Status and influencing factors of contracting and renewing on family doctor service in pilot areas in Guangzhou
10.3760/cma.j.issn.1000-6672.2017.12.015
- VernacularTitle:广州市试点地区家庭医生签约和续约现况及影响因素研究
- Author:
Yujing NIU
1
;
Miaowen YU
;
Yue QIU
;
Jin CAI
;
Hongzheng HE
;
Xingjun HUANG
;
Zhaofei DING
;
Jiaqing MIAO
;
Yuanyi LIN
;
Li LI
Author Information
1. 洛阳市中心医院
- Keywords:
Family doctor;
Willingness to sign;
Willingness to renew;
Influencing factors;
Investigation
- From:
Chinese Journal of Hospital Administration
2017;33(12):939-943
- CountryChina
- Language:Chinese
-
Abstract:
Objective To learn the current status of family doctor service at pilot communities in Guangzhou, and discover existing problems and influencing factors by investigating the residents who have contracted such service , those have not and the family doctors . Methods This study chose typical community health centers of six communities in Guangzhou in January 2016 .In random sampling , residents who visited doctors during the survey and all the family doctors were surveyed .EpiData was used to doubly inputdata,withSPSS20.0forstatisticalanalysis.Results 66.0%ofthoseresidentswhohavenot contracted the service are willing to contract a family doctor .According to the binary logistic regression analysis after eliminating the interference factors , there are two factors affecting their willingness:gender and whether needing a family doctor for themselves and their family for health management .According to the binary logistic regression analysis after eliminating the interference factors , the influencing factors of renewing contract are overall satisfaction and necessity for signing family doctors .Conclusions The smooth development of the family doctor service is faced with many bottlenecks , while improving willingness to contract and renew contract to family doctors are the cornerstone for sustainability of the family doctor system.