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Incentives Promoting Contracted Family Doctor Service Policy to Improve Continuity and Coordination in Diabetes Patient Management Care in China

BACKGROUND: As the first step toward building a gatekeeping system in China, the governments have introduced a contracted family doctor service (CFDS) policy in primary healthcare (PHC) facilities. This study was to examine the association between apply of incentive to improve the implementation of...

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Autores principales: Jin, Yinzi, Tian, Wenya, Yu, Yahang, Pan, Wen, Yuan, Beibei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334846/
https://www.ncbi.nlm.nih.gov/pubmed/35910878
http://dx.doi.org/10.3389/fpubh.2022.843217
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author Jin, Yinzi
Tian, Wenya
Yu, Yahang
Pan, Wen
Yuan, Beibei
author_facet Jin, Yinzi
Tian, Wenya
Yu, Yahang
Pan, Wen
Yuan, Beibei
author_sort Jin, Yinzi
collection PubMed
description BACKGROUND: As the first step toward building a gatekeeping system in China, the governments have introduced a contracted family doctor service (CFDS) policy in primary healthcare (PHC) facilities. This study was to examine the association between apply of incentive to improve the implementation of CFDS and the performance on diabetes management care. METHODS: We conducted a cross-sectional study in 72 PHC facilities in 6 cities that piloted the CFDS. Multivariate regression models were applied, based on a sample of 827 PHC providers and 420 diabetic patients. RESULTS: PHC providers who reported the performance being linked with increased income were 168.1 and 78.0% more likely to have good continuity and coordination of diabetes patient management care, respectively. Additional one-point percentage of PHC providers whose performance on CFDS was assessed was associated with 7.192 times higher probability of patients with control of blood glucose. DISCUSSION: Inclusion of incentives rewarding better performance on CFDS were associated with better delivery process and outcome performance on diabetes management care. CONCLUSION: Design and implementation of the incentive should be accompanied with the policy of CFDS, in order to increase the proportion of performance-related income of PHC providers, thereby improving the quality of diabetes management care.
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spelling pubmed-93348462022-07-30 Incentives Promoting Contracted Family Doctor Service Policy to Improve Continuity and Coordination in Diabetes Patient Management Care in China Jin, Yinzi Tian, Wenya Yu, Yahang Pan, Wen Yuan, Beibei Front Public Health Public Health BACKGROUND: As the first step toward building a gatekeeping system in China, the governments have introduced a contracted family doctor service (CFDS) policy in primary healthcare (PHC) facilities. This study was to examine the association between apply of incentive to improve the implementation of CFDS and the performance on diabetes management care. METHODS: We conducted a cross-sectional study in 72 PHC facilities in 6 cities that piloted the CFDS. Multivariate regression models were applied, based on a sample of 827 PHC providers and 420 diabetic patients. RESULTS: PHC providers who reported the performance being linked with increased income were 168.1 and 78.0% more likely to have good continuity and coordination of diabetes patient management care, respectively. Additional one-point percentage of PHC providers whose performance on CFDS was assessed was associated with 7.192 times higher probability of patients with control of blood glucose. DISCUSSION: Inclusion of incentives rewarding better performance on CFDS were associated with better delivery process and outcome performance on diabetes management care. CONCLUSION: Design and implementation of the incentive should be accompanied with the policy of CFDS, in order to increase the proportion of performance-related income of PHC providers, thereby improving the quality of diabetes management care. Frontiers Media S.A. 2022-07-15 /pmc/articles/PMC9334846/ /pubmed/35910878 http://dx.doi.org/10.3389/fpubh.2022.843217 Text en Copyright © 2022 Jin, Tian, Yu, Pan and Yuan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Jin, Yinzi
Tian, Wenya
Yu, Yahang
Pan, Wen
Yuan, Beibei
Incentives Promoting Contracted Family Doctor Service Policy to Improve Continuity and Coordination in Diabetes Patient Management Care in China
title Incentives Promoting Contracted Family Doctor Service Policy to Improve Continuity and Coordination in Diabetes Patient Management Care in China
title_full Incentives Promoting Contracted Family Doctor Service Policy to Improve Continuity and Coordination in Diabetes Patient Management Care in China
title_fullStr Incentives Promoting Contracted Family Doctor Service Policy to Improve Continuity and Coordination in Diabetes Patient Management Care in China
title_full_unstemmed Incentives Promoting Contracted Family Doctor Service Policy to Improve Continuity and Coordination in Diabetes Patient Management Care in China
title_short Incentives Promoting Contracted Family Doctor Service Policy to Improve Continuity and Coordination in Diabetes Patient Management Care in China
title_sort incentives promoting contracted family doctor service policy to improve continuity and coordination in diabetes patient management care in china
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334846/
https://www.ncbi.nlm.nih.gov/pubmed/35910878
http://dx.doi.org/10.3389/fpubh.2022.843217
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