家庭医生签约服务在农村地区认知和推广情况的调查

Applicability of family doctors in rural areas

目的调查家庭医生签约服务在农村地区的推广情况,了解农村居民诊疗服务现状,为家庭医生政策的普及提供依据。方法使用自制的一般资料调查表及家庭医生签约意愿问卷,采用便利抽样的方法,于2017年7～8月对四川省南充市南部县农村居民进行问卷调查。结果文化程度是影响农村居民家庭医生签约服务的因素(Ρ<0.01);农村居民患病时所选医院类型、家庭医生签约制度的吸引力来源是家庭医生签约意愿的影响因素(Ρ<0.05)。结论家庭医生签约服务对农村地区居民而言好处颇多但难以普及,应采取措施使农村居民对家庭医生签约服务政策进一步了解,加快家庭医生签约服务在农村的推广,使农村居民从中获益。

Objective To provide the suggestion of popularizing the family doctor policy by investigating the applicability of the family doctor service in inrural areas.Methods From July 2017 to August 2017,a questionnaire survey was conducted among rural residents in Nanbu County of Nanchong,Sichuan Province.We used a self-made general data questionnaire and family doctor's willingness to sign a contract questionnaire.Results Educational level had a effect on the signing service of rural residents'family doctors(Ρ<0.01).Hospital type selected by rural residents and the attractive source of family doctors'signing system were influencing factors of willingness to sign contracts with family doctor(Ρ<0.05).Conclusion Signing service with family doctors has a lot of benefits to the residents in rural areas.But it is difficult to popularize.We should make the rural residents understand the policy of contracting service of family doctors,and promote the popularization of the contracted services of family doctors in rural areas.