Study on the evaluation and influencing factors of contracted residents on the coordination of primary medical institutions

作者：Lingfeng Xu, Na Xu, Xiaoli Jiang, Haibo Peng, Yixuan Wu, Zihan Lang, Lifang Zhou, Dongping Ma, Zhongming Chen, Chengliang Yin, Qianqian Yu · 发表于：Frontiers in Public Health · 年份：2024 · DOI：10.3389/fpubh.2024.1307765 · 被引用次数：8 · 研究领域：Healthcare Systems and Reforms、Primary Care and Health Outcomes、Chronic Disease Management Strategies

Background The implementation of family doctor contract service is a pivotal measure to enhance primary medical services and execute the hierarchical diagnosis and treatment system. Achieving service coordination among various institutions is both a fundamental objective and a central element of contract services. Objective The study aims to assess residents’ evaluations and determining factors related to the coordination of health services within primary medical institutions across different regions of Shandong Province. The findings intend to serve as a reference for enhancing the coordination services offered by these institutions. Methods The study employed a multi-stage stratified random sampling method to select three prefecture-level cities in Shandong Province with different economic levels. Within each city, three counties (districts) were randomly sampled using the same method. Within each county (district), three community health service centers and township health centers implementing family doctor contract services were selected randomly. Face-to-face questionnaire surveys were conducted with contracted residents using the coordination dimension of the revised Primary Care Assessment Tools Scale (PCAT) developed by the research team. Data analysis was conducted using such methods as one-way analysis of variance and multiple linear regression. Results The sample included 3,859 contracted residents. The coordination dimension score of primary medical institutions a...