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2013年4月,国家卫生计生委发布《关于开展乡村医生签约服务试点的指导意见》以来,各地纷纷以开展村医签约服务为抓手,全面推动农村卫生其他各项工作,切实转变乡村医生工作模式,促进农村医改任务的进一步落实。签约服务是农村卫生服务模式的一次重要变革,规范了乡村医生的服务行为,让基本公共卫生服务落到实处。一年多来,开展签约服务的地方,重点人群健康管理指标,如高血压、糖尿病患者的发现率、规范管理率、血压控制率和血糖控制率与签约服务前相比,都有了明显提高。签约服务除提供基础服务项目外,一些地方还
Since April 2013, the National Health and Family Planning Commission has issued the Guiding Opinions on Piloting Rural Doctors’ Signing Services. Since then, all localities and districts have taken the practice of signing contract services for village doctors one after another, and comprehensively promoted all other tasks in rural health so as to earnestly change the work of rural doctors Model to promote the further implementation of rural medical reform tasks. The signing service is an important reform of the rural health service mode, regulating the service behavior of rural doctors and implementing the basic public health services. In the past year or so, contracting services have been significantly improved in key population health management indicators such as hypertension, the detection rate of diabetes, standardized management rate, blood pressure control rate and blood glucose control rate . In addition to providing basic services contracted services, some places also