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南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
· 282 · Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2021年6月
Journal
人员对双向转诊认知情况的调查与分析［J］. 南京医科 高级职称晋升现状与优化研究［J］. 南京医科大学学报
大学学报（社会科学版），2020，20（4）：355-359 （社会科学版），2020，20（5）：412-417
［13］ 刘建新，乔岩，甘勇，等. 深圳市签约居民对家庭医生 ［15］ 吴丹，黄晓光，胡翠玲，等. 慢性病患者家庭医生签约
服务的评价及续签意愿研究［J］. 中国全科医学，2020， 服务满意度影响因素研究［J］. 南京医科大学学报（社
23（1）：40-44，50 会科学版），2020，20（1）：71-76
［14］ 王珊珊，朱亚，邵海亚. 江苏省基层卫生服务机构人员 （本文编辑：姜 鑫）

Analysis on the effectiveness and limiting factors of contracted family

doctor services in Jiangsu Province

1 2 1 3 1
DONG Lirong ，CAO Yang ，XU Jinshui ，ZHANG Xueyan ，GUO Haijian
1. Integrated Service and Management Office，Jiangsu Provincial Center for Disease Control and Prevention，Nanjing 210009；
2. Primary Health Department，Jiangsu Commission of Health，Nanjing 210008；3. School of Medical Technology，Jiangsu
Vocational College of Medicine，Yancheng 224005，China
Abstract：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 2019，1 290 residents who had signed contracts and
1 102 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.
Key words：contracted family doctor service；effectiveness analysis；limiting factor