中国全科医学2018，Vol.21Issue(4)：411-414,4.DOI:10.3969/j.issn.1007-9572.2018.04.008
签约居民对家庭医生签约服务的认知与利用研究
Awareness and Utilization of the Contractual Services among Residents Signing a Contract with a Family Doctor
摘要
Abstract
Objective To explore the awareness and utilization of the contractual services among residents signing a contract with a family doctor. Methods The enrolled residents were from 10 neighborhoods/townships in Changning District of Shanghai, all of them signed a contract with a family doctor and were responsive to a previous study carried out by us. Using a questionnaire developed by our research group, we conducted two rounds of survey (one was in December 2013 and the other in June 2016) among them for collecting information concerning awareness and utilization of contractual services from family doctors. Data were analyzed for those who returned responsive questionnaires in 2013 (591 cases), 2016 (651 cases), respectively. Results In 2016, 34 (5.8%), 172 (29.6%) of the residents were "well-informed" "relatively informed" of the family doctor contractual service package, respectively, which was difference with that of 2013 (P<0.05). Compared with 2013, the awareness rates of 4 items included in the contractual service package (telephone-based consultation, personalized health assessment, guidance for healthy/subhealthy populations, and preventive treatment of disease by Chinese medicine) in the residents in 2016 were much lower (P<0.05), while those of other 4 items included in the package (outpatient appointment, return visits for down-referrals,post-discharge follow-up and health check-up) showed little changes (P>0.05). In 2016, of the residents, 77.5% (464/599) sought medical care in community health service centers (CHSCs) after signing the contract, 55.9% (333/596) visited their contracted family doctor, 35.7% (214/600) made regular appointments before visiting, and 27.0% (161/597) willing to be referred to the hospital by their contracted family doctor. The distribution of visited medical institutions after signing a contract with a family doctor, visiting the contracted family doctor, making appointments before visiting and willing to be referred to hospital by the contracted family doctor among the residents in 2016 were significantly different from those of 2013 (P<0.05). Conclusion The contracted residents showed poor awareness of contractual services from family doctors, but relatively good medical adherence. Furthermore, the utilization rate of appointment and referral services among them need to be improved.关键词
家庭医生签约服务/认知/签约居民Key words
Family doctor contractual services/Cognition/Signed residents分类
医药卫生引用本文复制引用
刘姗姗,葛敏,江萍,朱敏杰,梁鸿,黄蛟灵,方帅,赵德余,张宜民..签约居民对家庭医生签约服务的认知与利用研究[J].中国全科医学,2018,21(4):411-414,4.基金项目
国家自然科学基金资助项目(71403171) （71403171）
上海市浦东新区卫生和计划生育委员会学科带头人计划项目(PWRd2014-13) （PWRd2014-13）
上海市浦东新区卫生、计生科技项目(PW2016A-3) （PW2016A-3）
