Abstract

This research is financed by the 2019 Zhejiang University of Science and Technology extracurricular Science and Technology Innovation and Practice project; Science and Technology Innovation Activity Plan for Zhejiang province University Students in 2020 (Grant No.2020R415022);Innovation and Entrepreneurship Training Program for University Students of Zhejiang University of Science and Technology in 2020(Grant No.2020-CXCY033); National Innovation and Entrepreneurship Training Plan for College Students in 2020(Grant No.202011057033). Abstract Family doctors, as an important part of primary medical care, are the cornerstone for the full implementation of the Healthy China policy and the realization of health for all in 2030. In order to understand the current situation of family doctor service and contract signing in Hangzhou, on the basis of a questionnaire survey with residents in various districts of Hangzhou, the importance matrix was adopted to analyze the satisfaction of contracted residents, principal component analysis and binary logistic regression were used to explore the influencing factors of signing the contract, it has been found that the service level, medical guidance, derivative services and future development significantly influenced the residents' intention to sign contracts. According to the research and analysis, some suggestions have been proposed to further improve the family doctor policy. Keywords: Family doctor; Medical services; Satisfaction; Contract situation DOI: 10.7176/JESD/11-20-01 Publication date: October 31 st 2020

Highlights

  • Doctors, as an important part of primary medical care, play a role as a link between the community and higher-level hospitals

  • 4.1 Conclusion On the basis of the above research and analysis, it can be demonstrated that Hangzhou has a good overall signing rate for family doctors, with a signing rate of over 30% ranking top in the whole country

  • The signing rate in central urban areas and active communities is relatively good, while the residents in surrounding urban areas and inactive communities know less about the family doctor contract system and the signing rate is rather low

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Summary

Introduction

As an important part of primary medical care, play a role as a link between the community and higher-level hospitals. This paper explores the satisfaction and influencing factors of the contract services of Hangzhou's family doctors through on-the-spot questionnaire survey and analysis. In 2011, Hangzhou first conducted a pilot project of the family doctor contract system in Shangcheng District, and in 2014, under the guidance of the "integration of medical care" policy, it promoted the combination of family doctors and community diagnosis, guiding 250,000 citizens to sign contract with family doctors one by one within one month. 3. Survey and Analysis In order to understand the satisfaction with family doctors in Hangzhou and the influencing factors of signing contracts, the method of questionnaire survey and field interview was adopted to conduct a survey in various districts of Hangzhou. 3.1 Analysis of Basic Conditions of Survey Objects After sorting out and summarizing, the personal background and relevant information of the subject objects are shown in the following table 1:

Very healthy
Appointment referral
Future development
Findings
Conclusion and Suggestions
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