Empirical study on "family health assessment index system for services based on family doctor system"

ObjectiveTo make an empirical study on effectiveness and feasibility of the "family health assessment index system for services based on family doctor system", so as to ascertain major health status and its influence factors with families and individuals in Xietu Community, then providing utility assessment tool for the family doctors to carry out the classified and stratified health management.

MethodsA total of 500 permanent contract families were selected in Xietu Community of Xuhui District in Shanghai as the research object. A questionnaire survey was used for making the empirical study.

ResultsThere were average number of 2.2 persons each family(2.2±1.0);nucleus families accounted for 61.8%.Families with good function were in the majority, accounting for 84.6%;those with moderate and severe impairment accounted for 15.4%.And 57.9% of individuals suffered from chronic diseases.The families with 2 and 3 patients with chronic diseases accounted for 38.2% and 4.4% respectively.The patients with 2, 3, 4 or more chronic diseases accounted for 24.9%, 22.1% and 34.8% respectively.And 35.5% of the residents occasionally did not take medication.32.2% of the residents discontinued taking medicine when their symptoms improved.The EQ-VAS score of the residents surveyed was (75.46+15.47) points, most of their health problems focused on three aspects such as pain or discomfort, daily activities and actions.

ConclusionsThe family size becomes smaller and core.A small proportion of families suffer from family dysfunction.The prevalence rate of residents with chronic diseases is higher.Coexistence of multiple diseases is serious.Some residents have poor compliance behavior with many health problems.The health assessment index system should be broadly used for management of services based on the family doctor system.