Volume 20 Issue 3
Mar.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(3): 441-445
ZHU Chun, LI Dong-hua, ZHANG Xing-na, SHEN Ao, GU Hui-ying, ZHU Hui-rong. Strategy research on improving the quantity and quality of general practitioner contract based on general practitioner contract decision model[J]. Chinese Journal of General Practice, 2022, 20(3): 441-445. doi: 10.16766/j.cnki.issn.1674-4152.002373
Citation: ZHU Chun, LI Dong-hua, ZHANG Xing-na, SHEN Ao, GU Hui-ying, ZHU Hui-rong. Strategy research on improving the quantity and quality of general practitioner contract based on general practitioner contract decision model[J]. Chinese Journal of General Practice, 2022, 20(3): 441-445. doi: 10.16766/j.cnki.issn.1674-4152.002373
shu

Strategy research on improving the quantity and quality of general practitioner contract based on general practitioner contract decision model

doi: 10.16766/j.cnki.issn.1674-4152.002373
  • 1.

    Tangqiao Community Health Service Center in Pudong New Area of Shanghai, Shanghai 200127, China

Funds:

 PWRsd2019-2

  • Received Date: 2021-03-11
    Available Online: 2022-08-13
    Abstract
  •   Objective  Study the strategies to improve the service level of general practitioners (GPs) which can provide theoretical basis for solving questions like "What is the key problems in improving family doctor contract service? What can be done?"  Methods  From May 4 to May 25, 2018, on the basis of convenience sampling, 25 community health service centres were involved. A questionnaire survey was performed on GPs who participated in contracted services and were willing to join the study. The main contents of the survey included demographic and sociological characteristics, ability to work, characteristics of contracted residents, practical environment and contract status. Data analysis was performed in SPSS 24.0 and AMOS 24.0.  Results  In the correlation analysis, the correlation coefficients of work ability, characteristics of contracted resident 1, characteristics of contracted resident 2, practice environment and contracted object's fit were 0.456, 0.376, 0.505 and 0.430, respectively, and they were statistically significant (all P < 0.01). In the structural equation, the characteristic of contracted resident 1 had direct and indirect effects on the contracted object's fit. The effect values were 0.479 and 0.218, respectively, and the total effect value was 0.697. Contracted resident 2 had no effect on the contracted object's fit. Work ability had direct impact on the contracted object's fit, with an effect value of 0.359. The practice environment had no effect on the fit of the contracted object.  Conclusion  To increase the signature rate, the GPs' clinical ability and ability to use electronic medical information should be cultivated. At the same time, it is necessary to spread propaganda of the family doctor contract service amongst residents and bring performance appraisal and incentive mechanism to completion.

     

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