Perception on the participation in family doctor contract services of general practitioners in core hospitals of integrated care organization among medical staff in primary health care institutions
10.3760/cma.j.cn114798-20240104-00010
- VernacularTitle:医联体内基层医疗卫生机构人员对核心医院全科医生参与家庭医生签约服务认识情况的调查
- Author:
Siyu CHEN
1
;
Li MA
Author Information
1. 首都医科大学附属北京天坛医院全科医疗科，北京 100070
- Keywords:
General practitioner;
General hospital;
Family doctor contract service;
Medical consortium
- From:
Chinese Journal of General Practitioners
2024;23(8):855-861
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the perception on the participation in family doctor contract services of general practitioners in core hospitals of integrated medical organizations among medical staff in primary health care institutions.Methods:It was a cross-sectional study. An online survey was conducted from November to December 2023 among managers and medical staff of 33 community medical service centers in Fengtai District and Miyun District of Beijing selected by typical sampling method. The contents of survey included the setting up of general practice in the core hospital of the integrated medical organizations and its participation in the primary medical services, the participation of the core hospitals of the integrated medical organization in the family medical contract service, and the attitude, demand, problems and suggestions of the general practitioners in core hospitals of the integrated medical organization on the family medical contract service.Results:A total of 234 questionnaires were collected, and 211 were valid with an effective rate of 90.17%. Among the respondents, 147 were women (69.67%), and 110 were under the age of 35 (52.13%). Results showed that 151(71.56%) of the respondents knew that the core hospitals of the integrated medical organization participated in the family doctor contract services, the main service sites were community health service centers (92.05%, 139/151), and the main reason for participation was the arrangement by hospitals (60.93%, 92/151), and joining the family doctor team (57.62%, 87/151); 48.82%(103/211) of the respondents believed that doctors in general hospitals should participate in contracted family medical services, the top three reasons for participating were the link role for referral arrangements (46.45%, 98/211), participation as a team member (43.13%, 91/211) and providing guidance and consultation of medical service (33.65%, 71/211). The major concern for doctors in general hospitals was the balance of time and energy management between contract service and hospital work (45.97%,97/211). The top three recommended measures were performance support (78.20%, 165/211), policy support (72.04%, 152/211) and more staffing (58.77%, 124/211).Conclusion:At present, the participation of general practitioners from the core hospitals of the integrated medical organization in family doctor contract services at the primary healthcare institutions is less satisfactory, and there are some perception bias among medical personnel in the primary health care institutions. It is necessary to establish a multi-level mechanism measures to promote this work.
