ZHANG Yujie 1,3,4 , YIN Wenqiang 1,3,4 , YAN Yu 1,3,4 , SUN Yan 1,3,4 , LI Cuiyu 1,3,4 , MENG Cuixiang 2,3,4 , ZHANG Tiantian 2,3,4 , CHEN Zhongming 1,3,4
  • 1. School of Management, Weifang Medical University, Weifang 261053, P.R.China;
  • 2. School of Public Health, Weifang Medical University, Weifang 261053, P.R.China;
  • 3. "Health Shandong" Severe Social Risk Prevention and Management Synergy Innovation Center, Weifang 261053, P.R.China;
  • 4. Collaborative Innovation Center of Social Risks Governance in Health, Shanghai 200032, P.R.China;
YIN Wenqiang, Email: yinwq1969@126.com
China; Family doctor contract service; Satisfaction; Meta-analysis; Systematic review; Cross-sectional study
10.7507/1672-2531.202106177
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Objective To systematically review the satisfaction of Chinese residents with the contract services of family doctors. Methods CNKI, WanFang Data, VIP, PubMed, Web of Science, and EMbase databases were electronically searched to collect cross-sectional studies related to the Chinese residents' satisfaction with the service of family doctors from January 2011 to May 2021. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Meta-analysis was then performed using Stata 14.1 software. Results A total of 42 cross-sectional studies were included. The results of meta-analysis showed that the overall satisfaction rate of residents with the contract services of family doctors was 77.7% (95%CI 73.7% to 81.7%). The results of subgroup analysis showed that the satisfaction rate of the male and female residents were 83.0% and 84.3%; <60 and ≥60 years old residents were 83.5% and 81.7%; junior high school or below, senior high school or technical secondary school, junior college or above educational level residents were 84.1%, 76.4% and 81.2%; the monthly income less than 4000 yuan and more than 4000 yuan residents were 78.5% and 79.3%; with and without diseases residents were 85.3% and 79.7%; with and without spouse residents were 80.6% and 82.4%; on and off the job residents were 77.7% and 73.9%; urban and rural residents were 78.7% and 80.0%; in 2011-2015 and 2016-2020 were 67.6% and 76.2%; eastern and western regions residents were 76.5% and 79.7%; relevant studies which were conducted by random sampling and nonrandom sampling were 80.5% and 73.5%. Conclusions There is still room for improvement in residents' satisfaction with family doctor contract service. Residents with different education levels, disease situations, on-the-job situations, time, regions and sampling methods have differences in their satisfaction with the contract services of family doctors.

Citation： ZHANG Yujie, YIN Wenqiang, YAN Yu, SUN Yan, LI Cuiyu, MENG Cuixiang, ZHANG Tiantian, CHEN Zhongming. Residents' satisfaction with family doctors contract services in China: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2021, 21(10): 1148-1153. doi: 10.7507/1672-2531.202106177 Copy

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