家庭醫生簽約服務推行多年，一個核心痛點始終存在——“簽而不約”。居民簽了約，卻感受不到簽約帶來的實際好處。家簽工作站的廣泛設立，正在從根本上解決這一問題，讓簽約服務從“一張紙”變成了“看得見、摸得著”的實在服務。

The family doctor contract service has been implemented for many years, but a core pain point has always existed - "signing but not signing". The residents signed the contract but did not feel the actual benefits it brought. The widespread establishment of home signing workstations is fundamentally solving this problem, transforming the signing service from a "piece of paper" to a tangible and visible service.

家簽工作站的第一個作用，是 讓簽約從“被動”變“主動” 。過去，居民簽約家庭醫生往往是在基層醫療機構被動完成——看病時順便簽個字，簽完就忘了。家簽工作站走進社區、走進企業、走進養老機構后，簽約變成了一件主動的事情。在湘潭，通過發布公開信、舉辦啟動儀式、開展“五進”活動、組織“健康夜市”等措施，廣泛傳播簽約政策與健康知識。居民在家門口就能了解簽約政策、選擇家庭醫生、辦理簽約手續。工作站還提供“六個一”服務，明確每戶一名健康聯系人，協助開展健康管理。

The first function of the home signing workstation is to transform signing from "passive" to "active". In the past, residents often signed up with family doctors passively in primary healthcare institutions - signing their name while seeking medical treatment, but forgetting it after signing. After entering communities, enterprises, and elderly care institutions, the signing of contracts has become an active task for home signing workstations. In Xiangtan, the signing policies and health knowledge are widely disseminated through measures such as issuing open letters, holding launch ceremonies, carrying out "Five Entries" activities, and organizing "Healthy Night Markets". Residents can learn about signing policies, choose family doctors, and complete signing procedures right at their doorstep. The workstation also provides the "Six Ones" service, specifying one health contact person per household to assist in health management.

家簽工作站的第二個作用，是 讓履約從“看不見”變“可感知” 。簽約只是開始，履約才是關鍵。家簽工作站是履約的重要載體——在這里，家庭醫生定期坐診，為簽約居民提供健康檢測、隨訪服務、用藥指導、健康教育等。家庭醫生每年為簽約居民推送不少于12次健康信息，做實預約轉診服務。在鄒平，家庭醫生簽約服務以“責任化、全員化、精細化”為核心，院領導“分片包干”，全員協同發力。家簽工作站讓每一次履約都有了具體的時空坐標。

The second function of the home signature workstation is to transform performance from "invisible" to "perceptible". Signing a contract is just the beginning, performance is the key. The home visa workstation is an important carrier for fulfilling the contract - here, family doctors regularly visit and provide health testing, follow-up services, medication guidance, health education, etc. for contracted residents. Family doctors provide health information to contracted residents no less than 12 times a year and provide reliable appointment referral services. In Zouping, the family doctor contract service is centered on "responsibility, full staff, and refinement", and hospital leaders "divide and contract", with all staff working together. The home signature workstation provides specific temporal and spatial coordinates for every performance.

家簽工作站的第三個作用，是 讓服務從“單點”變“體系” 。家簽工作站不是孤立的，它是家庭醫生簽約服務體系中的一個節點。在湘潭，城市構建“3+1+X”團隊模式，農村建立“縣—鄉—村”三級聯動服務機制。家簽工作站向上對接社區衛生服務中心和二級以上醫院專家，向下服務轄區簽約居民。通過家庭病床提供上門治療，通過預約轉診提供綠色通道。家簽工作站讓簽約居民真正擁有了分級診療的“入口”和連續健康管理的“管家”。

The third function of the home visa workstation is to transform the service from a "single point" to a "system". The home signing workstation is not isolated, it is a node in the family doctor signing service system. In Xiangtan, the city has established a "3+1+X" team model, and rural areas have established a three-level linkage service mechanism of "county township village". The home visa workstation connects with community health service centers and experts from second level and above hospitals upwards, and serves contracted residents in the jurisdiction downwards. Providing home treatment through family beds and offering a green channel through appointment referrals. The home visa workstation provides contracted residents with a true "gateway" for graded diagnosis and treatment and a "steward" for continuous health management.

家簽工作站的第四個作用，是 讓“醫防融合”有了落腳點。家庭醫生簽約服務的核心是“醫防融合”——將醫療服務和公共衛生服務融為一體。家簽工作站正是這一理念的實體化呈現。在這里，居民既可以獲得健康體檢、慢病隨訪等公共衛生服務，也可以獲得常見病診療、用藥指導等基本醫療服務。工作站還通過健康講座、慢病篩查與隨訪等活動，扎實推進醫防融合。這種“防治一體”的服務模式，讓居民在一個地方就能解決大部分健康問題。

The fourth function of the home visa workstation is to provide a foothold for the integration of medical and prevention. The core of family doctor contract services is "medical prevention integration" - integrating medical services and public health services. The home signature workstation is the tangible manifestation of this concept. Here, residents can access public health services such as health check ups and chronic disease follow-up, as well as basic medical services such as diagnosis and treatment of common diseases and medication guidance. The workstation also solidly promotes the integration of medical and prevention through activities such as health lectures, chronic disease screening, and follow-up. This "integrated prevention and control" service model allows residents to solve most of their health problems in one place.

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