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北京市某城区居民家庭医生签约现况及影响因素

Utilization and demands of contracted family doctor service and their influencing factors among adult residents in an urban district of Beijing

  • 摘要:
    目的 了解北京市某城区 ≥ 35岁常住居民家庭医生签约情况,分析影响居民家庭医生签约意愿、支付意愿及支付标准的因素。
    方法 采用普查的方法对辖区内居民进行入户问卷调查,调查每户家庭中 ≥ 35岁常住居民。于2017年11月20日 — 2018年6月15日收集居民信息作为研究数据,共调查住户142 105户,居民242 172人。得到有效居民信息236 841条,有效率97.8 %。
    结果 51.1 %(120 936/236 841)的居民表示愿意签约家庭医生,26.8 %(63 468/236 841)的居民表示自己已经签约,并且有19.3 %(24 069/236 841)的居民愿意付费签约家庭医生。年龄、是否患有各类慢性病是影响居民家庭医生签约意愿、支付意愿及支付标准的主要因素。
    结论 ≥ 65岁老年人及各类慢性病患者是家庭医生签约服务最大的需求者,也是最大的利用者。

     

    Abstract:
    Objective To explore the utilization of contracted family doctor service and influencing factors for the willingness to utilize and pay to the service among adult residents in a urban district of Beijing.
    Methods We conducted a survey among all permanent residents aged 35 years and over in a district of Beijing. Relevant information on 97.8% of 242 172 residents of 142 105 households were collected with face-to-face questionnaire interviews from November 20, 2017 to June 15, 2018.
    Results Of all the valid respondents (n = 236 841), 26.8% (n = 63 648) reported the utilization of contracted family doctor service; 51.1% (n = 120 936) reported the willingness to utilize contracted family doctor service and 19.3% (n = 24 069) reported the willingness to pay to the service. Multivariate logistic regression analysis indicated that age and whether suffering from chronic disease were main factors affecting the respondents′ willingness to utilize and to pay to and payment level for contracted family doctor service among the respondents.
    Conclusion In urban Beijing, the residents aged 65 years and over and those with chronic diseases are the populations having greatest demand and utilization of contracted family doctor service.

     

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