农村居民对家庭医生签约服务认知及签约意愿分析

Analysis of Rural Resident’ Cognition and Signing Intention to Family Doctors

目的:了解农村居民对家庭医生签约服务知晓情况、签约意愿及其影响因素。方法:利用自制问卷对山东省临沂市240名农村居民进行面访调查,对数据进行描述性分析,χ2检验,二分类logistic回归分析。结果:家庭医生签约服务的农村居民知晓率为46.2%,农村居民对家庭医生签约服务知晓率在户主与非户主、低保户与非低保户、不同的年龄阶段、婚姻状况、职业和是否患有慢性病间的差异有统计学意义。logistic回归结果显示,学历和职业是农村居民了解家庭医生的影响因素。农村居民不愿签约的前三位原因:对家庭医生的服务质量担忧,不知道有家庭医生式服务,对签约家庭医生不信任。结论:农村居民对家庭医生签约服务的知晓率不高,不同特征下人群知晓率差异明显,家庭医生的服务能力影响农村居民的签约意愿。

Objective To understand the rural residents’ knowledge of contracting services for family doctors,their willingness to sign contracts and their influencing factors. Methods A survey was conducted on 240 rural residents in Linyi City,Shandong Province,using a self-made questionnaire. Descriptive analysis,χ2 test,and binary logistic regression analysis were performed on the data. Results the awareness rate of rural residents signing contracts for rural residents was 46. 2%,and the awareness rate of rural residents for signing services for family doctors was statistically significant among household and non-head of households,low-income households and non-low-income households,different age groups,marital status,occupations,and whether they had chronic diseases. The logistic regression results show that occupations and education are the influencing factors for rural residents to be aware of family doctor’s contracting services. The top three reasons why rural residents are unwilling to sign a contract are: concern about the quality of service of family doctors,not knowing family doctor-style services,and not trusting contracted family doctors. Conclusion Rural residents have low awareness of family doctors’ contracting services,and there are deviations in their understanding. The lack of trust in family doctors affects their willingness to sign up.