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Utilization of community health care centers and family doctor contracts services among community residents: a community‐based analysis in Shenzhen, China

BACKGROUND: Family doctor contract services (FDCS) began in China in 2016. Shenzhen, one of the most developed cities in China, also implemented a family doctor (FD) policy in 2017. The objectives of this study were to identify the impact of awareness of FDCS and signing service contracts with FDs o...

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Autores principales: Zheng, Qingming, Shi, Lu, Pang, Tiantian, Leung, Willie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146992/
https://www.ncbi.nlm.nih.gov/pubmed/34030650
http://dx.doi.org/10.1186/s12875-021-01444-6
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author Zheng, Qingming
Shi, Lu
Pang, Tiantian
Leung, Willie
author_facet Zheng, Qingming
Shi, Lu
Pang, Tiantian
Leung, Willie
author_sort Zheng, Qingming
collection PubMed
description BACKGROUND: Family doctor contract services (FDCS) began in China in 2016. Shenzhen, one of the most developed cities in China, also implemented a family doctor (FD) policy in 2017. The objectives of this study were to identify the impact of awareness of FDCS and signing service contracts with FDs on utilization of community health care centers (CHCs). METHODS: Cross-sectional secondary data based on residents living in Luohu district was used for analysis. Descriptive analysis was conducted to identify utilization of CHCs by awareness of FDCS and signing service contracts with FDs, respectively. Linear probability models (LPM) were used to determine the association of utilization of CHCs with awareness of FDCS and signing service contracts with FDs, respectively. RESULTS: Among 1205 adults included in the analysis, 27 % of the participants knew about the FDCS, 5 % signed with FD, and 20 % had chronic disease. Both awareness of the FDCS and signing service contracts with FDs significantly increased the probability of using CHCs as a first choice. CONCLUSIONS: This study provided evidence that both awareness of FDCS and signing service contracts with FDs had a positive impact on utilization of primary health care services at the community level. More interventions to improve awareness of FDCS are needed to increase the utilization of primary health care services. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-021-01444-6.
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spelling pubmed-81469922021-05-25 Utilization of community health care centers and family doctor contracts services among community residents: a community‐based analysis in Shenzhen, China Zheng, Qingming Shi, Lu Pang, Tiantian Leung, Willie BMC Fam Pract Research BACKGROUND: Family doctor contract services (FDCS) began in China in 2016. Shenzhen, one of the most developed cities in China, also implemented a family doctor (FD) policy in 2017. The objectives of this study were to identify the impact of awareness of FDCS and signing service contracts with FDs on utilization of community health care centers (CHCs). METHODS: Cross-sectional secondary data based on residents living in Luohu district was used for analysis. Descriptive analysis was conducted to identify utilization of CHCs by awareness of FDCS and signing service contracts with FDs, respectively. Linear probability models (LPM) were used to determine the association of utilization of CHCs with awareness of FDCS and signing service contracts with FDs, respectively. RESULTS: Among 1205 adults included in the analysis, 27 % of the participants knew about the FDCS, 5 % signed with FD, and 20 % had chronic disease. Both awareness of the FDCS and signing service contracts with FDs significantly increased the probability of using CHCs as a first choice. CONCLUSIONS: This study provided evidence that both awareness of FDCS and signing service contracts with FDs had a positive impact on utilization of primary health care services at the community level. More interventions to improve awareness of FDCS are needed to increase the utilization of primary health care services. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-021-01444-6. BioMed Central 2021-05-24 /pmc/articles/PMC8146992/ /pubmed/34030650 http://dx.doi.org/10.1186/s12875-021-01444-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zheng, Qingming
Shi, Lu
Pang, Tiantian
Leung, Willie
Utilization of community health care centers and family doctor contracts services among community residents: a community‐based analysis in Shenzhen, China
title Utilization of community health care centers and family doctor contracts services among community residents: a community‐based analysis in Shenzhen, China
title_full Utilization of community health care centers and family doctor contracts services among community residents: a community‐based analysis in Shenzhen, China
title_fullStr Utilization of community health care centers and family doctor contracts services among community residents: a community‐based analysis in Shenzhen, China
title_full_unstemmed Utilization of community health care centers and family doctor contracts services among community residents: a community‐based analysis in Shenzhen, China
title_short Utilization of community health care centers and family doctor contracts services among community residents: a community‐based analysis in Shenzhen, China
title_sort utilization of community health care centers and family doctor contracts services among community residents: a community‐based analysis in shenzhen, china
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8146992/
https://www.ncbi.nlm.nih.gov/pubmed/34030650
http://dx.doi.org/10.1186/s12875-021-01444-6
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