Effect assessment of the intervention by medical workers in the family doctor service system in Beijing
10.3760/cma.j.issn.1000-6672.2016.05.021
- VernacularTitle:北京市家庭医生式服务模式对医务人员的干预效果评价
- Author:
Zhaofang ZHU
;
Guangning SUN
;
Meng ZHAO
;
Haoming SUN
;
Jing ZHAO
;
Xiangdong ZHANG
;
Hongwei YANG
- Publication Type:Journal Article
- Keywords:
Family doctor service;
Intervention studies;
Medical workers
- From:
Chinese Journal of Hospital Administration
2016;32(5):385-388
- CountryChina
- Language:Chinese
-
Abstract:
Objective To learn the awareness,attitude and behavior changes of medical workers to the family doctor service and the influential factors on their utilization of such service since the service is in place.The purpose is to provide theoretical basis to establish the family doctor service model and the incentive mechanism in line with the development of community health service in Beijing.Methods Eight community health centers were sampled randomly from three representative areas of Haidian,Xicheng and Daxing districts,which were grouped randomly as one intervention group and one control group.All the medical workers surveyed were subj ect to the research.The control group was managed as to the existing management mode,and the intervention group was classified and managed according to the new family doctor service model.A questionnaire survey was made to collect data from the baseline and final stages.Comparisons were made among the districts,institutions,and before-after intervention of the institutions themselves to evaluate the effects of the service model and incentive mechanism.Results The survey found a higher awareness by medical workers to such service,higher recognition and satisfaction, and lower rate of services provided by medical workers.The logistic regression analysis found the influential factors for willingness of medical workers to work as family doctors,include group difference, workload changes after signoff as family doctors,residents′acceptance of the community first visit system,recognition or not for whether a family should have a community service team,residents′acceptance,and the general comments on family doctor service (P< 0.05 ).Conclusions Higher incentives of community doctors to embrace family doctor service,calls for the medical workers to change their perception,better incentive mechanism and greater promotion efforts for family doctors′services.
