Zhongguo quanke yixue (Aug 2022)
Needs and Associated Factors of Contracted Family Doctor Services in Young and Middle-aged Office Building Occupants
Abstract
Background For building a healthy China, it is essential to expand the coverage of family doctor services. In young and middle-aged office building occupants, the rate of contracting family doctor services is low. Shanghai has taken the lead in exploring building-based family doctor services, and providing on-demand health management services. So it is particularly meaningful to study the health needs in young and middle-aged office building occupants. Objective To investigate the needs and associated factors of contracted family doctor services among young and middle-aged office building occupants in Shanghai. Methods A questionnaire survey was conducted from December 2019 to December 2020 with a cluster random sample of young and middle-aged office building occupants (aged 18-59 years) selected from representative office buildings in Shanghai's Hongkou District, Pudong New District, and Jing'an District of Shanghai for understanding their sociodemographic characteristics, health and healthcare-seeking conditions, knowledge of family doctor services, and needs of essential and personalized family doctor services. Multiple Logistic regression analysis was used to analyze the factors affecting the needs of family doctor services. Results In all, 2 366 cases attended the survey, and 2 272 of them (96.03%) who completed the survey effectively were included for analysis. Among them, 87.65% (1 874/2 138) had general, moderate or strong needs for essential family doctor services, and 70.59% (1 452/2 057) had needs for personalized family doctor services. Multiple Logistic regression analysis indicated that age, education level, self-assessed social class, understanding of one's own health, self-assessed health status, chronic disease prevalence, mental health status, preferred healthcare setting for treating common diseases, treatment experience in a community health institution, understanding of and degree of trust in a family doctor, and understanding of building-based family doctor services and the specific scope of the services were associated with the needs of essential family doctor services (P<0.05). Education level, social health insurance, commonly used drugs, chronic disease prevalence, preferred healthcare setting for treating common diseases, treatment experience in a community health institution, understanding of building-based family doctor services, and understanding of the scope of building-based family doctor services were associated with the needs of personalized family doctor services (P<0.05) . Conclusion The contracted family doctor services were in high demand in young and middle-aged office building occupants. Improving health literacy in this population, modifying publicity strategies regarding the services, and improving the capabilities of the family doctor team and primary medical institutions, may be conducive to increasing the rate of contracting family doctor services in this group.
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