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Research article
Lihua Fan
Corresponding Author
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This work is licensed under a CC BY 4.0 License. Read Full License
Background: The family doctor system has gained rapid ground worldwide. In recent years, China has been actively exploring family doctor-type contracted services. This study aimed to explore the factors influencing Contracted Family Doctors Services (CFDS) from the perspectives of medical staff and consumers, and to provide a stronger basis for the development and promotion of CFDS. Methods: This study used a combination of quantitative and qualitative methods. A self-reported questionnaire was designed through a literature analysis, group discussions, expert consultations and a pre-survey. A cross-sectional survey was conducted among community health service providers and administrators in 12 community health service centres across four provinces of China. A total of 389 people participated, and 320 valid questionnaires were obtained, with an effective response rate of 82.3%. A total of 36 consumers participated in in-depth interviews, and the total effective rate was 100.0%. Exploratory factor analysis, confirmatory factor analysis, inductive methods, and expert consultations were used to analyse the factors influencing CFDS. Results: The factors influencing CFDS from the perspectives of medical staff were divided into four dimensions, with the following weighting coefficients: national government (31.87%), community health service agency factors (24.73%), consumer-related factors (22.58%), and contracted doctor-related factors (20.82%). The factors influencing CFDS from the perspectives of patients/consumers were national policy factors, contracted team factors, and consumer-related factors. Conclusions: National governments, community health agencies, community health workers, and consumers play important roles in the advancement of CFDS. Therefore, the development of CFDS is based on the rights and interests of all stakeholders involved.
Keywords
family doctors; influencing factors; contracted services; patients
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CURRENT STATUS: Published
View the published article at BMC Health Services Research.
No community comments so far
Editorial decision: Minor revision
On 23 Nov, 2019
Review #1 received
Received 21 Nov, 2019
Reviewer #1 agreed
On 08 Nov, 2019
Editor assigned
On 07 Nov, 2019
Reviewers invited
Invitations sent on 07 Nov, 2019
Submission checks complete
On 06 Nov, 2019
Editor invited
On 06 Nov, 2019
Version 2
Posted 11 Oct, 2019
No comments provided
Review #2 received
Received 24 Oct, 2019
Editorial decision: Major revision
On 24 Oct, 2019
Review #1 received
Received 20 Oct, 2019
Reviewer #1 agreed
On 10 Oct, 2019
Reviewer #2 agreed
On 10 Oct, 2019
Editor assigned
On 07 Oct, 2019
Reviewers invited
Invitations sent on 07 Oct, 2019
Submission checks complete
On 06 Oct, 2019
Editor invited
On 06 Oct, 2019
No comments provided
Editorial decision: Major revision
On 15 Sep, 2019
Review #2 received
Received 14 Sep, 2019
Review #1 received
Received 13 Sep, 2019
Editor assigned
On 29 Aug, 2019
Reviewers invited
Invitations sent on 29 Aug, 2019
Reviewer #1 agreed
On 29 Aug, 2019
Reviewer #2 agreed
On 29 Aug, 2019
Submission checks complete
On 29 Aug, 2019
Editor invited
On 29 Aug, 2019
First submitted
On 25 Aug, 2019
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Health Services Research.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Lihua Fan
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Health Services Research.
No community comments so far
Editorial decision: Minor revision
On 23 Nov, 2019
Review #1 received
Received 21 Nov, 2019
Reviewer #1 agreed
On 08 Nov, 2019
Editor assigned
On 07 Nov, 2019
Reviewers invited
Invitations sent on 07 Nov, 2019
Submission checks complete
On 06 Nov, 2019
Editor invited
On 06 Nov, 2019
Version 2
Posted 11 Oct, 2019
No comments provided
Review #2 received
Received 24 Oct, 2019
Editorial decision: Major revision
On 24 Oct, 2019
Review #1 received
Received 20 Oct, 2019
Reviewer #1 agreed
On 10 Oct, 2019
Reviewer #2 agreed
On 10 Oct, 2019
Editor assigned
On 07 Oct, 2019
Reviewers invited
Invitations sent on 07 Oct, 2019
Submission checks complete
On 06 Oct, 2019
Editor invited
On 06 Oct, 2019
No comments provided
Editorial decision: Major revision
On 15 Sep, 2019
Review #2 received
Received 14 Sep, 2019
Review #1 received
Received 13 Sep, 2019
Editor assigned
On 29 Aug, 2019
Reviewers invited
Invitations sent on 29 Aug, 2019
Reviewer #1 agreed
On 29 Aug, 2019
Reviewer #2 agreed
On 29 Aug, 2019
Submission checks complete
On 29 Aug, 2019
Editor invited
On 29 Aug, 2019
First submitted
On 25 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Health Services Research.
Background: The family doctor system has gained rapid ground worldwide. In recent years, China has been actively exploring family doctor-type contracted services. This study aimed to explore the factors influencing Contracted Family Doctors Services (CFDS) from the perspectives of medical staff and consumers, and to provide a stronger basis for the development and promotion of CFDS. Methods: This study used a combination of quantitative and qualitative methods. A self-reported questionnaire was designed through a literature analysis, group discussions, expert consultations and a pre-survey. A cross-sectional survey was conducted among community health service providers and administrators in 12 community health service centres across four provinces of China. A total of 389 people participated, and 320 valid questionnaires were obtained, with an effective response rate of 82.3%. A total of 36 consumers participated in in-depth interviews, and the total effective rate was 100.0%. Exploratory factor analysis, confirmatory factor analysis, inductive methods, and expert consultations were used to analyse the factors influencing CFDS. Results: The factors influencing CFDS from the perspectives of medical staff were divided into four dimensions, with the following weighting coefficients: national government (31.87%), community health service agency factors (24.73%), consumer-related factors (22.58%), and contracted doctor-related factors (20.82%). The factors influencing CFDS from the perspectives of patients/consumers were national policy factors, contracted team factors, and consumer-related factors. Conclusions: National governments, community health agencies, community health workers, and consumers play important roles in the advancement of CFDS. Therefore, the development of CFDS is based on the rights and interests of all stakeholders involved.
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