Implementation and effectiveness of "Three-in-One" family doctor contract service model in Xiamen / 中华全科医师杂志

ABSTRACT

A "Three-in-One" model of family doctor contract service was proposed in July 2014 and then implemented in Xiamen.In this model the health service was provided to contracted residents by a team consisted of specialists from tertiary hospitals , general practitioners and health manager in community health service centers.After the implementation of the model , the proportion of visiting in primary care institutions among the residents surpassed that in hospital visiting ,appearing a inflection point .The satisfaction of the residents increased significantly , meanwhile the income of primary care medical staff increased substantially and the position of primary care seemed to be more attractive .The "Three-in-One" service model of Xiamen may provide valuable experiences for implementation of family doctor contract service and hierarchichal medical service system in other areas of China .