上海市居民与家庭医生签约服务的偏好分析  

An Analysis on the Contracted Family Doctor Services Preferences Between Residents and Family Doctors in Shanghai

作　　者：孙欣然 丁园 万和平 陶雷 张雪艳 韩裕乐 何碧玉 Sun Xinran;Ding Yuan;Wan Heping;Tao Lei;Zhang Xueyan;Han Yule;He Biyu(Shanghai Municipal Center for Health Promotion,Shanghai 200040,China)

机构地区：[1]上海市健康促进中心,上海200040

出　　处：《健康教育与健康促进》2025年第1期27-30,共4页Health Education and Health Promotion

基　　金：上海市卫生健康委员会政策研究课题(2023HP33)。

摘　　要：目的研究居民选择家庭医生签约服务的偏好,分析家庭医生提供签约服务的偏好,探索符合居民与家庭医生双方偏好的签约服务内容属性。方法利用离散选择实验制定偏好调查问卷,对居民和家庭医生的签约服务偏好进行调查。结果在共性上,居民和家庭医生均较看重药品可及性,都偏向于选择或提供药品可及性高的签约服务。在差异方面,居民倾向于选择服务费用低、个性化服务、就医距离近的签约服务,而家庭医生倾向于提供服务费用高、仅家庭医生操作预约转诊的签约服务;居民较看重服务费用,而家庭医生较看重药品可及性。结论需重点关注药品可及性、个性化服务、预约转诊、服务费用等居民与家庭医生共同的供需偏好,同时针对不同人群的偏好提供个性化服务,优化签约服务内涵。Objective To study the preferences of resident in choosing contracted family doctor services and the preferences of family doctors in providing contracted family doctor services so as to explore the content attributes of contracted services that align with the preferences of both parties.Methods A preference survey questionnaires were developed using Discrete Choice Experiments to investigate the preferences of residents and family doctors for contracted services.Results In terms of commonality,both residents and family doctors placed greater emphasis on drug accessibility and tended to choose or provide contracted services with high drug accessibility.In terms of differences,residents tended to choose signed services with low service fees,personalized services,and close medical distances,while family doctors tended to provide signed services with high service fees and only family doctor operated appointment referrals;residents valued service fees more,while family doctors valued the accessibility of medicines more.Conclusion It is necessary to focus on the common preferences of residents and family doctors,such as drug accessibility,personalized services,appointment referral number sources,and service fees,and to provide personal services to the preferences of different groups of people,in order to optimize the content of contracted services.

关 键 词：家庭医生签约服务 偏好 离散选择实验 

分 类 号：F42[经济管理—产业经济]