Status Quo and Influencing Factors of Family Doctors Performance in Dongguan City

BackgroundThe low-performance rate of family doctors is the most important problem in the implementation of the contract service system of family doctors in China, and improving the performance rate of family doctors has become a topic of common concern. We investigated the performance behavior of family doctors in Dongguan, Guangdong Province, to understand the current situation of family doctors performance in Dongguan, and to explore the influencing factors of their performance. ObjectivesTo understand the status quo of family doctors performance in Dongguan City, Guangdong Province, and to explore the influencing factors of family doctors agreement fulfillment rate. MethodsThe multi-stage sampling method was used to randomly select family doctors in Dongguan City, Guangdong Province, to investigate the status quo of family doctors performance in community health service institutions in Dongguan City. Logistic regression analysis was used to investigate the influencing factors of family doctors performance, and decision trees and associations were used to further identify the influencing factors of family doctors performance. Results100 family doctors participated in the survey, and 75% of them were generally able to perform their duties. Logistic regression analysis shows that whether a family doctor signs a contract with a resident is the influencing factor of family doctor performance behavior, and the higher the family doctor signing rate, the higher the family doctor performance rate. The results of decision tree analysis showed that the biggest influence factor of family doctors performance behavior is whether the family doctors are contracted residents or not. ROC curve was 0.860, and pAUC was 0.073 respectively. The most influential factor in decreasing the average Gini index of random forest is whether the family doctor signed a contract or not. The results of association rules showed that there was a correlation between whether the family doctor signed a contract or not and the performance of the family doctor. ConclusionsThe performance rate of family doctors in Dongguan City, Guangdong Province is relatively high. Whether family doctors sign contracts with residents is the influencing factor of family doctors performance. Improving the contract rate of family doctors is the key to improve the performance rate of family doctors.