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首页> 美国卫生研究院文献>Inquiry: A Journal of Medical Care Organization Provision and Financing >Factors Influencing Residents’ Willingness to Contract With GeneralPractitioners in Guangzhou China During the GP Policy Trial Phase: ACross-Sectional Study Based on Andersen’s Behavioral Model of Health ServicesUse
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Factors Influencing Residents’ Willingness to Contract With GeneralPractitioners in Guangzhou China During the GP Policy Trial Phase: ACross-Sectional Study Based on Andersen’s Behavioral Model of Health ServicesUse

机译：影响居民与一般人签约的因素全科医生政策试用阶段中国广州的从业人员：A基于安徒生卫生服务行为模型的跨部门研究采用

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This study aimed to investigate the current contract rate and residents’ willingness to contract with general practitioner (GP) services in Guangzhou, China, during the policy trial phase, and also to explore the association of behavior contract and contract willingness with variables based on Andersen’s Behavioral Model of Health Services Use (ABM). In total, 160 residents from community health centers (CHCs) and 202 residents from hospitals were recruited in this study. The outcome variables were behavior contract and contract willingness. Based on the framework of ABM, independent variables were categorized as predisposing factors, enabling factors, need factors, and CHC service utilization experiences. Univariate and multivariate logistic regression analysis models were applied to explore the associated factors. Out of 362 participants, 14.4% had contracted with GP services. For those who had not contracted with GP services, only 16.4% (51 out of 310) claimed they were willing to do so. The contract rate for community-based participants was significantly higher than that for hospital-based participants. Major reasons for not choosing to contract were perceiving no benefit from the service and concerns about the quality of CHCs. Community health center experiences andsatisfaction were significantly associated with contracting among hospital-basedparticipants. A need factor (diagnosed with hypertension or diabetes) and CHCservice utilization experiences (have gotten services from the same doctor inCHCs) were significantly associated with contract willingness among CHC-basedparticipants. Intervention to improve awareness of GP services may help topromote this service. Different intervention strategies should be used forvarying resident populations.
机译：这项研究旨在调查在政策试验阶段中国广州市的当前合同率和居民与全科医生服务的合同意愿，并探讨行为合同和合同意愿与基于Andersen的变量的关联。卫生服务使用行为模型（ABM）。在这项研究中，总共招募了160名社区卫生中心（CHC）居民和202名医院居民。结果变量是行为契约和契约意愿。根据ABM的框架，将自变量分为诱发因素，促成因素，需求因素和CHC服务利用经验。应用单因素和多元逻辑回归分析模型来探索相关因素。在362位参与者中，有14.4％与GP服务签约。对于那些没有与GP服务签约的人，只有16.4％（310个中的51个）声称愿意这样做。社区参与者的合同率显着高于医院参与者的合同率。不选择签约的主要原因是没有从服务中受益，也没有担心CHC的质量。社区卫生中心的经验和满意度与医院之间的签约关系显着参与者。需要因素（诊断为高血压或糖尿病）和CHC服务利用经验（已经从同一位医生那里获得了服务CHCs与基于CHC的合同意愿显着相关参与者。进行干预以提高对全科医生服务的认识可能有助于推广这项服务。应使用不同的干预策略不同的常住人口。

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