Study on the intention and influence factors of general practioner signed service for the staff in Urumqi community health service center / 中华健康管理学杂志

ABSTRACT

Objective Analysis of community work personnel's general practitioner engaged in service intention and its influencing factors. Methods Between December 2016 and May 2017, using multi-stage cluster random sampling in the Urumqi area,across 7 community health service centers(CHSC) out of 59 in a county jurisdiction,we randomly selected 1-2 community health service centers in each area county.Wethen randomly selected 8 CHSC staff as the research participants and chose a total of 324 community work personnel, 66 male and 258 female, with an average age of (34.7 ± 10.4) years to complete a questionnaire survey.The general practitioner engaged with theservice staff will use chi-square test analysis and logistic regression analysis on the influencing factors. Results Of 324 medical workers in community health service centers, including 250 of Han ethnic group and 74 minority ethnic group workers, 97.6% workers of Han ethnic group and 95.9% of minority ethnic group had signing service awareness; 92.4% of Han workers would sign system services,and 95.9% of the minority ethnic group staff were willing to sign system services. Single factor analysis found that the staff were familiar with the signing system service, attended the health management training in general medicine,had teacher-training background,had teaching experience,wondered whether to have interns,wondered whether it can save manpower,wondered whether workload could be reduced, wondered whether it can improve compliance, and considered doctor-patient relationship. These nine parameters represented service contracts with the GPS system and showed statistically significant differences (χ2=6.433, 12.913, 5.984, 6.448, 14.593, 20.675, 17.031, 84.829, 97.943, respectively;P< 0.05). In the comparison of Han ethnic group and minority workers' signing intention,the nine indicators showed no significant differences(P>0.05).Conclusion Urumqi Han ethnic group and minority community workers' a wareness of signing service, willingness to sign system services, strengthening community staff of general medicine,and training for health management knowledge and skills are advantageous to the community engaged in service.