Objective To investigate the cognitive status of medical staff about family doctor signing service and suggestions for the construction of basic health system in order to provide suggestions for further promotion of the family doctor service.
Methods A total of 492 medical staff were asked to fill in the questionnaire survey.
Results ①The majority staff were between 30 and 50 years old (321, 64.46%), in possession of bachelor's degree (233, 47.35%), with intermediate professional title (196, 39.84%), majoring in general practitioner (244, 49.00%), and from community service centers and township hospitals (200, 40.16%). ②A total of 156 staff (31.33%) were involved in the family doctor service, and 218 staff (43.78%) were willing to participate in the family doctor signing service. The reasons of reluctance mainly included:106 staff (21.29%) thought that residents didn't recognize it, 96 staff (19.28%) thought that national policy could not motivate staff enthusiasm. According to 215 staff (43.17%), the signed service objects were patients with chronic diseases. And 432 staff (86.75%) and 404 staff (81.12%) believed that the main content of family doctor signing service was the diagnosis and treatment of common diseases and the management of chronic disease respectively. The main problem in the promotion of family doctor signing service was the improvement of medical performance of basic general practitioners (453, 90.96%). Problem that required government focus was that the quality and quantity of family doctor signing service should be commensurated with the doctor's income (455, 91.37%). ③ Besides, 289 staff (58.03%) thought they knew the family doctor signing service. Medical staff thought the problems of the basic health system were the poor medical skills of the community doctors (453, 90.96%) and the residents' distrust of the community doctors (402, 80.72%). ④ Suggestions for improvement of the basic health system were to strengthen the hospitals' support and training for the basic health system and to improve the treatment of the basic medical staff.
Conclusion The government should continue to strengthen the policy support, the comprehensive hospitals' support for basic medical institutions and the construction of basic health system in order to improve the ability of general practitioner services and ensure that the family doctor signing service goes smoothly.
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