Family doctors, primary practitioners, barefoot doctors, they are all the same that refer to doctors practicing in communities. Different from GPs in western countries, they are full time employed by local government, none of them practices individually, while patients are able to paid 100% by social insurance directly in any hospitals without these doctors' referring.
Here we call them community doctors, who only register mainly in none-surgery, surgery, or Chinese Medicine. These community physicians handle any symptoms, diagnose and prescribe for the visitors, even sometimes they give free consultancy. But doctors in the community have to face dilemmas, they must treat general health problems, but they can only serve in specific registration. So a surgeon prescribe for pediatrics' patient is going to lose in any suit cases according to Law of the People's Republic of China on Medical Practitioners.
As health authorities have design the assertive healthcare systems, compulsory and routine services are increasingly accumulated to community health care. Now China already launched its family doctor project, hoping it step forward at the crossroads.
Chen Hwa, a surgeon in Zhoujiaqiao Community Health Service Centre, is that kind of family doctor in Shanghai city. Routine family visits, health course for citizens and answering health enquiry hotlines are doctor Chen's daily common work. "We have sign up health contracts with approximately 200 families up to now," Chen said in a speech yesterday, "but the plan was 2000 contacts for every family doctor in 2008."
"The patients choose family doctor for lower fees." an unnamed offical says, "But wealthy citizens keep visiting hospitals for simple physical problem, and many patients prefer doctors in big hospital to those in community clinics."
Zhoujiaqiao Community Health Service Centre is quite big as the hospital in west China, such as the Yingxiu Hospital.
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