Perception of the Contract Responsibility System for Family Doctors in Shanghai's Minhang District:Patient and Physician Perspectives
WANG Jun-yan1*,WU Yan2,WANG Xi1,XU Hui-lin1,GUO Qi1,SU Hua-lin1
1.Minhang District Centre for Disease Control and Prevention,Shanghai 201101,China
2.Minhang District Blood Supply-chain Management Office,Shanghai 201100,China
*Corresponding author:WANG Jun-yan,Attending physician;E-mail:antjeanne@163.com
Abstract:Objective To investigate the perceptions of the family doctor responsibility system among community-dwelling patients and family doctors〔working in community health centers(CHCs)〕in Shanghai's Minhang District,providing a reference for further development of family doctor responsibility system(included in the healthcare reform) in Shanghai.Methods From April to June 2015,we surveyed a total of 400 family doctors with a self-developed questionnaire for family doctors and a convenience sample of 700 community-dwelling residents from 13 CHCs in Shanghai's Minhang District with a self-developed questionnaire for community residents for collecting their characteristics,signing status and main items of family doctor responsibility system needing to be improved,community-dwelling patients' cognition of family doctor responsibility system service,willingness to visit and self-reported level of demands for family doctor responsibility system,and understanding of patients and implementation of family doctor responsibility system by family doctors.Results 657 community-dwelling patients and 363 family doctors responded positively to the survey.Among the community-dwelling patients,65.8%(n=432) knew that family doctor services were carried out in CHCs;the 3 service items needed most were physical examination,public health management,health education and consultation;the 3 service items used most frequently were chronic disease registration and follow-up management,home-based care(including bedside care) and dual referrals.Of those(n=216) who had signed contracts with family doctors,50.0%(108/216)contacted their contracted family doctor for medical care.78.2%(284/363)of the family doctors knew whether the patient they received was the contracted.Both groups thought that the main factors associated with the delivery of family doctor services were professional levels of family doctors,types of medicines covered by the China's Essential Medicine System and rapid and orderly referrals.Conclusion Community-dwelling patients and family doctors have different views about residents' demands for family doctor services.Family doctor team from CHCs should increase their service capabilities,in order to satisfy residents' growing demand of basic healthcare for better health,and to ensure the development of contract responsibility system for family doctors.
王君燕,吴燕,汪曦,许慧琳,郭琪,苏华林. 上海市闵行区卫生服务供需方对家庭医生责任制服务的认知情况调查研究[J]. 中国全科医学, 2018, 21(27): 3385-3388.
WANG Jun-yan1,WU Yan,WANG Xi,XU Hui-lin,GUO Qi,SU Hua-lin. Perception of the Contract Responsibility System for Family Doctors in Shanghai's Minhang District:Patient and Physician Perspectives. Chinese General Practice, 2018, 21(27): 3385-3388.
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