Volume 19 Issue 9
Sep.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(9): 1522-1525
Hui JI. Healthcare-seeking behaviours and their influencing factors among community residents under the context of '1+1+1' type of contracted family doctor service[J]. Chinese Journal of General Practice, 2021, 19(9): 1522-1525. doi: 10.16766/j.cnki.issn.1674-4152.002102
Citation: Hui JI. Healthcare-seeking behaviours and their influencing factors among community residents under the context of "1+1+1" type of contracted family doctor service[J]. Chinese Journal of General Practice, 2021, 19(9): 1522-1525. doi: 10.16766/j.cnki.issn.1674-4152.002102
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Healthcare-seeking behaviours and their influencing factors among community residents under the context of "1+1+1" type of contracted family doctor service

doi: 10.16766/j.cnki.issn.1674-4152.002102

  • Huaihai Zhonglu Community Health Service Centre, Huangpu District, Shanghai 200025, China

Funds:

 HKM201732

  • Received Date: 2020-04-15
    Available Online: 2022-02-15
    Abstract
  •   Objective  To analyse the characteristics and of healthcare-seeking times in community and their influencing factors among community residents under the context of "1+1+1" type of contracted family doctor service and so as to provide a basis for further improving the work of contracting family doctors services.  Methods  Random sample surveys were conducted among the outpatients in Huaihai Zhonglu Community Health Service Centre in Huangpu District, Shanghai, in 2018 from June 2019 to November in 2019. The sociological information, health status and data on the medical behaviour of these patients were collected. Data were analysed using SPSS 24.0. P values was under 0.05, results were considered statistically significant.  Results  The median number of community visits for 1 204 residents was 3 (1, 11), and the number of visits per patients was 10.4. Single factor analysis revealed that people with different signing statuses, signing durations, age, occupations, retirement statuses, education levels, marital status, monthly disposable income, diseases (such as hypertension, hyperlipidaemia, diabetes, stroke, heart disease, digestive tract diseases etc.), requiring long-term medication or not and requiring prescription or basic diagnosis and treatment or not, showed statistically significant difference in terms of the number of community visits (all P < 0.05). Multifactor analysis results showed that signing statuses, signing durations, age, gastrointestinal diseases and dispensing medicines were independent influencing factors for the number of community visits (all P < 0.05). Signing a (long-term) contract, seniority and the need for dispensing medicines were the factors that induce residents to visit the community; by contrast, gastrointestinal diseases were the factors that hinder residents to visit the community.  Conclusion  The "1+1+1" type of contracted family doctor services is helpful in promoting visits to community health service centres. Given that this type of service attracts residents to communities, community health service centres should improve the clinical skills of their health care providers to meet the diverse health management needs of residents.

     

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