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      Status of family doctor contract signing in Guangzhou and its influencing factors


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          Objective To investigate the knowledge and signing status of family doctor signing service in Guangzhou and to explore its influencing factors, so as to provide basis for the improvement of the awareness and signing rates.

          Methods A simple random sampling method was used to select 16 subjects from 142 community health service centres in Guangzhou. Paper questionnaires were distributed to randomly intercept residents near to community health service centres from November to December 2019, and 600 valid questionnaires were collected.

          Results Amongst the 600 respondents, 224 males (37.3%) and 376 females (62. 1%) were identified. Sixty-nine (11.5%) of the respondents were aged between 18 and 30;147 (24.5%) were aged between 31 and 40; 119 (19.8%) were aged between 41 and 50; 104 (17.3%) were aged between 51 and 60; 161 (26.9%) were aged over 60.223 (37.2%) with chronic diseases and 377 (62.8%) without chronic diseases; 508 (84.7%) were aware of the contracted services of family doctors, and 92 (15.3%) were unaware of the contracted services of family doctors. A total of 354 cases (59.0%) signed the family doctor service agreement, and 246 cases (41.0%) did not. The signing rate of residents who were aware of the family contract doctor service was 69.7%. Chi-square test showed that residents of different genders, educational background and occupation had statistically significant differences in the awareness rate of family doctor signing (all P < 0.05), and residents of different educational background and occupation had statistically significant differences in family doctor signing (all P < 0.05). Logistic regression analysis showed that family doctors with higher education, chronic diseases, professional technicians and administrative staff were more likely to sign up.

          Conclusion Resident awareness through ascension could increase the rate of family doctors signing by 10.1%, for men with lower education, general workers, enterprise employees and unemployed on cognitive education. Furthermore, we should focus on the signing of low education levels and unemployed to promote the family doctor signing.


          摘要: 目的 通过了解广州市居民家庭医生签约服务的知晓和签约情况, 探讨其影响因素, 为提高知晓率和签约 率提供决策依据。 方法 采用简单随机抽样的方法从广州市142个社区卫生服务中心中随机抽取16个, 于2019 年11 一 12月在社区卫生服务中心附近随机拦截居民发放纸质问卷, 回收有效问卷600份。 结果 600个调查对 象中, 男性 224 人 (37.3%), 女性 376 人(62.7%);18~30 岁 69 人 (11.5%), 31~40 岁 147 人 (24.5%), 41~50 岁119人(19.8%), 51~60岁104人 (17.3%), 60岁以上161人(26.9%);患有慢性疾病的223人 (37.2%), 没 有患慢性疾病的377人(62.8%); 508人(84.7%)知晓家庭医生签约服务, 92人 (15.3%)不知晓家庭医生签约 服务;354人(59.0%)签订家庭医生签约服务协议, 246人(41.0%)未签订;知晓家庭签约医生服务的居民签约 率为69.7%。不同性别、学历、职业的居民在家庭医生签约知晓率上的差异具有统计学意义 (均 P < 0.05), 不同 学历、职业的居民在家庭医生签约率上的差异具有统计学意义 (均 P < 0.05)。Logistic回归分析表明高学历、患 有慢性病、专业技术人员、行政管理人员签约家庭医生的概率更高。 结论 通过提升居民知晓率有望提高10.7% 的家庭医生签约率, 可以针对男性、低学历、一般工人、企业员工、无业人员进行重点认知教育, 并且应更多关注低 学历人群和无业人员的签约, 以此推进家庭医生签约的全覆盖。

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          Author and article information

          Chinese Journal of General Practice
          Chinese Journal of General Practice (China )
          01 January 2021
          01 December 2021
          : 19
          : 1
          : 80-82
          [1] 1School of Health Management, Guangzhou Medical University, Guangzhou, Guangdong 511436, China
          Author notes
          *Corresponding author: WU Ding-juan, E-mail: wdj@ 123456gzhmu.edu.cn
          © 2021 Chinese Journal of General Practice

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Journal Article

          General medicine,Pediatrics,Surgery,Obstetrics & Gynecology,Internal medicine,Physiotherapy
          Guangzhou,Awareness rate,Influence factor,Contract rate,Family doctor signing


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