关键词: 家庭医生; 签约; 意愿; 影响因素

Abstract:

Objective To investigate the influencing factors of the community residents' willingness to sign up for a family doctor service by implementing a family doctor service contract project in Songshan New District of Jinzhou City. Methods The convenience sampling method was used in this study, a questionnaire survey was conducted on the willingness of signing up for family doctors service among the residents of 11 communities in Lingnan Street, Songshan New District, Jinzhou City from March to June 2017. The content of this survey included the residents’ general situation, health status, the level of understanding this service and the related publicity. Multivariate logistic regression analysis was used to explore the factors affecting the residents’ willingness to sign a contract. Results A total of 2500 questionnaires were sent out in this survey, 2266 valid questionnaires were collected, and the effective response rate was 90.6%. 71.8% (1626/2266) residents were willing to sign the contract. The multivariate analysis results showed that the higher age (OR 2.026, 95%CI 1.561-2.631, P <0.001) and education (OR 1.180, 95%CI 1.062-1.311, P =0.002) and understanding level (OR 1.211, 95%CI 1.065-1.377, P =0.004), as well as the residents who worked in administrative institutions (OR 1.323, 95%CI 1.002-1.576, P =0.047), and received this service publicity (OR 3.026, 95%CI 2.355-4.364, P <0.001), were more willing to sign up for family doctor service.

Conclusions The overall level of the community residents’ willingness to sign up for a family doctor service was higher. The residents who were elder, had higher education and more understanding, worked in administrative institutions and received this service publicity were more willing to sign family doctor service contract.

Key words: Family doctor; Sign up; Willingness; Influence factor