家庭医生签约服务推行多年，一个核心痛点始终存在——“签而不约”。居民签了约，却感受不到签约带来的实际好处。家签工作站的广泛设立，正在从根本上解决这一问题，让签约服务从“一张纸”变成了“看得见、摸得着”的实在服务。

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.

家签工作站的第一个作用，是 让签约从“被动”变“主动” 。过去，居民签约家庭医生往往是在基层医疗机构被动完成——看病时顺便签个字，签完就忘了。家签工作站走进社区、走进企业、走进养老机构后，签约变成了一件主动的事情。在湘潭，通过发布公开信、举办启动仪式、开展“五进”活动、组织“健康夜市”等措施，广泛传播签约政策与健康知识。居民在家门口就能了解签约政策、选择家庭医生、办理签约手续。工作站还提供“六个一”服务，明确每户一名健康联系人，协助开展健康管理。

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.

家签工作站的第二个作用，是 让履约从“看不见”变“可感知” 。签约只是开始，履约才是关键。家签工作站是履约的重要载体——在这里，家庭医生定期坐诊，为签约居民提供健康检测、随访服务、用药指导、健康教育等。家庭医生每年为签约居民推送不少于12次健康信息，做实预约转诊服务。在邹平，家庭医生签约服务以“责任化、全员化、精细化”为核心，院领导“分片包干”，全员协同发力。家签工作站让每一次履约都有了具体的时空坐标。

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.

家签工作站的第三个作用，是 让服务从“单点”变“体系” 。家签工作站不是孤立的，它是家庭医生签约服务体系中的一个节点。在湘潭，城市构建“3+1+X”团队模式，农村建立“县—乡—村”三级联动服务机制。家签工作站向上对接社区卫生服务中心和二级以上医院专家，向下服务辖区签约居民。通过家庭病床提供上门治疗，通过预约转诊提供绿色通道。家签工作站让签约居民真正拥有了分级诊疗的“入口”和连续健康管理的“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.

家签工作站的第四个作用，是 让“医防融合”有了落脚点。家庭医生签约服务的核心是“医防融合”——将医疗服务和公共卫生服务融为一体。家签工作站正是这一理念的实体化呈现。在这里，居民既可以获得健康体检、慢病随访等公共卫生服务，也可以获得常见病诊疗、用药指导等基本医疗服务。工作站还通过健康讲座、慢病筛查与随访等活动，扎实推进医防融合。这种“防治一体”的服务模式，让居民在一个地方就能解决大部分健康问题。

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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