The government collaboration and medical insurance to boost:"The Four medical linkage"under the protection of family doctor service / 中国卫生政策研究

ABSTRACT

The government coordinated governance is the necessary support and important direction of China's medical reform. During the development process of the family doctor system in Changning District of Shanghai, the coordinated governance of health, medical insurance, civil affairs, finance and other departments for the difficulties of the crowd, through"the four medical linkage"basic medical security health collaborative governance by the"basic medical insurance+basic medical services+government medical assistance+social or-ganization medical help"for the poor people, made the system realize the sustainable development of incentive compatibility. The ten years of reform and policy practice shows that to precisely determine the service population by the Health and Family planning Commission and Civil Affairs Bureau,the policy coordination to pay the fami-ly doctors contract service fee by health insurance and Finance Bureau, the medical resources integration support by community family doctor studio, Community health construction and sharing constitute the developing direc-tion of family doctor service model in China.