Volume 21 Issue 4
Apr.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(4): 632-636
RAO Yashu, WANG Junzhou, YANG Yi, ZHONG Xia, TANG Chunyu, CHEN Rui, YANG Shaoqing, YU Hongmei, XU Jing. Utilization of community residents' family doctor contracted services based on social network analysis[J]. Chinese Journal of General Practice, 2023, 21(4): 632-636. doi: 10.16766/j.cnki.issn.1674-4152.002948
Citation: RAO Yashu, WANG Junzhou, YANG Yi, ZHONG Xia, TANG Chunyu, CHEN Rui, YANG Shaoqing, YU Hongmei, XU Jing. Utilization of community residents' family doctor contracted services based on social network analysis[J]. Chinese Journal of General Practice, 2023, 21(4): 632-636. doi: 10.16766/j.cnki.issn.1674-4152.002948
shu

Utilization of community residents' family doctor contracted services based on social network analysis

doi: 10.16766/j.cnki.issn.1674-4152.002948
  • 1.

    School of Management, Chengdu University of Traditional Chinese Medicine/Health Sichuan Research Institute, Chengdu, Sichuan 611137, China

Funds:

 SCYG2018-02

 SWFZ21-Z-03

  • Received Date: 2022-02-18
    Available Online: 2023-05-31
    Abstract
  •   Objective  To analyze the utilization status of community residents ' family doctor services and provide suggestions for optimizing family doctor services.  Methods  A questionnaire survey was conducted on 605 residents in the community health service centers in 6 main urban areas of Chengdu, and 590 valid questionnaires were collected. Logistic regression was used to analyze the factors affecting service utilization. UCINET 6.0 software was used to analyze centrality and density, and a visual structure diagram was drawn.  Results  Among the survey respondents, women accounted for 63.73%, the age was (51.14±19.81) years old, and 244 (41.36%) had signed up for family doctor services, 88.11% of which were free. The EQ-5D overall health score of the contracted residents was (80.49±11.97) points, and the contracted residents with one and two or more chronic diseases accounted for 43.00% and 27.50% respectively. The degree centrality of doctors and nurses were 0.988 and 0.943 respectively, providing more services. The degree centrality of health record management was 0.963, which was well utilized. Logistic regression showed that residents who had problems with their actions (OR=8.524, 95% CI: 2.089-34.788) and those who contracted and paid for family doctors (OR=2.877, 95% CI: 1.247-6.635) used the services of family doctors better. Residents with an income of 10 001 to 80 000 yuan had worse utilization than those with an income of 150 001 yuan and above.  Conclusion  Doctors and nurses play a prominent role, and the participation of traditional Chinese medicine personnel is insufficient. The utilization of health records management is good, and the utilization of two-way referrals is seriously insufficient. The utilization of family doctor services of community residents will be promoted by paying reasonable fees and focusing on residents with limited mobility.

     

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