Volume 19 Issue 9
Sep.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(9): 1522-1525
Hui JI. Healthcare-seeking behaviours and their influencing factors among community residents under the context of '1+1+1' type of contracted family doctor service[J]. Chinese Journal of General Practice, 2021, 19(9): 1522-1525. doi: 10.16766/j.cnki.issn.1674-4152.002102
Citation: Hui JI. Healthcare-seeking behaviours and their influencing factors among community residents under the context of "1+1+1" type of contracted family doctor service[J]. Chinese Journal of General Practice, 2021, 19(9): 1522-1525. doi: 10.16766/j.cnki.issn.1674-4152.002102
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Healthcare-seeking behaviours and their influencing factors among community residents under the context of "1+1+1" type of contracted family doctor service

doi: 10.16766/j.cnki.issn.1674-4152.002102

  • Huaihai Zhonglu Community Health Service Centre, Huangpu District, Shanghai 200025, China

Funds:

 HKM201732

  • Received Date: 2020-04-15
    Available Online: 2022-02-15
    Abstract
  •   Objective  To analyse the characteristics and of healthcare-seeking times in community and their influencing factors among community residents under the context of "1+1+1" type of contracted family doctor service and so as to provide a basis for further improving the work of contracting family doctors services.  Methods  Random sample surveys were conducted among the outpatients in Huaihai Zhonglu Community Health Service Centre in Huangpu District, Shanghai, in 2018 from June 2019 to November in 2019. The sociological information, health status and data on the medical behaviour of these patients were collected. Data were analysed using SPSS 24.0. P values was under 0.05, results were considered statistically significant.  Results  The median number of community visits for 1 204 residents was 3 (1, 11), and the number of visits per patients was 10.4. Single factor analysis revealed that people with different signing statuses, signing durations, age, occupations, retirement statuses, education levels, marital status, monthly disposable income, diseases (such as hypertension, hyperlipidaemia, diabetes, stroke, heart disease, digestive tract diseases etc.), requiring long-term medication or not and requiring prescription or basic diagnosis and treatment or not, showed statistically significant difference in terms of the number of community visits (all P < 0.05). Multifactor analysis results showed that signing statuses, signing durations, age, gastrointestinal diseases and dispensing medicines were independent influencing factors for the number of community visits (all P < 0.05). Signing a (long-term) contract, seniority and the need for dispensing medicines were the factors that induce residents to visit the community; by contrast, gastrointestinal diseases were the factors that hinder residents to visit the community.  Conclusion  The "1+1+1" type of contracted family doctor services is helpful in promoting visits to community health service centres. Given that this type of service attracts residents to communities, community health service centres should improve the clinical skills of their health care providers to meet the diverse health management needs of residents.

     

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    • References(15)
  • [1]
    季晖. "1+1+1"医疗机构组合签约影响因素研究[J]. 中华全科医学, 2021, 19(3): 436-440. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202103030.htm
    [2]
    上海市普陀区卫生和计划生育委员会. 关于转发《关于印发<本市家庭医生签约服务费实施方案>的通知》的通知[EB/OL]. (2018-03-01)[2020-01-10]. http://www.shpt.gov.cn/weijiwei/zw-fawen/20180404/316406.html.
    [3]
    蔡利强, 侯进. "1+1+1"组合签约对家庭医生服务效果的影响研究[J]. 中国全科医学, 2018, 21(31): 3814-3817. doi: 10.12114/j.issn.1007-9572.2018.31.007
    [4]
    盛清, 李群. "1+1+1"组合签约分级诊疗模式对2型糖尿病管理和费用的效果评价[J]. 上海医药, 2017, 38(22): 53-55. doi: 10.3969/j.issn.1006-1533.2017.22.021
    [5]
    陈翔, 黄蛟灵, 田文华. 家庭医生制度实施后居民社区门诊就诊状况分析[J]. 中国卫生资源, 2017, 20(2): 142-145. https://www.cnki.com.cn/Article/CJFDTOTAL-WSZY201702015.htm
    [6]
    李扬萩, 张敏, 孙丁. 成都市某区老年人社区卫生服务满意度调查[J]. 中华全科医学, 2018, 16(4): 597-599.
    [7]
    罗莉, 朱冬梅, 李志建, 等. 上海市某社区中心门诊及重点病种分析[J]. 解放军医院管理杂志, 2018, 25(6): 530-533.
    [8]
    窦伟洁, 韩志琰, 宋奎勐, 等. 山东省农村居民健康相关生命质量及其影响因素研究[J]. 中华全科医学, 2017, 15(6): 911-914, 992.
    [9]
    张晓俊, 鲍勇. 上海市社区就诊人群"1+1+1"医疗机构组合签约现况及影响因素研究[J]. 中华全科医学, 2018, 16(8): 1227-1230, 1382.
    [10]
    丁方然, 满晓玮, 赵璇, 等. 北京市某区居民社区卫生服务满意度调查及影响因素研究[J]. 中华全科医学, 2016, 14(11): 1903-1905. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201611037.htm
    [11]
    郑东鹏, 卢爱敏, 许友贤. 基于高血压病诊疗实践的上海市慢性病长处方签约服务的效果评价[J]. 中华全科医学, 2019, 17(4): 583-585, 681.
    [12]
    徐勇, 周琴, 皋凌子, 等. 慢病长处方对社区高血压患者管理的影响分析[J]. 实用预防医学, 2019, 26(10): 1251-1252, 封3. doi: 10.3969/j.issn.1006-3110.2019.10.026
    [13]
    朱宇霞. 社区居民利用家庭医生"1+1+1"签约服务的调查研究[J]. 中国处方药, 2018, 16(6): 112-113. doi: 10.3969/j.issn.1671-945X.2018.06.079
    [14]
    芦炜, 张宜民, 梁鸿, 等. 基于需方的家庭医生签约服务实施效果评价——以慢性病为重点[J]. 中国卫生政策研究, 2016, 9(8): 23-30. doi: 10.3969/j.issn.1674-2982.2016.08.005
    [15]
    杨燕, 杨琛, 李小攀, 等. 上海市某社区2013—2015年大肠癌筛查及肠镜检查依从性分析[J]. 上海预防医学, 2017, 29(5): 406-408. doi: 10.3969/j.issn.1004-9231.2017.05.024
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