Utilization and satisfaction of family doctor service among contract-signing residents in Beijing urban area and related influencing factors / 中华全科医师杂志

ABSTRACT

Objective To investigate the utilization and satisfaction of family doctor service among contract-signing residents in Beijing urban area,and the related influencing factors.Methods Total 740 contract-signing residents visiting community health service centers of two urban districts in Beijing from June to September of 2015 were selected with purposive sampling as study subjects.All participants completed a questionnaire survey on the utilization and satisfaction of the service provided by family doctors.The influencing factors related to satisfaction were analyzed by chi-square test and multivariate Logistic regression.Results The survey showed that 73.9％ (547/740) of the participants would seek service in community health service centers first when their illness was mild;while 56.2％ (416/740) of the participants would seek service in secondary or tertiary hospitals directly.Four out of 8 contracted services were mostly utilizedpersonalized health counseling (732/740,98.9％),chronic disease management (721/740,97.4％),health promotion guidance (626/740,84.6％),and health education (614/740,83.0％).The satisfaction rates for service attitude of family doctor,the contents of contracted service,the competence of family doctor and the environment of clinical setting were 82.7％ (612/740),75.4％ (558/740),72.8％ (539/740) and 70.4％ (521/740),respectively.The satisfaction rates of service contents were 85.4％ (164/192) for home visit,81.3％ (248/305) for appointment of experts in tertiary hospital,76.8％ (562/732) for personalized health counseling,76.3％ (550/721) for chronic disease management,75.2％ (471/626) for health promotion guidance,74.4％ (457/614) for health education,72.8％ (302/415) for referral service,and 65.7％ (305/464) for appointment of next visit.Logistic regression showed that the quality of family doctor service in the community health service institutions (OR =2.693,P =0.000) and education levels of residents (OR =0.680,P =0.008) were the factors related to the satisfaction of the patients.Conclusion The contract-signing residents in Beijing urban area are willing to go to the community health service institutions,and generally satisfied with the service.But the service contents and service quality need to be further improved.