Full
Outline
To investigate the contracting status and satisfaction levels of community residents with family doctor contract services in Zhejiang Province, and to analyze the associated influencing factors.
A multi-stage stratified sampling method was used to randomly select seven community health service centers in Hangzhou, Wenzhou, and Zhoushan,Zhejiang Province. A cross-sectional questionnaire survey was conducted among individuals visiting these centers from January to March 2024. Analysis of factors influencing satisfaction levels with family doctor contract services was performed using an ordered logistic regression model.
A total of 713 questionnaires were distributed, with 643 valid responses, yielding a response rate of 90.18%. Among the respondents, 373 had contracted family doctor contract services, resulting in a contracting rate of 58.01%. The main reasons for not contracting were having never heard of the family doctor contract service (40.00%) and considering it unnecessary (26.67%). The overall satisfaction score with family doctor services among the contracted population was 4.11 ± 1.16. Satisfaction was assessed across five dimensions showing statistically significant differences (H=20.182, P<0.001). Ordered logistic regression analysis revealed that individuals living with a spouse and/or children (OR=2.316, 95% CI:1.040-5.160) reported higher satisfaction levels with family doctor contract services. Conversely, lower satisfaction levels were observed among individuals with an annual household income of 200 000-<500 000 yuan (OR=0.242, 95% CI: 0.102-0.573), those with an annual household income of ≥500 000 yuan (OR=0.212, 95% CI: 0.074-0.605), those reporting moderate awareness of family doctor contract services (OR=0.282, 95% CI: 0.163-0.486), and those reporting good awareness (OR=0.011, 95% CI: 0.004-0.028).
Currently, the family doctor contracting rate and satisfaction among community residents in Zhejiang Province are relatively high, but there is still room for improvement. Further efforts are needed to enhance publicity, improve service quality, and increase both the contracting rate and satisfaction of residents.
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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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