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To evaluate the impact of family doctor contract on the utilization of services in primary medical and health institutions.
Logit model and propensity score matching method were used for analysis.
The signing rate of family doctors was 75.8%, and the service utilization rate of primary medical and health institutions was 65.28%. The propensity scores matching results showed that after kernel matching and radius matching, ATT of family doctor contract on utilization of primary medical and health institutions was 0.052 4 and 0.068 3. The contracted services of family doctors had increased the utilization rate of primary medical and health institutions of residents with chronic diseases by 13.84%. The contract services of family doctors had no statistical significance on the utilization rate of primary medical and health institutions of non-chronic residents. The contracted services of family doctors had increased the average utilization rate of elderly residents to primary medical and health institutions by 9.25%. The contracted services of family doctors increased the average utilization rate of non-elderly residents to primary medical and health institutions by 5.98%.
The signing rate of family doctors and the utilization rate of primary medical and health institutions are both good. Contracted family doctors can promote the utilization of primary medical and health institutions by residents, and the contracted service of family doctors is more obvious to the utilization of primary medical and health institutions by people with chronic diseases and the elderly.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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