A study on selection preferences of family doctor contracting services for patients with chronic diseases comorbidity:Based on a Discrete Choice Experiment
10.3969/j.issn.1674-2982.2024.11.006
- VernacularTitle:慢性病共病患者家庭医生签约服务选择偏好研究
- Author:
Ming-hui GENG
1
;
Yi-fan MOU
1
;
Bao-xuan ZHANG
1
;
Wen-qiang YIN
1
;
Zhong-ming CHEN
1
;
Dong-ping MA
1
Author Information
1. 山东第二医科大学管理学院 山东潍坊 261053;"健康山东"重大社会风险预测与治理协同创新中心 山东潍坊 261053;健康风险预警治理协同创新中心 上海 200032
- Publication Type:Journal Article
- Keywords:
Discrete Choice Experiment;
Chronic diseases comorbidity;
Family doctor contracting services;
Selection preference
- From:
Chinese Journal of Health Policy
2024;17(11):44-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the preference of family doctors for contracting services for patients with chronic diseases comorbidity,and to provide theoretical reference for promoting the high-quality development of family doctors' contracting services. Methods:Based on discrete choice experiment,768 qualified samples that passed the consistency test were analyzed by mixed logit model and willingness to pay method. Results:Among all the service attributes included in the study,the patients with chronic diseases were more willing to choose the family doctor contracting services with low service fee,providing medical service,Western medicine service (vs. public health service),2-week prescription for chronic disease,professional pharmacist medication guidance,and outpatient treatment. The relative importance of the attribute of service fee is the largest (41.42％),followed by the type of service (26.25％). If the service type changed from TCM to Western medicine,the patients with chronic diseases were willing to spend 120.42 yuan more,and the choice preference increased by 44.80％;There was heterogeneity in the selection preferences of comorbid patients of different genders and ages. Conclusion:In the future,it is necessary to reasonably formulate service fee standards according to regional development differences and patients' choice preferences,and promote the development and standardization of TCM services at the grass-roots level,so as to give full play to the unique advantages of TCM in the"preventive treatment of disease"and chronic disease prevention and treatment. Promote the rationalization of family doctor team construction,strengthen the ability of family doctors to guide medication,and meet the diversified service demands of patients. The selection preference of patients with different characteristics was clarified,focusing on the elderly chronic diseases comorbid patients. Through the government,grass-roots medical and health institutions,family doctors and other parties to jointly participate in promoting the high-quality development of family doctor contracting services.
