The influence of shared decision making on the quality of family doctor contracted service for Multimorbidity among the elderly population
10.3969/j.issn.1674-2982.2024.08.001
- VernacularTitle:医患共同决策对老年慢性病共病患者家庭医生签约服务质量的影响
- Author:
Ju-Yang XIONG
1
;
Xuan ZHU
;
He MA
Author Information
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030
- Keywords:
Shared decision making;
Multimorbidity;
Family doctor;
Contracted service;
Service quality
- From:
Chinese Journal of Health Policy
2024;17(8):1-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To deeply analyze the effect path of shared decision making(SDM)level on the quality of family doctor contracted service for multimorbidity among the elderly population,and to provide reference for promoting the health management of chronic diseases,improving the patient's medical experience and the quality of contracted service.Methods:A multi-stage random sampling method was used to conduct a questionnaire survey on 599 elderly patients with multimorbidity and their corresponding 63 contracted doctors in Wuhan and Guiyang.The hierarchical regression model was used to analyze the effect of SDM level on the quality of contracted services.Results:The score of SDM in elderly patients with multimorbidity in the central and western regions of China was 32.07±6.46,and the score of family doctor contracted service quality was 95.20±8.73,among which the scores of economy and vertical continuity were lower.The results of hierarchical regression model analysis showed that the level of SDM had a positive impact on the quality of contracted services(β=0.369,P＜0.05),and family doctors had a positive moderating effect on the degree of trust in contracted patients(β=0.548,P＜0.05).Conclusion:The level of SDM and the quality of contract service for elderly patients with multimorbidity in the central and western regions of China are at a medium level and still need to be improved.Shared decision-making significantly improves the quality of contracted service.The degree of trust in contracted patients strengthens the positive effect of SDM on service quality.In the future,we should strengthen the SDM,standardize the referral service of patients with chronic diseases,strengthen the communication and trust between doctors and patients,and effectively improve the quality of family doctor contracted service.
