Volume 19 Issue 1
Jan.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(1): 80-82, 166
FAN Yang-dong, JIANG Lei, LIU Wei, WU Ding-juan. Status of family doctor contract signing in Guangzhou and its influencing factors[J]. Chinese Journal of General Practice, 2021, 19(1): 80-82, 166. doi: 10.16766/j.cnki.issn.1674-4152.001736
Citation: FAN Yang-dong, JIANG Lei, LIU Wei, WU Ding-juan. Status of family doctor contract signing in Guangzhou and its influencing factors[J]. Chinese Journal of General Practice, 2021, 19(1): 80-82, 166. doi: 10.16766/j.cnki.issn.1674-4152.001736
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Status of family doctor contract signing in Guangzhou and its influencing factors

doi: 10.16766/j.cnki.issn.1674-4152.001736

  • School of Health Management, Guangzhou Medical University, Guangzhou, Guangdong 511436, China

Funds:

 17ZDA080

 2020A031004

  • Received Date: 2020-06-21
    Available Online: 2022-02-19
    Abstract
  •   Objective  To investigate the knowledge and signing status of family doctor signing service in Guangzhou and to explore its influencing factors, so as to provide basis for the improvement of the awareness and signing rates.  Methods  A simple random sampling method was used to select 16 subjects from 142 community health service centres in Guangzhou. Paper questionnaires were distributed to randomly intercept residents near to community health service centres from November to December 2019, and 600 valid questionnaires were collected.  Results  Amongst the 600 respondents, 224 males (37.3%) and 376 females (62.7%) were identified. Sixty-nine (11.5%) of the respondents were aged between 18 and 30; 147 (24.5%) were aged between 31 and 40; 119 (19.8%) were aged between 41 and 50; 104 (17.3%) were aged between 51 and 60; 161 (26.9%) were aged over 60. 223 (37.2%) with chronic diseases and 377 (62.8%) without chronic diseases; 508 (84.7%) were aware of the contracted services of family doctors, and 92 (15.3%) were unaware of the contracted services of family doctors. A total of 354 cases (59.0%) signed the family doctor service agreement, and 246 cases (41.0%) did not. The signing rate of residents who were aware of the family contract doctor service was 69.7%. Chi-square test showed that residents of different genders, educational background and occupation had statistically significant differences in the awareness rate of family doctor signing (all P < 0.05), and residents of different educational background and occupation had statistically significant differences in family doctor signing (all P < 0.05). Logistic regression analysis showed that family doctors with higher education, chronic diseases, professional technicians and administrative staff were more likely to sign up.  Objective  Conclusion Resident awareness through ascension could increase the rate of family doctors signing by 10.7%, for men with lower education, general workers, enterprise employees and unemployed on cognitive education. Furthermore, we should focus on the signing of low education levels and unemployed to promote the family doctor signing.

     

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