Analysis on the content and mode of family doctor contract service in the mountain area of northern Beijing / 中华医院管理杂志

ABSTRACT

Objective:To understand the development of family doctor contract service and the actual demand of local residents for contract service, so as to provide the basis for the establishment of family doctor contract service mode suitable for mountainous residents.Methods:Based on the relevant policy requirements of family doctor contract service, a questionnaire and an interview outline were developed. A questionnaire survey was conducted among 583 residents of each township health center in all eight townships in the mountainous area north of Huairou District, and 16 residents were interviewed in depth in September 2019. The count data were analyzed by composition ratio, frequency description and ranking. The content analysis of qualitative interview data was carried out by topic frame method.Results:133 residents(22.8%) were unaware of the family doctor contract system at all, and 164(28.1%) knew a little about it. Residents′ lack of awareness tend to affect their medical seeking behavior. 361 residents(61.9%) knew that they had signed agreements with family doctors. Residents were not active enough to sign contracts, and their demand for family doctor signing service was mainly for various kinds of door-to-door services, and the demand for online service was low.Conclusions:The contract service relationship between residents and family doctors in mountainous areas is not working as desired. We should actively explore the contract service mode and performance evaluation mode suitable for the characteristics of mountain areas, so as to promote the healthy development of family doctor contract service.