[1]范转转,李文婷,马国亮.基于“供给—需求—环境”框架的慢性病患者家庭医生签约服务选择偏好研究[J].卫生经济研究,2026,43(10):65-68.
　FAN Zhuanzhuan,LI Wenting,MA Guoliang.Research on the Preference of Chronic Disease Patients for Family Doctor Contract Services Based on the "Supply-Demand-Environment" Framework[J].Journal Press of Health Economics Research,2026,43(10):65-68.
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基于“供给—需求—环境”框架的慢性病患者家庭医生签约服务选择偏好研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年10期
页码:
65-68
栏目:
卫生服务利用
出版日期:
2026-10-01

文章信息/Info

Title:
Research on the Preference of Chronic Disease Patients for Family Doctor Contract Services Based on the "Supply-Demand-Environment" Framework
作者:
范转转1; 李文婷1; 马国亮1
1.江苏省南京市疾病预防控制中心，江苏 南京 210003
Author(s):
FAN Zhuanzhuan;  LI Wenting;  MA Guoliang
Nanjing Center for Disease Control and Prevention, Nanjing Jiangsu 210003, China
关键词:
家庭医生签约服务; 离散选择实验; 慢性病患者; “供给—需求—环境”框架
Keywords:
family doctor contract services;  discrete choice experiment;  chronic disease patients;  supply-demand-environment framework
分类号:
R19
文献标志码:
A
摘要:
目的：分析慢性病患者对家庭医生签约服务选择偏好的特征、关键影响因素及支付意愿，为推动家庭医生签约服务高质量发展提供依据。方法：系统检索中英文数据库，纳入基于离散选择实验的实证研究，采用“供给—需求—环境”框架，从供给侧、需求侧和环境侧三个维度提取并整合研究结果。结果：共纳入9项研究，供给端分析显示“价值医疗”是慢性病患者的核心偏好，需求端显示不同人群的偏好特征存在差异，环境端显示制度信任与政策支持能够促进选择偏好的形成。结论：供给端、需求端、环境端相互作用，共同影响慢性病患者对家庭医生签约服务的选择偏好；对此，应推动家庭医生签约服务提质增效、构建精准的服务响应体系、优化政策体系，提升其吸引力。
Abstract:
Objective To analyze the preference characteristics, key influencing factors, and willingness to pay of chronic disease patients for family doctor contract services, providing evidence for promoting the high-quality development of family doctor contract services. Methods A systematic search of Chinese and English databases was conducted, and empirical studies based on discrete choice experiments were included. Using the "supply-demand-environment" framework, research findings were extracted and integrated from the supply side, demand side, and environmental side. Results A total of 9 studies were included. On the supply side, "value-based healthcare" was identified as the core preference among chronic disease patients. On the demand side, preference characteristics varied across different population groups. On the environmental side, institutional trust and policy support were found to facilitate the formation of preferences. Conclusion The supply side, demand side, and environmental side interact to collectively influence the preferences of chronic disease patients for family doctor contract services. It is recommended to improve the quality and efficiency of family doctor contract services, establish a precision-oriented service response system, and optimize the policy framework to enhance their attractiveness.

参考文献/References:

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更新日期/Last Update: 2026-10-08