Volume 20 Issue 2
Feb.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 270-273
ZHANG Wei-qi, YUAN Hui-yun. Influencing factors of resident satisfaction with the family doctor system in Shanghai[J]. Chinese Journal of General Practice, 2022, 20(2): 270-273. doi: 10.16766/j.cnki.issn.1674-4152.002330
Citation: ZHANG Wei-qi, YUAN Hui-yun. Influencing factors of resident satisfaction with the family doctor system in Shanghai[J]. Chinese Journal of General Practice, 2022, 20(2): 270-273. doi: 10.16766/j.cnki.issn.1674-4152.002330
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Influencing factors of resident satisfaction with the family doctor system in Shanghai

doi: 10.16766/j.cnki.issn.1674-4152.002330
  • 1.

    School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China

Funds:

 2017-D-25

  • Received Date: 2021-03-08
    Available Online: 2022-03-04
    Abstract
  •   Objective  By understanding the status quo of residents' satisfaction with the family doctor system in Shanghai and comparing the differences between the residents who signed the contract and those who did not, this study explored the influencing factors of satisfaction with the family doctor system to provide countermeasures and suggestions for improving the family doctor system in Shanghai.  Methods  A total of 1 786 community residents from nine districts in Shanghai were investigated by convenience sampling method and self-designed questionnaire in February 2019. Descriptive analysis, Chi-square test and logistic regression analysis were used to analyse the status quo of residents' satisfaction with the implementation of the family doctor system in Shanghai and its influencing factors.  Results  The residents' overall satisfaction with the family doctor system in Shanghai was high, and the satisfaction indicators of the residents who signed the contract were generally higher than those who did not sign the contract (P < 0.05). The results of multiple factor regression showed that the satisfaction of residents was affected by four factors: monthly income of family, monthly medical expenses of family, district and county, and whether to sign a contract (P < 0.05). Among them, residents' income, medical expenses and whether to sign a contract were risk factors, which were negatively correlated with satisfaction (B value is - 0.248 to -0.500).  Conclusion  Regression results shows that the older the age, the lower the average monthly income of the family, and have signed the contract, the higher the satisfaction of the Shanghai family doctor system. "Whether to sign a contract" is an important influencing factor and improving the signing rate is conducive to the improvement of satisfaction. Learning from successful community experience and a new service model of "Internet plus health" can be created to enhance the residents' satisfaction.

     

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