Status and influencing factors of contracting and renewing on family doctor service in pilot areas in Guangzhou

Abstract

Objective To learn the current status of family doctor service at pilot communities in Guangzhou, and discover existing problems and influencing factors by investigating the residents who have contracted such service, those have not and the family doctors. Methods This study chose typical community health centers of six communities in Guangzhou in January 2016. In random sampling, residents who visited doctors during the survey and all the family doctors were surveyed. EpiData was used to doubly input data, with SPSS 20.0 for statistical analysis. Results 66.0% of those residents who have not contracted the service are willing to contract a family doctor. According to the binary logistic regression analysis after eliminating the interference factors, there are two factors affecting their willingness: gender and whether needing a family doctor for themselves and their family for health management. According to the binary logistic regression analysis after eliminating the interference factors, the influencing factors of renewing contract are overall satisfaction and necessity for signing family doctors. Conclusions The smooth development of the family doctor service is faced with many bottlenecks, while improving willingness to contract and renew contract to family doctors are the cornerstone for sustainability of the family doctor system. Key words: Family doctor; Willingness to sign; Willingness to renew; Influencing factors; Investigation