Analysis of factors influencing attitude towards family physician contract services among chronic patients in Banan District,Chongqing
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Analysis of factors influencing attitude towards family physician contract services among chronic patients in Banan District,Chongqing
Health Medicine Research and PracticeVol. 17, Issue 2, Pages: 30-34(2020)
作者机构:
1. 重庆市巴南区第二人民医院
2. 重庆市巴南区疾病预防控制中心
3. 重庆市巴南区花溪街道办事处
作者简介:
基金信息:
DOI:
CLC:R197.1
Published:2020,
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Dong Tingting, Yang Yonghong, Ran Yi, et al. Analysis of factors influencing attitude towards family physician contract services among chronic patients in Banan District,Chongqing. [J]. Health Medicine Research and Practice 17(2):30-34(2020)
DOI:
Dong Tingting, Yang Yonghong, Ran Yi, et al. Analysis of factors influencing attitude towards family physician contract services among chronic patients in Banan District,Chongqing. [J]. Health Medicine Research and Practice 17(2):30-34(2020)DOI:
Analysis of factors influencing attitude towards family physician contract services among chronic patients in Banan District,Chongqing
Objective To analyze the factors influencing the attitude towards family physician contract services among the two key populations(hypertension and type 2 diabetes patients)in Banan District of Chongqing City
so as to provide a theoretical basis and empirical evidence for promoting and improving family physician contract services in the district.Methods A simple random sampling method was used to collect a total of 590 patients with hypertension or type 2 diabetes from Banan District
Chongqing City.A questionnaire survey was conducted to collect the real needs and suggestions regarding family physician contract services.Statistical description
single factor analysis and multi-factor logistic regression analysis were used to identify the influencing factors of attitude towards family physician contract services.Results Among the 590 surveyed subjects
492(83.39%)had a contracted family physician and 98(16.61%)did not.Comparing the signing rates of subjects of different age
self-assessed health status
time required to reach the contracted hospital
hospital of first visit and knowledge of contract services
the differences were all statistically significant(P<0.05).Among all subjects
patients with the highest signing rates are those aged 46-59 years(96.8%)
with poor self-assessed health status(92.3%)
first visiting a hospital providing family physician contract services(89.9%)
living in a place less than 30 mins away from the contracted hospital(87.6%)and having a knowledge of the services(93.8%).Logistic regression analysis results showed that age
education level
main payment method of medical insurance
awareness of family physician contract services and time required to reach the contracted hospital are the factors influencing whether a subject has a contracted family physician(P<0.05).Conclusion Age
education level
main payment methods of medical insurance
awareness of family physician contract services and time required to reach the contracted hospital are the factors influencing hypertension and type 2 diabetes patients′decision to sign a contract with family physicians.In the future
more forms of publicity should be carried out
targeted and personalized contract services should be developed
relevant reimbursement policies should be explored
and a multi-pronged approach should be taken to attract more key populations to participate in family physician contract services.
关键词
家庭医生签约服务签约意愿高血压糖尿病影响因素
Keywords
Family physicianContract serviceWillingness to signhypertensiondiabetesinfluencing factors