A survey on the smart medical service model in Hangzhou: signing behavior and associated factors

Abstract

To analyze associated factors of signing behavior of smart medical model in Hangzhou, 500 residents aged 18 years and older who signed smart medical and 500 unsigned residents were randomly selected from 5 urban districts of Hangzhou city from 19 to 26, July 2016. The social-demographic characteristics, chronic disease, health-seeking behavior, kinds of medical insurance were investigated by face-to-face interview. The results showed that there were significant differences in educational level, self-rated health status, chronic disease, seeking behavior and type of medical insurance, while there were no significant differences in gender and age between signed group and non-signed group. Logistic regression analysis revealed that residents with higher education level (OR=1.226, 95%CI: 1.118-1.344, P<0.01) and having more chronic diseases (OR=1.854, 95%CI: 1.524-2.257, P<0.01) preferred to sign contract. The main reasons for unwillingness of signing contract were was not suitable for me (17.0%, 61/359), I didn′t know specific content of service (16.7%,60/359), the signing procedure was complicated (15.0%, 54/359). In conclusion, different communication strategies should be adopted considering residents with different educational level and chronic diseases. And delivery of detailed information, simplification of signing process will promote to popularize this smart medical service. Key words: Community health service; Contracted; Smart medical service; Influence factors