Volume 23 Issue 5
May  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(5): 806-809
CHEN Jingjing, WANG Haili, PEI Ruotong, YANG Kaiwen, PENG Yingchun. Analysis on the present situation and countermeasures of combined medical and nursing services in Beijing suburb mountainous areas under the background of family doctor contract service[J]. Chinese Journal of General Practice, 2025, 23(5): 806-809. doi: 10.16766/j.cnki.issn.1674-4152.004006
Citation: CHEN Jingjing, WANG Haili, PEI Ruotong, YANG Kaiwen, PENG Yingchun. Analysis on the present situation and countermeasures of combined medical and nursing services in Beijing suburb mountainous areas under the background of family doctor contract service[J]. Chinese Journal of General Practice, 2025, 23(5): 806-809. doi: 10.16766/j.cnki.issn.1674-4152.004006
shu

Analysis on the present situation and countermeasures of combined medical and nursing services in Beijing suburb mountainous areas under the background of family doctor contract service

doi: 10.16766/j.cnki.issn.1674-4152.004006
  • 1.

    Beijing Huairou District Liulimiao Town Community Health Service Center, Beijing 101409, China

Funds:

 2022-C-002

 2023-A-01

 22SRB008

  • Received Date: 2024-09-11
    Available Online: 2025-08-14
    Abstract
  •   Objective  To understand the current situation regarding healthcare integration services in mountainous areas in the suburbs of Beijing, it is necessary to firstly analyze the existing problems and propose countermeasures in terms of the services provided by the contracted family doctor service teams and the services demands of elderly residents and their caregivers.  Methods  A questionnaire survey was conducted on 133 elderly people over the age of 65, who had signed a contract in five townships and towns in the northern mountainous area of Huairou District, Beijing. Concurrently, a questionnaire survey was conducted on the medical staff of the family doctor contracted service teams of the five community health service centers to understand the situation of the provision of integrated medical care and nursing care services.  Results  Among the 133 elderly residents who took part in the survey, 128 (96.2%) said they wanted to continue living at home and in the community, and 102 (76.7%) said they mainly took care of each other with their husbands or wives; 75.2% (100/133) of the elderly residents went to the township health center or the village health center directly when they had a health problem, and 12.0% (16/133) of them first called their family doctor; 12.0% (16/133) of elderly residents first call their family doctors for advice and then seek medical treatment. In terms of service needs, 43 individuals (32.3%) expressed a demand for home-based medical services, while 41 (30.8%) requested financial support. Regarding service provision, the top three services offered were health management for the elderly, outpatient services, and in-home health assessments.  Conclusion  Home-based elderly care is the primary choice for older adults in mountainous suburban areas of Beijing, with community health service institutions and family doctors serving as the main providers of integrated medical and elderly care services. However, there remains a gap between service supply and demand, and the supporting mechanisms are still inadequate.It is recommended that, on the basis of implementing family doctor contract services, further efforts should be made to explore the role of family doctors in integrating services and coordinating resources for community-based home care. This will help comprehensively improve the quality and efficiency of integrated medical and elderly care services.

     

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