• 国家药监局综合司 国家卫生健康委办公厅
  • 国家药监局综合司 国家卫生健康委办公厅

Family doctors of chronic disease comorbid patients based on discrete choice experimentresearch on preference of contract service selection

Corresponding author: MA Dongping, anqiuma123@163.com
DOI: 10.12201/bmr.202412.00002
Statement: This article is a preprint and has not been peer-reviewed. It reports new research that has yet to be evaluated and so should not be used to guide clinical practice.
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    Abstract: Abstract Objective To analyze the preference of family doctors for contracting services for patients with chronic disease comorbidities, and to provide theoretical reference for promoting the high-quality development of family doctors contracting services. Methods Based on discrete selection experiment, 768 qualified samples that passed the consistency test were analyzed by mixed logit model and willingness to pay method. Results Among all the service attributes included in the study, the patients with chronic diseases were more willing to choose the family doctor contract service with low service cost, providing medical service, Western medicine service, 2-week prescription for chronic disease, professional pharmacist medication guidance, and outpatient treatment. The relative importance of the attribute of service cost is the largest (41.42%), followed by the type of service (26.25%). If the service type changed from Chinese medicine to Western medicine, the patients with chronic diseases were willing to spend 120.418 yuan more, and the choice preference increased by 44.80%; There was heterogeneity in the selection preferences of comorbid patients of different genders and ages. Conclusion In the future, it is necessary to reasonably formulate service fee standards according to regional development differences and patients choice preferences, and promote the development and standardization of TCM services at the grass-roots level, so as to give full play to the unique advantages of TCM in the treatment of disease and chronic disease prevention and treatment. Promote the rationalization of family doctor team construction, strengthen the ability of family doctors to guide medication, and meet the diversified service needs of patients. The selection preference of patients with different characteristics was clarified, focusing on the elderly chronic disease comorbid patients. Through the government, grass-roots medical and health institutions, family doctors and other parties to jointly participate in promoting the high-quality development of family doctor contracted services.

    Key words: Discrete choice experiment; Chronic disease comorbidity; Contracted services of family doctors; Selection preference

    Submit time: 2 December 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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    1 2024-09-09

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GENG Minghui, SUN Jiaying, MOU Yifan, LUO Jinping, ZHANG Baoxuan, YIN Wenqiang, CHEN Zhongming, MA Dongping. Family doctors of chronic disease comorbid patients based on discrete choice experimentresearch on preference of contract service selection. 2024. biomedRxiv.202412.00002

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