Study Of Beijing Residents And Community Staff To Cognition And Signing Of The Family Doctor Service

Background Since 21 century, with the rapid economic development and the aging process accelerating, the number of Chronic disease increased, people needs of medical health service are growing, the cost of health care and social burden is heavy. Establishing and improving family health care system in our country, some patients will be included in the scope of family health services, it will optimize the masses for direction, speed up the transformation of the medical service mode, improve the efficiency of health resources utilization, and effectively reduce the economic burden of disease of the masses. Since 2010, Beijing started the family doctor service, after continuing to promote the current mode of the service has been fully carried out, achieving some initial results. But with the deepening of the family doctor-service work, the service is exposed some problems: the family doctor service cognition should be improved, residents and medical staff have cognitive differences on some issues, residents signing rate needs to be improved. Therefore, how to improve the cognition of the family doctor service of residents and medical staff, to improve residents’ signing rate, and to promote family health services for a long time to develop, these are needed to solve the current problem.Purpose Understanding the cognition of residents and medical staff to the family doctor service, focus on the analysis of different cognition to the same question, and finding the existing problems; understanding residents’ signing and renewing status, Analyzing the influence factors.Based on the above analysis, to improve the family doctor service and puts forward the countermeasure proposal.Methods We choose 6 community,these communities’ family doctor type services are better. By using random sampling methods, 3000 residents and 450 medical staff are investigated. We use descriptive analysis, Chi square test, rank sum test and logistics regression to analyzed the data. Understanding of the basic situation of residents and medical personnel, their cognition to the family doctor service, the differences cognitions between the two people, and the factors of influence on the residents’ signing and renewal of family doctor.Result The basic situation: the health status of residents is poor; the work load of medical staff is heavy.The cognitive situation:1, residents of cognition:78% of residents had heard the family doctor-service; 42% of residents believe that the family doctor degree does not matter; 67% of the residents in the community health service institutions preferred sick. 2, medical staff of cognition:very understanding and a better understanding of "family doctor service" proportion of medical personnel were 15% and 49%;54% of the medical staff can not guarantee that the current laws and regulations to carry out the family doctor-service; the proportion of medical staff that is fully and able to capable to meet the needs of the residents were 4% and 11%; the ratio of medical staff that think the family doctor service content very comprehensive and comprehensive were 14% and 40%.3,the two people cognitive difference: in the presence of essential health services with community groups for each family, the significance of family doctor service, family doctor service role in reducing the prevalence of the disease, action to reduce health care spending, medical staff awareness is lower than the residents. In the understanding of community service in the form of health care team, there are some differences between the two people.The signing situation:There are 66.4% of residents sign family doctor, the main factors are cognitive to the family doctor, whether to establish health records, if received on-site service, and on-site service recognition. In contracted residents, 83.9% of the residents expressed willingness to continue to contract, the main factors are the need for standardized training of family doctors, whether agreed first diagnosis system, and whether on-site service is safe.Conclusion Residents and community medical personnel for the family doctor service cognition should be further improved in Beijing, it can further improve residents’ signing rate and renewal rate from the aspect of improving the awareness, to provide convenient services for residents. Therefore, we will constantly improve the family doctor service: to enhance the service level of medical staff, to correct the errors inherent ideas, to establish appropriate incentive measures. Strengthening propaganda residents, so that it will guide residents use the family doctor service.