山东省签约居民对家庭医生服务的续约意愿及影响因素研究  

Study on contract renewal willingness and influencing factors of contracted residents to family doctor service in Shandong Province

作　　者：李子鑫 孟文奇 柳松艺 姜晓利 彭海波 尹文强[1] 孙葵[1] 马东平 陈钟鸣[1] 于倩倩[1] Li Zixin;Meng Wenqi;Liu Songyi;Jiang Xiaoli;Peng Haibo;Yin Wenqiang;Sun Kui;Ma Dongping;Chen Zhongming;Yu Qianqian(School of Management,Weifang Medical University,Weifang 261053,China)

机构地区：[1]潍坊医学院管理学院,261053

出　　处：《中华医院管理杂志》2021年第8期690-695,共6页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金(71804130)。

摘　　要：目的了解山东省签约居民对家庭医生签约服务的续约意愿,并探讨其影响因素。方法2020年7—8月,采用问卷调查法对山东省3个地市的1500名签约居民进行现场问卷调查。运用描述性统计分析、Mann-Whitney U检验和二分类logistic回归模型,分析签约居民对家庭医生签约服务的认知、利用、满意度评价情况及续约意愿。结果获得有效问卷1445份,其中682人(47.2%)有续约意愿。二分类logistic回归分析结果显示,婚姻状况、文化程度、在签约机构看病时间、对签约服务政策发展前景乐观程度、签约后医保报销比例是否提高、是否按时开展随访工作、对家庭医生服务态度满意程度和对疾病治疗效果的满意程度是影响签约居民续约意愿的因素(P<0.05)。结论山东省签约居民的续约意愿较高。应在巩固提高签约居民政策认知和信心的基础上,积极优化改善签约服务质量,保证签约居民的服务获得感,持续有效实现家庭医生签约服务的全面推广。Objective To understand the willingness of contracted residents to renew the family doctor contract service in Shandong Province,and to explore its influencing factors.Methods From July to August 2020,1500 contracted residents in 3cities of Shandong Province were investigated by questionnaire survey.Descriptive statistical analysis,Mann-Whitney U test and binary logistic regression model were used to analyze the contracted residents′cognition,utilization,satisfaction evaluation and renewal intention of family doctor contract service.Results 1445 valid questionnaires were obtained,of which 682(47.2%)were willing to renew their contracts.The results of binary logistic regression analysis showed that marital status,educational level,time to see a doctor in contracted institutions,optimism about the development prospect of contracted service policy,whether the proportion of medical insurance reimbursement increased after signing the contract,whether follow-up work was carried out on time,satisfaction with family doctor service attitude and satisfaction with the effect of disease treatment were factors affecting the willingness of contracted residents to renew the contract.Conclusions The contracted residents in Shandong Province have a high willingness to renew their contracts.On the basis of consolidating and improving the policy cognition and confidence of the contracted residents,we should actively optimize and improve the contracted service quality,ensure the sense of service access of contracted residents,and continuously and effectively realize the comprehensive promotion of the contracted services of family doctors.

关 键 词：医师 家庭 签约居民 续约意愿 影响因素 山东省 

分 类 号：R197.1[医药卫生—卫生事业管理]