ArticleInternational journal of general medicine2021
Facilitate Signing with the Family Doctor: A Study of the Practice in Shanghai, China.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- WeChat-Based Intervention for Glycemic Control in Patients With Type 2 Diabetes Mellitus: Multicenter Randomized Controlled Trial.JMIR mHealth and uHealth · 2026Trial
- Patient-Physician Ethnic Concordance and its Impact on Care Continuity: First Evidence from Tibet.Journal of racial and ethnic health disparities · 2026Article
- Construction of an index system for workplace services by family doctors in China: a two-round Delphi study.BMC primary care · 2026Article
- Does Family Doctor Contracting Improve the Health of the Elderly: An Empirical Study from Beijing, China.Journal of multidisciplinary healthcare · 2026Article
- Patient-centered medical home and the quality of primary care: survey study with patients and administrators of community healthcare centers in Shanghai, China.BMC primary care · 2025Article
- Community detection and management of mild cognitive impairment in Shanghai: a mixed-methods study.Health policy and planning · 2025Article
- Predicting family doctor contract fulfillment propensity using the FA-GA-BP model and per capita household expenditures.Frontiers in public health · 2025Article
- Impact of family doctor contracted services on the health of migrants: a cross-sectional study in China.Scientific reports · 2024Article
- The effect of incentive factors on turnover intention of PHC workforce in rural China-from the perspective of two-factor theory.BMC health services research · 2024Article
- Impact of family doctor system on diabetic patients with distinct service utilisation patterns: a difference-in-differences analysis based on group-based trajectory modelling.BMJ global health · 2024Article
- The effect of family physician team processes on chronic disease management performance from a structural network perspective.BMC primary care · 2024Article
- The impact of family doctor contract services on the utilization of and satisfaction with primary health care among Chinese residents: A cross-sectional study.Journal of family medicine and primary care · 2024Article
- The impact of hypertension follow-up management on the choices of signing up family doctor contract services: does socioeconomic status matter?BMC primary care · 2024Article
- Article
- Study on the evaluation and influencing factors of contracted residents on the coordination of primary medical institutions.Frontiers in public health · 2024Article
- Health Management Service Models for the Elderly with Visual Impairment: A Scoping Review.Journal of multidisciplinary healthcare · 2024Article
- Factors associated with access to healthcare services for older adults with limited activities of daily living.Frontiers in public health · 2022Article
- Utilization and out-of-pocket expenses of primary care among the multimorbid elderly in China: A two-part model with nationally representative data.Frontiers in public health · 2022Article
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Authors and funding
12 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the time since primary care was implemented in China in 2009, programs of promoting residents signing with family doctor services have been key. However, there has been a lack of effective evaluation of its implementation.
methodsWe used mixed methods for evaluating existing measures of facilitating signing with family doctors in Shanghai. Based on the Donabedian model, qualitative informant interviews were conducted to obtain experts' evaluations in aspects of team construction (structure) and innovative solutions for promoting and supervising signings (process). Quantitative data were used to analyse the utilization situation (outcome) from "Shanghai Family Doctor Signing Data Platform".
resultsMeasures of signing with family doctors in Shanghai have functioned well, but there is still a lack of sufficient family doctors and specialists, including paediatricians and gynaecologists. Although proportions of the key population (average=62.59%) and the elderly population (>65 years) (average=78.10%) who had signed with family doctors were relatively high, the proportion of the permanent resident population (average=29.36%) who had signed with family doctors was low from 2017 to 2020 in Shanghai. The proportions of residents seeking medical advice in signed community health centres in outskirts (71.08%) were higher than those in suburbs (63.51%) and urban areas (53.49%), whereas the proportion of those seeking medical advice from recommended multiple medical institutions were similarly low in urban areas, outskirts and suburbs.
conclusionThe practice of facilitate signing with family doctors in Shanghai has increased. However, we showed that numbers of family doctors were relatively low, and there remains a need for more experienced gynaecology and paediatrics professionals, compared with Western countries. Additionally, efforts should be made to increase proportions of residents who utilize the program, especially in urban areas, and seek medical services in contracted group hospitals and community health centres.
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