Proposed by the Third Plenary Session of the 18th CPC Central Committee，Establish a contractual service relationship between community doctors and residents。This is to build a hierarchical diagnosis and treatment system，Achieve orderly medical treatment，Thus alleviating the problem of "expensive medical treatment、Basic engineering for the problem of "difficulty in seeing a doctor"，It is also a basic project to cope with the aging of the population and changes in the disease spectrum，It is also the basic project of building a healthy China，Important strategic significance。"Is the "family doctor" here?"？: Research on the contractual service relationship between rural community doctors and residents" (written by Zhang Kuili)，China Social Sciences Press November 2020 edition)，Conceived a bet365 best casino games guardian system。

　　bet365 best casino games guardians protect bet365 best casino games from the source

bet365 best casino games guardian is different from bet365 best casino games gatekeeper。bet365 best casino games gatekeeper is a concept from the perspective of hierarchical diagnosis and treatment，Associated with primary diagnosis and two-way referral，Is the basis for matching doctors and patients。Specifically，It focuses on guarding the gate and guiding the way，Is the patient’s first contact when entering the medical maze，Preliminary diagnosis of the patient，Decide whether the patient should be treated at the primary level or referred to a higher-level medical institution。bet365 best casino games Guardian is a concept from the perspective of Healthy China，Existing diagnosis and treatment function as a bet365 best casino games gatekeeper，It also has the function of bet365 best casino games management；Existing disease prevention functions，It also has the function of bet365 best casino games education and popularizing healthy lifestyle。This concept attempts to span the narrow medical field and public bet365 best casino games field，Has a strong sociological flavor。

The concept of bet365 best casino games governance runs throughout the book。The first is source control。The bet365 best casino games guardian system embodies the concept of "treating diseases before they occur"，Emphasis on protecting bet365 best casino games from the source。Take rural communities as an example，Including rural settlement environment management、Garbage Management、Domestic sewage treatment、Air pollution control、Control of above ground and underground water sources、Soil pollution control、Food and drug safety management、Public safety governance, etc.，Also includes toilet revolution、Traffic Safety、Construction of sports facilities、Healthy eating、Smoking smoking, limiting alcohol, etc.。

The second is comprehensive management。Many of the above factors affect residents’ bet365 best casino games in different ways，Relevant departments need to cooperate with each other、Coordinated efforts、Comprehensive Management。This goes beyond medical care、The “three medical linkages” between medical insurance and medicine，Involving public bet365 best casino games、Environmental protection、Transportation、Public Security、Sports、Education and other departments，It is a grand system project。How to avoid buck-passing between departments、Offside position，It is a difficult task。

It’s community governance again。“Thousands of lines above，A needle below”。Comprehensive management of many departments will eventually be implemented in the community，Need community grassroots organizations、Community Social Organization、Joint participation of community residents。The goal of building a healthy China is to build healthy communities。Implement bet365 best casino games governance in grassroots communities，Start from the community，Combining top-down and bottom-up，It is an idea worth exploring in building a healthy China。

　New contractual bet365 best casino games to build a harmonious doctor-patient bet365 best casino games

In the book, the author comprehensively sorts out the contractual relationship between family doctors and bet365 best casino games residents in typical countries，A profound analysis of the practice of contractual service relationships between bet365 best casino games doctors and residents in pilot areas in China，Revealing the root causes behind “low contract signing rate” and “signing but not signing”。Based on comparative analysis，Trying to propose a solution to the China problem、New contractual relationship with Chinese characteristics。

The reason why it is called a new type of contractual relationship，The first manifestation is de-administration，Voluntary participation by bet365 best casino games residents，bet365 best casino games doctors and bet365 best casino games residents participate together、Two-way interaction。Residents are no longer passive recipients in the contractual service relationship，But be proactive and participatory，Express wishes and appeals through “voting with hands” in the process of system construction，Express their freedom of choice by "voting with their feet" in the process of institutional practice。Secondly，This kind of de-administration does not mean that the government just abandons its hands，But with new ideas、Re-regulation in new ways，Truely reflects the relationship between referees and athletes。bet365 best casino games doctors and bet365 best casino games residents are the contracting parties，Is an athlete，The government is the referee。The new supervision method is no longer an administrative order，It is based on the concept of social governance，Also playing the leading role of the government，There are also social organizations、Joint participation of bet365 best casino games doctors and bet365 best casino games residents。Again，Under the new contractual relationship，The signing behavior of bet365 best casino games residents has changed from the original "ask me to sign" to "I want to sign"，Thus solving the problem of low contract signing rate。Once this transformation is achieved，The signing will no longer be a mere formality，But a real signing。This new type of contractual relationship，Involving prevention、Diagnosis, treatment and rehabilitation and other aspects，Involving the whole life cycle from birth to death，This constitutes a long-term relationship and repeated games between doctors and patients，In order to curb the moral hazard of medical providers、Building a harmonious doctor-patient relationship brings hope。

　　The theoretical validity needs to be tested in practice

The complexity of China’s rural social environment，Decided that the implementation of the bet365 best casino games guardian system will face many obstacles。The shortage of rural doctors and the single structure，The design of the system model that may lead to "voting with your feet" is difficult to effectively implement；Participation awareness and ability of rural community residents，Behaviors that may restrict their signing behavior and participation in bet365 best casino games governance；Insufficient community consultation governance practice and experience，It may limit the application value of the community bet365 best casino games deliberative governance theory constructed by the author，The effectiveness needs to be further tested in practice。

Even so，This book is still valuable for its innovative exploration of the “family doctor” system model。The author adopts a research paradigm that combines "top-down" and "bottom-up"，To ensure the match between system design and residents’ wishes。The author is based on the huge difference between Western theory and Chinese community governance practice，Introducing community consultation governance theory，It not only enriches the theory of primary bet365 best casino games care，It also enriches community governance theory。

The whole book describes in detail the key steps and support system for building the "bet365 best casino games Guardian" institutional model。The former mainly includes establishing a contract service team、Register and sign contract、Scope and method of contract service provision、Contract service payment and expiry selection, etc.；The latter includes the construction of a diversified rural grassroots bet365 best casino games service talent team、A mixed payment system based on "payment per capita"、Patient-centered vertical collaboration mechanism for bet365 best casino games services、Community bet365 best casino games participation mechanism based on community empowerment。These are important for promoting the implementation of the "Healthy China" action、Promote the transformation from disease treatment to people's bet365 best casino games，Both have important reference value。

　(Author’s affiliation: School of bet365 best casino games Administration, Zhongnan University of Economics and Law)