The health effect and its mechanism of family doctor contract services:Evidence from 1 191 rural residents with chronic diseases in 12 counties of 6 provinces
10.3969/j.issn.1674-2982.2024.08.003
- VernacularTitle:家庭医生签约服务的健康效应及作用机制研究
- Author:
Yan-Ping HE
1
;
Xiao-Dan ZHANG
;
Qiang YAO
Author Information
1. 武汉大学政治与公共管理学院 湖北武汉 430072
- Keywords:
Family doctor contract services;
Patients with chronic diseases;
Health-related quality of life;
Health effect;
KHB mediation analysis
- From:
Chinese Journal of Health Policy
2024;17(8):19-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect and mechanism of family doctor contract services on the health of rural residents with chronic diseases.Methods:From June to August 2023,1 191 valid samples from 12 counties in 6 provinces were collected through face-to-face questionnaire survey.Tobit model and KHB method were used to analyze the effect of family doctor contract services on EQ-5D-5L utility index scores and its path.Results:The family doctor contract rate was 59.19％and the utility index score was 0.831.Family doctor contract services significantly improved the health utility index scores of chronic disease patients(β=0.047,P＜0.05);The utility index score was affected completely through public health services(β=0.028,P＜0.01,95％CI=0.009～0.047),and the indirect effect accounted for 66.77％of the total effect.Conclusion:The family doctor contract rate of rural residents with chronic diseases is low in China,and the health-related quality of life is not good.The family doctor contract services can improve the health-related quality of life of patients with chronic diseases mainly by improving public health services.It is urgent to strengthen the effects of family doctor contract services on medical service utilization and individual health behavior,so as to give full play to the health effects of family doctor contract services.
