指标明确需要收集的量化数据。浙江省省级层面设计的指导性考核指标有签约率、签约知晓率、签约医生知晓率、签约医生就诊率、预约门诊率、预约到诊率、预约转诊率等，各地再根据阶段性工作重点，有选择性地设置考核指标。

Make full use of the existing comprehensive management platform to avoid repeated construction; We should fully consider the design of assessment indicators for graded diagnosis and treatment, and clarify the quantitative data to be collected according to the assessment indicators. The guiding assessment indicators designed at the provincial level of Zhejiang province include signing rate, signing awareness rate, signing doctor awareness rate, signing doctor treatment rate, appointment outpatient rate, appointment arrival rate, appointment referral rate, etc. all localities will set assessment indicators selectively according to the phased work priorities.

有了这些指标，医疗卫生机构内部可以对签约、首诊、转诊进行分析监管，卫生行政部门也可以对下属医疗卫生机构进行有效监督管理，并为机构、科室和个人的绩效考核提供科学、翔实、连续的电子数据。构建F-B-D（家庭-机构-医生） 三者连通的诊疗医疗服务平台

With these indicators, the medical and health institutions can analyze and supervise the signing, first diagnosis and referral, and the health administrative department can also effectively supervise and manage the subordinate medical and health institutions, and provide scientific, detailed and continuous electronic data for the performance evaluation of institutions, departments and individuals. Build a diagnosis, treatment and medical service platform connected by f-b-d (family, institution and doctor)