Research On Willingness Of The Patient’s First Diagnosis In Primary Care And Its Influencing Factors Under The Background Of The Medical Consortium

As early as 2013,the former Beijing municipal health and family planning commission had seen the establishment of the regional medical consortium and the strengthening of graded diagnosis and treatment as one of the new medical reform policies.And it promoted the resolution of the unreasonable allocation of medical resources and resolved the problem of "difficulty and high cost of medical services".It can study on the medical consortium cognition and satisfaction evaluation of Beijing residents,analyse willingness of the patient’s first diagnosis in primary care and its influencing factors under the background of the medical consortium through this investigation.Meanwhile,it also can understand the progress of graded diagnosis and treatment and medical consortium.Puting forward reasonable suggestions for improvement,and promoting the implementation of public policies for the benefit of the people.Through the analysis of relevant literature,confirm the concepts of grassroots diagnosis and the medical consortium.It summarizes experience of willingness of the patient’s first diagnosis from domestic and foreign,and the characteristics and development of medical consortium in Beijing,as well as the current work and data results of grassroots first clinic.Then it discusses residents cognition of medical consortium policy and the influencing factors of community medical treatment.Based on the personal capacity and time,we designed own questionnaire for convenient sampling.From October to December,2019,It selected 330 patients from Peking university third hospital,Haidian hospital and two community medical institutions cooperating with Peking university third hospital.Using the statistical software SPSS22.0,chi-square test,the binary logistic regression statistical analysis,it makes the objective evaluation of community medical treatment willingness,satisfaction and policy cognition under medical consortium.Meanwhile,using interview method to patients and medical staff in community medical institutions.The study found that Beijing urbanization rate was at 86.5% in 2018,76.1% of patients willing to first option at the grassroots medical institution,most of residents had just little of knowledge about policies of the medical,two-way referral,the family doctor’s service.The main factors affecting the willingness of residents’ first diagnosis are registered permanent residence,income,medical treatment habit,trust degree of community doctor,satisfaction degree of community medical service project and cost.The insufficient sensitization of relevant policy and general practitioner are seen as limiting factors to the development of the first diagnosis at primary care.On the basis of this research,suggestions for improvement are put forward.