Volume 23 Issue 3
Mar.  2025
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(3): 443-447
CAI Chengjun, XU Xin, SHAO Jie, ZHOU Lulu, ZHANG Shengbing, HUANG Jiaoling, SHI Jianwei, HUANG Qian. The impact of family doctor contracting on the utilization of community health services for functional building population[J]. Chinese Journal of General Practice, 2025, 23(3): 443-447. doi: 10.16766/j.cnki.issn.1674-4152.003923
Citation: CAI Chengjun, XU Xin, SHAO Jie, ZHOU Lulu, ZHANG Shengbing, HUANG Jiaoling, SHI Jianwei, HUANG Qian. The impact of family doctor contracting on the utilization of community health services for functional building population[J]. Chinese Journal of General Practice, 2025, 23(3): 443-447. doi: 10.16766/j.cnki.issn.1674-4152.003923
shu

The impact of family doctor contracting on the utilization of community health services for functional building population

doi: 10.16766/j.cnki.issn.1674-4152.003923
  • 1.

    Weifang Community Health Service Center, Pudong New District, Shanghai 200122, China

Funds:

 71904145

 PWRq2021-17

 PWRd2021-08

  • Received Date: 2024-08-11
    Available Online: 2025-05-14
    Abstract
  •   Objective  To analyze the influencing factors of community health service utilization among functional building populations, and explore the impact mechanism of family doctor contract services on community health service utilization.  Methods  From March to April 2024, three functional buildings in the district of Weifang Community Health Service Center in Pudong New Area of Shanghai were selected by typical sampling method, and 396 people in functional buildings were selected by cluster random sampling method for investigation. The questionnaire included sociodemographic variables, medical security and health status, utilization of community health services in the last 6 months, and utilization of contracted services by family doctors. Univariate analysis and logistic regression model were used to analyze the influencing factors of community health service utilization, and a structural equation model was established to analyze the mechanism of family doctor contract service to improve the utilization of community health service.  Results  The utilization level of community health services in functional buildings within 6 months was 32.83% (130/396), the utilization rate of contracted services by conventional family doctors was 20.71% (82/396), and the utilization rate of contracted services by family doctors in functional buildings was 18.69% (74/396). Marital status, perceived health level, chronic disease, understanding of family doctor system, understanding of family doctor team composition, trust in family doctor and use of regular family doctor contract service were all influencing factors on community health consumption level (P < 0.05). The structural equation model indicated that the utilization of contracted services by conventional family doctors in functional buildings had a driving effect on both the utilization of contracted services by family doctors in functional buildings and the utilization of community health services, and the utilization of contracted services by family doctors in functional buildings had a driving effect on the utilization of contracted services by conventional family doctors (P < 0.05).  Conclusion  The utilization of contracted services by family doctors has a direct driving effect on the utilization of community health services. Improving the awareness rate of family doctors and improving residents ' trust in family doctors is the cornerstone of further improving the utilization of services.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    卫生健康委财政部人力资源社会保障部医保局中医药局疾控局关于推进家庭医生签约服务高质量发展的指导意见[J]. 中华人民共和国国务院公报, 2022(19): 61-64.

    Guiding Opinions of the Health Commission, Ministry of Finance, Ministry of Human Resources and Social Security, Medical Insurance Bureau, Traditional Chinese Medicine Bureau, Disease Control Bureau on Promoting High Quality Development of Family Doctor Contract Services[J]. State Council Bulletin of the People's Republic of China, 2022(19): 61-64.
    [2]
    彭涛, 滕黎. 医共体模式下家庭医生签约服务的困境与进路探析[J]. 南京医科大学学报(社会科学版), 2024, 24(2): 120-123.

    PENG T, TENG L. Analysis of the challenges and pathways of family doctor contract services under the medical community model[J]. Journal of Nanjing Medical University (Social Sciences Edition), 2024, 24(2): 120-123.
    [3]
    白兰, 孙红, 肖雨龙. 南京市家庭医生签约服务现状及问题研究[J]. 卫生经济研究, 2024, 41(3): 32-35.

    BAI L, SUN H, XIAO Y L. Research on the current situation and problems of family doctor contract services in Nanjing city[J]. Health Economics Research, 2024, 41(3): 32-35.
    [4]
    张娇. 供需视角下家庭医生签约服务偏好研究[D]. 济南: 山东大学, 2021.

    ZHANG J. Research on the preference of family doctor contract services from the perspective of supply and demand[D]. Jinan: Shandong University, 2021.
    [5]
    李心怡, 张榕榕, 胡丹, 等. 我国家庭医生签约服务现状研究: 基于四省份的实地调研[J]. 中国卫生政策研究, 2020, 13(5): 39-44.

    LI X Y, ZHANG R R, HU D, et al. A Study on the current status of family doctor contract services in China: based on field research in four provinces[J]. Chinese Health Policy Research, 2020, 13(5): 39-44.
    [6]
    汤真清, 汪铭涵, 石斌, 等. 上海市开展功能社区社区卫生服务的SWOT分析[J]. 上海医药, 2023, 44(10): 3-5, 38.

    TANG Z Q, WANG M H, SHI B, et al. SWOT analysis of functional community health services in Shanghai[J]. Shanghai Medical & Pharmaceutical Journal, 2023, 44(10): 3-5, 38.
    [7]
    WARREN S, CLAMAN D, MEYER B, et al. Acceptance of voice assistant technology in dental practice: a cross sectional study with dentists and validation using structural equation modeling[J]. PLOS Digital Health, 2024, 3(5): e0000510. DOI: 10.1371/journal.pdig.0000510.
    [8]
    黄蛟灵, 崔雅琦, 郝雨, 等. 上海市北外滩街道中青年楼宇人群社区卫生服务利用分析[J]. 中华全科医学, 2021, 19(6): 975-978. doi: 10.16766/j.cnki.issn.1674-4152.001964

    HUANG J L, CUI Y Q, HAO Y, et al. Analysis of community health service utilization among young and middle aged building population in North Bund Street, Shanghai [J]. Chinese Journal of General Practice, 2021, 19(6): 975-978. doi: 10.16766/j.cnki.issn.1674-4152.001964
    [9]
    谭梅, 张雨婷, 张艳, 等. 基于安德森模型的老年人社区居家医养结合服务需求及影响因素分析[J]. 中华全科医学, 2023, 21(7): 1179-1183. doi: 10.16766/j.cnki.issn.1674-4152.003079

    TAN M, ZHANG Y T, ZHANG Y, et al. Analysis of demand and influencing factors for elderly community home care integrated services based on anderson model[J]. Chinese Journal of General Practice, 2023, 21(7): 1179-1183. doi: 10.16766/j.cnki.issn.1674-4152.003079
    [10]
    王洪兴, 汪洋, 王麒凯, 等. 社区糖尿病高危人群对中医"治未病"服务需求及利用的研究[J]. 中华全科医学, 2020, 18(5): 797-800. doi: 10.16766/j.cnki.issn.1674-4152.001360

    WANG H X, WANG Y, WANG Q K, et al. Research on the demand and utilization of the "prevention of disease" service of traditional Chinese medicine for high-risk groups of diabetes in communities[J]. Chinese Journal of General Practice, 2020, 18(5): 797-800. doi: 10.16766/j.cnki.issn.1674-4152.001360
    [11]
    相彤, 李文涛, 赵京伟, 等. 基于安德森模型的国内外基层医疗服务利用影响因素的系统综述[J]. 中华全科医学, 2023, 21(10): 1757-1761. doi: 10.16766/j.cnki.issn.1674-4152.003218

    XIANG T, LI W T, ZHAO J W, et al. A systematic review of factors influencing the utilization of primary healthcare services at home and abroad based on the Anderson model[J]. Chinese Journal of General Practice, 2023, 21(10): 1757-1761. doi: 10.16766/j.cnki.issn.1674-4152.003218
    [12]
    詹祥, 周颖, 许兴龙, 等. 居民社会资本对基本公共卫生服务利用的影响研究[J]. 中国卫生事业管理, 2023, 40(1): 34-37, 57.

    ZHAN X, ZHOU Y, XU X L, et al. Researches on the influence of residents' social capital on the utilization of basic public health services[J]. Chinese Health Service Management, 2023, 40(1): 34-37, 57.
    [13]
    李紫璇, 严运楼. 基于灰色预测模型的我国社区卫生服务发展研究[J]. 中国医疗管理科学, 2021, 11(2): 17-22.

    LI Z X, YAN Y L. Prediction of the development of community health services in China based on a gray model[J]. Chinese Journal Of Medical Management Sciences, 2021, 11(2): 17-22.
    [14]
    胡小璞, 候乐荣, 邵平, 等. 推广签约对社区卫生服务的利用及影响研究: 以杭州主城区为例[J]. 中国卫生事业管理, 2020, 37(7): 489-493, 507.

    HU X P, HOU L R, SHAO P, et al. Studying on the utilization of community health services and the influence from promoting contractual services sampled with main urban area of Hangzhou[J]. Chinese Health Service Management, 2020, 37(7): 489-493, 507.
    [15]
    唐志红, 王朝昕, 蔡利强. 运用组织沟通理论解决家庭医生签约问题的策略研究[J]. 中华全科医学, 2023, 21(1): 97-99, 122. doi: 10.16766/j.cnki.issn.1674-4152.002821

    TANG Z H, WANG C X, CAI L Q. Using organisational communication theory to solve the problem of family doctors signing contract[J]. Chinese Journal of General Practice, 2023, 21(1): 97-99, 122. doi: 10.16766/j.cnki.issn.1674-4152.002821
    [16]
    饶雅舒, 王俊舟, 杨义, 等. 基于社会网络分析法的社区居民家庭医生签约服务利用研究[J]. 中华全科医学, 2023, 21(4): 632-636. doi: 10.16766/j.cnki.issn.1674-4152.002948

    RAO Y S, WANG J Z, YANG Y, et al. 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
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (25) PDF downloads(5) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return