A study on the satisfaction of the rural elderly people in Dafeng district,Yancheng city with contracted family doctor services
Objective To investigate the satisfaction levels of the rural elderly in Dafeng district of Yancheng,Jiangsu province with the contracted family doctor services,and to identify the factors that influence their satisfaction.The findings of this study will provide valuable insights for improving the quality of the contracted family doctor services offered to the rural elderly population.Methods The study utilized the stratified cluster sampling method to select elderly individuals aged 60 years and above from Dafeng district,Yancheng city for a questionnaire survey.Specifically,the study focused on elderly individuals who had participated in contracted family doctor services for more than six months.The survey aimed to gather information on the elderly population's general situation,as well as their understanding,utilization,and satisfaction with contracted family doctor services.The satisfaction of contracted family doctor services was analyzed using the chi square test and multivariate Logistic regression to identify the influencing factors.Results The study surveyed 385 elderly individuals from rural areas who had contracted family doctor services.The results showed that 88.3％(340/385)of respondents were satisfied with the services they received.Additionally,99.2％(382/385)of those surveyed were aware of the contracted family doctor services,and 81.8％(315/385)had received basic medical services from their signed-up doctors.The results of a multifactor analysis that examined the factors influencingthe overall satisfaction of elderly patients with their contracted family doctor services revealed several significant factors.Specifically,being female(OR=2.557,95％CI:1.122-5.830,P=0.026)and unmarried(OR=7.355,95％CI:1.850-29.237,P=0.005),supporting the contracted family doctor services system(OR=18.442,95％CI:1.732-195.973,P=0.016),believing that the contracted medical institutions had excellent hardware facilities(OR=9.918,95％CI:2.313-42.526,P=0.002)and providing high-quality health services for the elderly(OR=8.723,95％CI:1.556-48.908,P=0.014),as well as experiencing improved health status after signing the contract(OR=5.006,95％CI:1.764-14.201,P=0.002)were all significant factors influencing their satisfaction.These findings suggest that these factors are important considerations for improving the satisfaction of elderly patients with their contracted family doctor services.Conclusions The contracted family doctor services provided in Dafeng district,Yancheng city have been well received by the rural elderly population.Factors such as gender,marital status,attitude towards the contracted family doctor services system,improvements in health status after contracting the service,quality of the hardware facilities at the contracted medical institution,and availability of health services specifically tailored for the elderly all play a role in determining the level of satisfaction among the contracted elderly population.To better serve the elderly population,it is crucial that we prioritize their needs.This can be achieved by improving the level of"suitable aging"in the contracted services and enhancing the satisfaction of family doctors who provide these services.
Home care servicesRural populationSatisfactionInfluencing factors
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