Compliance rate of clinic appointments among residents contracting family doctor service and its influencing factors / 中华全科医师杂志

ABSTRACT

Objective To investigate compliance rate of clinic appointments among residents contracting family doctor service and its influencing factors.Methods Total 1 442 clinic appointments among residents contracting family doctor service in Yuetan community were investigated by face to face questionnaire.Results Among 1 442 clinic appointments in Yuetan community health service center in June 2015,563 were kept with a compliance rate of 37.2％.There were significant difference in compliance rate among the residents with difference degree of education (OR =1.461,95 ％ CI1.296-1.646,P =0.000),between those with and without chronic diseases(OR =2.009,95％ CI1.136-3.550,P =0.016),with and without receiving first contact care at community (OR =1.360,95％ CI1.036-1.785,P =0.027),with and without satisfying with family doctor service (OR =1.315,95 ％ CI1.060-1.630,P =0.013),with and without recognizing clinic appointment system (OR =2.765,95％ CI2.142-3.569,P =0.000).Among the 906 failed appointments,the reasons were forgetting the appointment in 525 (57.9％),missing the date in 124 (13.7％),time conflict in 92 (10.2％),not bring reservation form in 85 (9.4％),being hospitalized or engaging in other medical service in 41 (4.5％) andneglecting appointment system in 39 (4.3％).Conclusion Compliance rate of clinic appointments among residents contracting family doctor service is lower,and necessary measures should be taken to increase the compliance rate.