Visiting behavior and health management strategy of patients with cardiovascular disease under the family doctor contract service model
10.3969/j.issn.1006-2483.2026.03.038
- VernacularTitle:家庭医生签约服务模式下心血管疾病患者就诊行为及健康管理
- Author:
Juan LI
1
;
Bingqi XING
2
;
Wei WANG
1
;
Yunfeng TIAN
1
Author Information
1. Taian Central Hospital (Affiliated Taian Central Hospital of Qingdao University, Taishan Medical and Nursing Center) Tai'an , Shandong 271000, China
2. Department of Pharmacy, Shandong Provincial Third Hospital, Jinan , Shandong 250000, China
- Publication Type:Journal Article
- Keywords:
Family doctor;
Contract service;
Cardiovascular disease;
Visiting behavior
- From:
Journal of Public Health and Preventive Medicine
2026;37(3):176-179
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the visiting behavior and health management strategy of patients with cardiovascular disease (CVD) and the industry management strategies under the family doctor contract service model. Methods A total of 351 patients with CVD from January 2022 to January 2025 were included in the case investigation by random sampling. Taking the number of visits in community health service institutions/total number of visits ≥90% as high compliance, the influencing factors of the visiting behavior of CVD patients were analyzed. Results Finally, 344 valid questionnaires were collected, with an effective recovery rate of 98.01%. The study subjects were categorized into high compliance group (271 cases) and low compliance group (73 cases). The scores of policy cognition understanding, institutional trust and medical service understanding in the high compliance group were higher compared with those in the low compliance group (P<0.05). There was no significant difference in the understanding of medical expenses between the two groups (P>0.05). Multivariate logistic regression model analysis revealed that CVD duration [OR (95% CI): 1.72 (1.21-2.44)], policy cognition understanding [OR (95% CI): 2.16 (1.20-3.89)] and institutional trust [OR (95% CI): 1.88 (1.08-3.25)] were independently associated with medical treatment behavior in CVD patients (P<0.05). Conclusion Enhancing the policy cognition understanding and institutional trust of CVD patients on family doctor contract service can promote patients to seek medical treatment and promote the high-quality development of family doctor contract service.
