Background Contracted family doctor services were implemented as a key action to reform primary care services in China.At present,the coverage of contracting has expanded stably.But the family doctor teams'evaluation of contracted family doctor services is not clear,which also highlights a number of issues that require further improvement in the provision of the services.Objective To study the contracted family doctor services for family doctor teams and associated factors.Methods In October 2022,a combination of purposive sampling and stratified cluster sampling was used for selecting family doctor team members from southern,central,northern and eastern Guangxi to participate in a questionnaire survey.The survey was conducted on the included subjects by using the provider version of the Primary Care Assessment Tools(PCAT-PS),which contains 8 dimensions and 43 items.Multivariate Logistic regression analysis was used to research the influencing factors of family doctor teams'perception of PACT-PS of the services.Results A total of 775 valid questionnaires were collected,with a valid response rate of 99.36%.The average score of the PCAT-PS of the family doctor team members was(32.55±3.90).The dimensions with the relatively high score were family-centeredness and comprehensiveness,but the dimensions of first contact-access and ongoing care of the services had a relatively low-level perception.Multiple linear regression analysis showed that the type of organization,age,professional title,division of team responsibilities and working patterns were the factors that influence the PCAT-PS score of family doctor team members(P<0.05).Conclusion The family doctor team members had an overall good evaluation on contracted family doctor services while differences in the quality of the services among primary health care institutions in urban and rural areas.The working mode of family doctor team has a positive effect on the improvement of contracted family doctor services quality.To further improve the family doctor teams'evaluation of contracted family doctor services,we need to accelerate the construction of family doctor teams with equal emphasis on"quality"and"quantity",explore the path of integrated salary and job development,and create a"government-community-family"shared governance and resource sharing network.
关键词
家庭医生团队/家庭医生签约服务/卫生保健质量/初级保健评估工具/影响因素分析
Key words
Family doctor team/Contracted family doctor services/Quality of health care/Primary care assessment tool/Root cause analysis
维普
万方数据