| 引用本文：邱宝华, 黄蛟灵, 梁鸿, 张宜民, 张伟胜, 张建敏, 汪潮, 陈翔.家庭医生签约服务利用与满意度的比较研究[J].中国卫生政策研究,2016,9(8):31-36 |
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| 家庭医生签约服务利用与满意度的比较研究 |
| 投稿时间：2016-05-27 修订日期：2016-06-28 PDF全文浏览 HTML全文浏览 |
| 邱宝华1, 黄蛟灵2, 梁鸿2, 张宜民3, 张伟胜4, 张建敏4, 汪潮4, 陈翔41 |
1. 上海市人力资源和社会保障局 上海 200125;
2. 复旦大学社会发展与公共政策学院 上海 200433;
3. 上海市浦东卫生发展研究院 上海 200233;
4. 上海市虹口区卫生和计划生育委员会 上海 200086 |
| 摘要:目的:比较家庭医生签约服务中签约居民与非签约居民对于社区卫生服务利用与满意度的差异，依此验证签约家庭医生对于社区卫生服务利用与满意度的影响。 方法：采用问卷调查采集相关数据建立数据库。主要使用卡方检验、因子分析、多元线性回归分析等统计方法。 结果：签约居民对于社区卫生服务的利用显著高于非签约居民，满意度的各项指标也普遍高于非签约居民。在控制了基本人口学变量后，满意度综合指标的回归结果也表明是否签约是影响满意度的核心解释变量。 结论：家庭医生制度的实施提高了社区卫生服务的利用，进而促成分级诊疗的有序医疗格局。服务利用提升的同时也将有助于提高居民对于基本医疗卫生服务的获得感与满足感。 |
| 关键词:家庭医生 签约服务 满意度 比较研究 |
| 基金项目:国家自然科学基金（71403171）；上海市浦东新区卫生和计划生育委员会学科带头人计划（PWRd2014-13） |
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| A comparative study on the health services utilization and satisfaction of the family doctor service |
| QIU Bao-hua1, HUANG Jiao-ling2, LIANG Hong2, ZHANG Yi-min3, ZHANG Wei-sheng4, ZHANG Jian-min4, WANG Chao4, CHEN Xiang41 |
1. Shanghai Municipal Human Resource and Social Security Bureau, Shanghai 200125, China;
2. School of Social Development and Public Policy, Fudan University, Shanghai 200433, China;
3. Pudong Institute for Health Development, Shanghai 200233, China;
4. Shanghai Hongkou District Health and Family Planning Commission, Shanghai 200086, China |
| Abstract:Objective: To test the effect of the Family Doctor on Community Health Services utilization and satisfaction, by comparing the difference between those who have signed the service contract and those who have not. Methods: To collect data and create the database, a questionnaire survey was conducted. To deal with data using Chi-square test, Factor Analysis, Multiple Linear Regression and other statistical methods were adopted. Results: Community health services utilization is significantly higher for the contracted residents than in non-signatory ones, a case which is the same with the satisfaction. Besides, after controlling for the basic demographic variables as gender, age, education et al., the regression composite indicators with overall satisfaction and its impacts also shows the same result. Conclusion: The implementation of the Family Doctor System has increased the utilization of Community Health Services, and thus contributes to the orderly hierarchical medical system. Therefore, a massive utilization of health services could help to improve the benefit sense and satisfaction of residents. |
| Key words:Family doctor Contract service Satisfaction Comparative study |
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