银川市兴庆区家庭医生签约服务现状及影响因素分析

Analysis of the status and influencing factors about signing family doctor service in Xingqing district of Yin chuan

目的了解银川市兴庆区家庭医生签约服务现状,分析其存在的问题和影响因素。方法采用便利抽样法选择银川市兴庆区社区居民212例,于2018年1月—2月采用自行设计的问卷进行调查。结果 212例居民中签约的有74例(34.91%),签约率较低。居民签约意愿与其对家庭医生签约服务的了解程度、首诊选择情况、患慢性病情况以及对社区的满意度相关(P<0.05)。结论社区居民对家庭医生签约服务的知晓率、签约率、认知程度普遍不高,提示社区医疗服务机构应加大对家庭医生签约服务的宣传,健全家庭医生签约服务的内容,从而提高居民的知晓率、签约率,促进家庭医生签约服务的健康发展。

Objective To investigate the current status of signing services for family doctors in Xingqing District,Yinchuan City,and analyze the existing problems and influencing factors.Methods A total of 212 residents were selected with convenience sampling method from health service stations in Xingqing District,Yinchuan City during January to February in 2018 and investigated with the self-designed questionnaire.Results Among the 212 residents,there were 74(34.91%)who had been signed,the signing rate was low.Resident's willingness to sign contracts was related to their congnition of the signing services of family doctors,first diagnosis choices,chronic conditions,and community satisfaction(P<0.05).Conclusion The residents'signing rate,and awareness rate of family doctor signing services were generally not high,suggesting that community medical service agencies should improve the publicity about signing services for family doctors and enhance the service content of family doctors so as to improve residents'awareness rate and signing rate,promote the development of family doctor signing services.