中国微循环学会项目：糖尿病并发症筛查分级诊疗及管理体系建设探索(编号：TW-2018P001)；江苏省教育厅哲学社会科学重点研究基地基金资助(2019B02)1.210009 江苏省南京市,江苏省疾病预防控制中心2.210008 江苏省南京市,江苏省卫生健康委员会3.224005 江苏省盐城市,江苏医药职业学院 江苏基层卫生发展与全科医学教育研究中心
In recent years, some progress has been made in promoting the contracted family doctor service in Jiangsu Province, but there are still some problems such as unbalanced development and irregular management. The contracted service of family doctors from the perspective of residents is one of the performance evaluation management contents for the contracted services of primary health. Therefore, it is necessary to analyze the effectiveness of contracted family doctor services and the factors limiting development from the perspective of residents, and to provide scientific evidences for the development of contracted family doctor services in Jiangsu Province.. From September to November 2019, 1290 residents who had signed contracts and 1102 residents who had not were selected randomly from fifty primary-level medical and health care institutions of family doctor service model in Jiangsu Province to carry out the comprehensive evaluation residents questionnaire of contracted family doctor service. Data were analyzed using multivariate logistic regression analysis. The analysis of the questionnaire results showed that health status, annual expenditure due to disease, population type, family doctors understanding of signing a contract, understanding of preferential policies after signing the contract, and acceptance of primary diagnosis had significant influence on whether residents signed up for family doctors (P<0.05).It is suggested to strengthen publicity, ensure the signing service of key groups, strengthen the information construction, and improve the talent training mechanism, so as to improve the ability of primary medical service, further promote the quality and efficiency of the contracted services of family doctors.