The health effect and mechanism of family doctor contract service: Evidence from 1 191 rural residents with chronic disease in 12 counties of 6 provinces

Corresponding author: yaoqiang, yaoqianghero@126.com

DOI: 10.12201/bmr.202409.00051

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  Abstract: Objective: To explore the effect and mechanism of family doctor contract service on the health of rural residents with chronic disease. Methods: From June to August 2023, 1 191 valid samples from 12 counties in 6 provinces were collected through face-to-face questionnaire survey. Tobit model and KHB method were used to analyze the effect of family doctor contract on EQ-5D-5L utility index scores and its path. Results: The family doctor contract rate was 59.19% and the utility index scores was 0.831. Family doctor contract service significantly improved the health utility index scores of chronic disease patients (β=0.047, P<0.05); The utility index scores was affected completely through public health services (β=0.028, P<0.01, 95%CI=0.009~0.047), and the indirect effect accounted for 66.77% of the total effect. Conclusion: The family doctor contract rate of rural residents with chronic diseases is low in China, and the health-related quality of life is not good. The family doctor contract service can improve the health-related quality of life of patients with chronic diseases mainly by improving public health services. It is urgent to strengthen the effects of family doctor contract service on medical service utilization and individual health behavior, so as to give full play to the health effects of family doctor contract service.

  Key words: Family doctor contract service; Patients with chronic disease; Health-related quality of life; Mechanism of health effects; KHB mediation analysis

  Submit time: 23 September 2024

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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