This city will increase efforts to solve the practical difficulties encountered in the implementation of the long prescription policy, and better meet the medication needs of chronic disease patients. Yesterday, the Municipal Medical Insurance Bureau and three other departments jointly issued several measures to effectively promote the implementation of policies for treating chronic diseases in outpatient clinics, clarifying the scope of chronic disease types suitable for issuing long-term prescriptions. For drugs that chronic disease patients need but have not yet been equipped with, community health service institutions should register the drugs and timely purchase and distribute them. At the same time, encourage community visits. For insured individuals seeking medical treatment and medication at community health service institutions, research will be conducted to adjust some of the medication reimbursement policies and cancel the 10% personal burden ratio. It is understood that promoting the consistency of medication regulations for chronic diseases between large hospitals and community hospitals refers to doctors who meet the conditions issuing a prescription with an appropriate increase in dosage to eligible chronic disease patients according to regulations, and the dosage generally does not exceed 3 months. Long term prescriptions are generally suitable for chronic disease patients who have a clear clinical diagnosis, stable medication regimen, good compliance, stable disease control, and require long-term medication treatment. Among several measures, the Municipal Medical Insurance Bureau and other departments have taken multiple measures to solve the practical difficulties in implementing the outpatient long prescription policy and better meet the long-term medication needs of chronic disease patients. In terms of strengthening drug allocation management, the range of chronic disease types suitable for issuing long-term prescriptions will be determined, and medical institutions will scientifically plan drug inventory based on the specifications of commonly used chronic disease drugs. For drugs that chronic disease patients require but have not yet been equipped with, community health service institutions should register the drugs and timely purchase and deliver them in place. Simultaneously adjust drug packaging specifications to meet clinical needs. In response to the issue of some drug packaging specifications not meeting clinical needs and affecting the issuance of long prescriptions, we encourage holders of drug marketing licenses in this city to change the packaging specifications of chronic disease drugs to multiples of 7-day dosage. In terms of improving diagnosis and treatment services and reimbursement policies, several measures point out that promoting the consistency of the supply of drugs for chronic diseases between tertiary medical institutions and community health service institutions, and combining the personalized drug demand of residents, effectively meet the drug use for hypertension and diabetes. Strengthen the connection of medication for chronic disease patients within the medical alliance, and provide prescription continuation services while ensuring medication safety. At the same time, research and adjust reimbursement policies to encourage community visits. For insured individuals seeking medical treatment and medication at community health service institutions, research will be conducted to adjust some of the medication reimbursement policies and cancel the 10% personal burden ratio. The restrictions on first diagnosis and referral for two groups of people have been conditionally lifted. In terms of optimizing home doctor signing services, several measures have been clearly defined to lift the restrictions on first diagnosis and referral and promote home doctor signing. Elderly people who participate in the basic medical insurance for urban and rural residents and residents of working age who sign service agreements with family doctors in this city will have their first consultation and referral restrictions lifted. They can directly seek medical treatment at their selected designated medical institutions and outpatient clinics of traditional Chinese medicine, specialty, and Class A designated medical institutions, and the resulting outpatient medical expenses will be paid by the resident medical insurance fund; For those who have not signed a service agreement with family doctors in this city, the original policy of first visit referral will still be implemented. Encourage the provision of "one-stop" delivery services for insured individuals. For chronic disease patients, mainly elderly patients, who may have difficulty moving, several measures emphasize accelerating the promotion of medical equipment