Volume 19 Issue 3
Mar.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(3): 436-440
JI Hui. Study on the influencing factors of '1+1+1' type of contracted family doctor services[J]. Chinese Journal of General Practice, 2021, 19(3): 436-440. doi: 10.16766/j.cnki.issn.1674-4152.001830
Citation: JI Hui. Study on the influencing factors of "1+1+1" type of contracted family doctor services[J]. Chinese Journal of General Practice, 2021, 19(3): 436-440. doi: 10.16766/j.cnki.issn.1674-4152.001830
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Study on the influencing factors of "1+1+1" type of contracted family doctor services

doi: 10.16766/j.cnki.issn.1674-4152.001830

  • Huaihai Middle Road Community Health Service Center, Huangpu District, Shanghai 200025, China

Funds:

 HKM201732

  • Received Date: 2020-04-15
    Available Online: 2022-02-19
    Abstract
  •   Objective  To explore the influencing factors of "1+1+1" type of contracted family doctor services, to understand the obstacles in the process of policy promotion, and to put forward the targeted suggestions and measures for improvement.  Methods  The random number table method was used to sample residents in the outpatient clinics of Huaihai Middle Road Health Service Center in Huangpu District, Shanghai in 2018 according to signed and unsigned contracts. A total of 1 204 valid samples were obtained, which include 602 residents contracting family doctor and 602 residents without contracting family doctor. Their demographic sociology information, health status, medical treatment status, family doctor contract awareness status were collected through questionnaire survey. Data analysis was performed in SPSS 24.0.  Results  The results of single factor analysis showed that residents with different situation showed statistically significant differences in family doctors' contracting status (all P < 0.05), such as occupation, whether to retire, education level, marital status, hyperlipidemia, stroke, heart disease, kidney disease, osteoporosis, other diseases, the need for long-term medication, dispensing needs, rehabilitation care needs, other care needs and knowledge of family doctor contract. There was a statistically significant difference in the age and years of education between contracted and unsigned residents (all P < 0.05). Multi-factor analysis results showed that occupation, retirement or not, education, marital status, hyperlipidemia, osteoporosis, needs for long-term medication, knowledge of family doctor contract were the independent factors affecting signing rate with family doctors (all P < 0.05). "No demand" was the main reason why residents did not consider signing contracts.  Conclusion  To promote the implementation of "1+1+1" medical institution combination contracting policy and establish a long-term and stable contracting relationship are necessary to further strengthen the propaganda of the policy, and provide health services based on the needs of community resident.

     

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