Study on patient experiences of residents contracted with family doctor services in a city
10.3760/cma.j.cn111325-20210325-00265
- VernacularTitle:某市家庭医生服务签约居民的就诊体验研究
- Author:
Songyi LIU
1
;
Wenqi MENG
;
Haibo PENG
;
Xiaoli JIANG
;
Zixin LI
;
Qianqian YU
;
Wenqiang YIN
;
Zhongming CHEN
;
Kui SUN
;
Hongwei GUO
Author Information
1. 潍坊医学院管理学院 261053
- Keywords:
Home care services;
Family doctor;
Patient experience;
PCAT scale;
Residents
- From:
Chinese Journal of Hospital Administration
2021;37(9):766-771
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and analyze the patient experience of residents contracted with primary medical institutions, for providing a basis for improving quality of contracted family doctor services.Methods:Using the Chinese version of the primary care assessment tools(PCAT), a household survey was conducted on 1 400 contracted residents in 9 community health service centers and 9 township health centers in a city from May to June 2020, and their medical experience in primary medical institutions was statistically analyzed. At the same time, interviews were conducted with institutional managers and family doctors. Descriptive statistics and one-way ANOVA were used for data analysis.Results:1 333 valid questionnaires were collected, and the effective recovery rate was 95.2%.The total PCAT scoring was 25.17. Seven dimensions of first contact, continuous, coordination, comprehensiveness, patient and family centered, community-oriented and cultural competence scored in average 3.57, 3.68, 3.54, 3.40, 3.72, 3.67 and 3.59 respectively.372 people(47.1%) had not been referred by the contracted institution before going to the superior hospital or specialized hospital. There were significant differences in the scores of four core dimensions in different types of institutions, age, education level, occupation and income( P<0.001). Conclusions:Given the initial progress of contracted family doctor services in the city, there is still room for improvement. It is suggested to further improve the comprehensiveness, coordinationand accessibility of services, and promote the high-quality development of contracted family doctor services.
