Survey on the service contract signature of primary medical and health institutions in China
10.3760/cma.j.issn.1000-6672.2016.03.014
- VernacularTitle:我国基层医疗卫生机构签约服务情况调查
- Author:
Tao YIN
;
Delu YIN
;
Kun QIN
;
Ruifang SHE
;
Lin JING
;
Jinhu HUANG
;
Chenggang JIN
;
Chunfang MAO
;
Xiangdong ZHANG
;
Bowen CHEN
- Publication Type:Journal Article
- Keywords:
General practitioners;
Service contract signature
- From:
Chinese Journal of Hospital Administration
2016;32(3):213-216
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the status of service contract signing conducted by primary medical and health institutions.Methods A questionnaire survey and in-depth interview methods were used to study the service contract signing at primary health care institutions.Results The contract signing rate of the institutions surveyed was 1 9.1%,and valid contract signing rate was 76%.Senior people above 65 years old accounted for 33.5% of those signers,while hypertension patients accounted for 1 9.5% and diabetes patients for 10.6%.Interviews to the general practitioners team at the primary health institutions found that main factors affecting residents′ intention to sign were drug availability, attraction for signing the services,treatment habits among others.Interviews to the staff the primary health institutions found that contracted services are facing such difficulties as medical staff shortage,lack of motivation,lack of competence among others.Interviews to leaders of the primary health institutions found that the lack of publicity and support of medical insurance also has great influence to service contract signing.Conclusions The enthusiasm of general practitioners and residents to sign up for the service remains to be improved.
