签约居民对家庭医生签约服务的认知与需求研究  

Study on the cognition and demand of contracted residents for contracted family doctor services

作　　者：程春梅 陶洲 许忠琴 蔡子汉 曾艺[2] 许红[1] CHENG Chunmei;TAO Zhou;XU Zhongqin;CAI Zihan;ZENG Yi;XU Hong(College of Public Health,Chongqing Medical University,Chongqing 400016,China;Yuzhong District Center for Disease Control and Prevention,Chongqing 400010,China)

机构地区：[1]重庆医科大学公共卫生学院,重庆400016 [2]重庆市渝中区疾病预防控制中心,重庆400010

出　　处：《卫生软科学》2023年第11期54-57,共4页Soft Science of Health

摘　　要：[目的]分析重庆万州区签约居民对家庭医生签约服务的认知和需求,为推动该项服务工作提供参考。[方法]采用分层随机抽样的方法,以万州区481名签约居民为研究对象,根据居民对家庭医生服务的认知与需求开展问卷调查。[结果]在签约居民中,了解家庭医生服务基本内容的占87.9%,不同性别居民对服务的认知差异有统计学意义。表示愿意优先到基层医疗卫生机构就诊的签约居民为85.7%,居民选择基层机构就诊的主要原因是距离近(84.0%)和签约了家庭医生(73.3%),居民对家庭医生签约服务认知程度和基层首诊的意愿呈正相关关系;服务形式选择意愿以门诊就诊(84.4%)、电话咨询(76.9%)和上门就诊(75.5%)为主,服务需求前三位依次是基本医疗服务(87.5%)、健康体检(73.0%)和健康教育与咨询服务(69.4%)。[结论]签约居民对家庭医生所提供服务的了解程度为中等偏上,但仍需强化宣传;基层医疗就诊的意愿与基层服务机构的位置和家庭医生的签约率有关;居民服务需求形式多样,应制定更全面的服务内容,实施有针对性的医疗服务措施,以满足居民对社区家庭医师合同式医疗服务的需求。Objective This paper analyzes the cognition and demand of the contracted residents in Wanzhou District of Chongqing for contracted family doctor services,and provides the reference and suggestions for promoting the service.Methods 481 contracted residents in Wanzhou District were selected as the research objects by using stratified random sampling method to conduct a questionnaire survey according to the residents cognition and demand for family doctor services.Results 87.9%of contracted residents understood the basic contents of family doctor services.The cognitive difference between different genders was statistically significant.85.7%of contracted residents indicated that they were willing to go to primary medical and healthcare institutions as a priority.The main reasons for residents to choose primary medical institutions were proximity(84.0%)and contracted family doctor services(73.3%).There was a positive correlation between residents awareness of contracted family doctor services and their willingness to go to primary medical institutions in first diagnose.The choices of service forms were mainly outpatient(84.4%),telephone consultation(76.9%)and home visit(75.5%).The top three service demands were basic medical services(87.5%),physical examination(73.0%)and health education and consulting services(69.4%).Conclusions Contracted residents understanding about services provided by family doctors is above average,but more publicity is needed.The willingness to go to primary medical institutions is related to the location of primary medical institutions and the signing rate of family doctors.Residents needs for medical services are diverse.More comprehensive service contents should be formulated and targeted medical service measures should be implemented to meet residents needs for contracted family doctor services in the community.

关 键 词：家庭医生 卫生服务需求 认知 万州 

分 类 号：R192.3[医药卫生—卫生事业管理]