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.
